Abstract:

Objective To explore the effect of the conceive-design-implement-operate (CDIO) teaching mode in the improvement of coaches' ability of intravenous infusion therapy. Methods　Thirty-four female coaches of intravenous infusion therapy in Jieyang People's Hospital who were 25-45 years old were selected as the study objects. In the first ten days of May and October 2019, before and after the training of intravenous infusion, the cross-sectional survey on intravenous infusion in the hospital was carried out. The China Registered Nurses Core Competence Scale was used to assess the objects. From June to October 2019, CDIO training was conducted. The changes of the coaches' clinical core competence before and after the training were compared; the training satisfaction of CDIO teaching mode was evaluated; the indirect effect was evaluated by the quality of intravenous infusion in the whole hospital before and after 3 months' training.t and χ² tests were applied. Results　After the implementation of CDIO teaching mode training, the coaches' ability of critical thinking increased from (25.47±5.05) to (35.53±8.22), the ability of clinical nursing from (28.59±5.92) to (34.35±7.93), the ability of professional development from (19.62±4.41) to (23.47±5.18), and the ability of education/consultation from (21.06±5.58) to (26.97±6.15); the satisfaction with teaching was 97.06% (33/34) or above; the qualified rate of choosing infusion tools in the whole hospital increased from 82.11% (1 065/1 297) to 85.74% (1 377/1 606); the correct rate of dressing fixation increased from 81.57% (1 058/1 297) to 86.24% (1 385/1 606); the correct rate of flushing and sealing tubes increased from 80.96% (1 050/1 297) to 84.12% (1 351/1 606); the incidence of transfusion-related complications decreased from 5.47% (71/1 297) to 2.80% (45/1 606); there statistical differences (all P<0.05). Conclusions　Using CDIO teaching mode for training can effectively improve the training effect, coaches' comprehensive ability of intravenous infusion therapy, and the quality of nursing care of intravenous infusion therapy in hospitals.

Key words:

Conceive-design-implement-operate teaching mode, Coaches of intravenous infusion therapy, Training

摘要：

目的　探讨构思-设计-实现-运作（conceive-design-implement-operate，CDIO）教学模式在静脉输液治疗教练员能力提升中的应用效果。方法　本研究采用自身前后对照的研究方法，以揭阳市人民医院34名静脉输液治疗教练员（均为女性，年龄范围25～45岁）作为研究对象，于2019年5月上旬及10月分别在培训前后对全院静脉输液情况进行横断面调研，及采用中国注册护士核心能力量表对研究对象进行测评。2019年6月至10月应用CDIO教学模式进行培训，比较培训前后静脉输液治疗教练员的临床核心能力的变化，对CDIO教学模式的培训满意度进行评价，并以培训前后3个月全院静脉输液治疗质量作为间接效果评价指标。采用t检验、χ²检验进行统计分析。结果　CDIO教学模式培训实施后，静脉输液治疗教练员评判性思维/科研能力从（25.47±5.05）分提升至（35.53±8.22）分、临床护理能力从（28.59±5.92）分提升至（34.35±7.93）分、专业发展能力从（19.62±4.41）分提升至（23.47±5.18）分、教育/咨询能力从（21.06±5.58）分提升至（26.97±6.15）分，差异均有统计学意义（均P<0.05）；对教学满意度调查均在97.06%（33/34）及以上；全院输液工具选择合格率从82.11%（1 065/1 297）提升至85.74%（1 377/1 606），敷料固定正确率从81.57%（1 058/1 297）提升至86.24%（1 385/1 606），冲封管正确率从80.96%（1 050/1 297）提升至84.12%（1 351/1 606），静脉输液相关并发症发生率从5.47%（71/1 297）降至2.80%（45/1 606），差异均有统计学意义（均P<0.05）。结论　采用CDIO教学模式进行培训，能有效地提高培训效果，提升静脉输液治疗教练员的综合能力，对提高医院静脉输液治疗护理质量具有重要意义。

关键词:

构思-设计-实现-运作教学模式, 静脉输液治疗教练员, 培训