首页|期刊导航|眼科学报|基于DIKW模型视觉障碍模拟体验训练在眼科新入职护士培训中的应用

基于DIKW模型视觉障碍模拟体验训练在眼科新入职护士培训中的应用OA

The application of visual impairment simulation training based on DIKW model in the training of novice ophthalmic nurses

中文摘要英文摘要

目的:探讨基于数据-信息-知识-智慧(data-information-knowledge-wisdom,DIKW)模型的视觉障碍模拟体验训练在眼科新入职护士人文执业能力、同理心、职业认同感、患者满意度及护理不良事件发生率等方面的应用效果.方法:采用随机对照试验设计,选取 2023 年 10 月—12 月天津市眼科医院的 70 名新入职护士作为研究对象,通过随机数表法将研究对象分为对照组和干预组各 35 例.对照组采用传统理论授课与临床实践相结合培训模式;干预组在常规培训基础上,实施基于 DIKW 模型的视觉障碍模拟体验训练,通过情景模拟让护士亲身体验不同视觉障碍患者的感受.采用护士人文执业能力测评量表、杰斐逊同理心量表、护士职业认同感量表、患者满意度调查问卷和护理不良事件发生率在干预前后进行效果评估.结果:两组护士的人文执业能力、同理心和职业认同感得分总分均较干预前提高(P<0.05),且干预组的提升幅度大于对照组(P<0.05).干预后,干预组护理的患者在主动服务意识、护患沟通、安全管理方面的满意度平均得分提高(均 P<0.05),干预组在跌倒坠床、态度相关的方面的护理不良事件发生率降低,差异均有统计学意义(均 P<0.05).结论:基于 DIKW 模型的视觉障碍模拟体验训练能有效提升新入职眼科护士的人文执业能力、同理心水平和职业认同感,提高患者满意度,降低护理不良事件发生率,全面提高护理质量.

Objective:To investigate the application effects of visual impairment simulation training based on the data-information-knowledge-wisdom(DIKW)model on humanistic professional competence,empathy,professional identity,patient satisfaction,and the incidence of adverse events among newly recruited ophthalmology nurses.Methods:A randomized controlled trial design was employed.70 newly recruited nurses from a Grade Ⅲspecialized ophthalmology hospital in Tianjin City were selected as the study subjects,and the research was conducted from October to December 2023.The participants were randomly divided into control group(35 cases)and intervention group(35 cases)using a random number table method.The control group received traditional training,which combined theoretical instruction with clinical practice.In contrast,the intervention group underwent visual impairment simulation training based on the DIKW model,enabling nurses to experience different visual impairments through scenario simulations.The effectiveness of the training was evaluated using several assessment tools,including the Nurse Humanistic Professional Competence Assessment Scale,the Jefferson Empathy Scale(JSE),the Nurse Professional Identity Scale,the Patient Satisfaction Questionnaire,and the Nursing Adverse Event(NAE)Incidence Rate.Results:Both groups showed significant improvements in the total scores for humanistic professional competence,empathy,and professional identity compared to their pre-intervention levels(P<0.05).Notably,the intervention group demonstrated significantly greater improvement than the control group(P<0.05).After the intervention,patients cared for by the intervention group exhibited higher average satisfaction scores in terms of proactive service awareness,nurse-patient communication,and safety management(all P<0.05).Additionally,the intervention group showed statistically significant reductions in NAE incidence rates related to falls,bed falls,and attitude-related issues(all P<0.05).Conclusions:Visual impairment simulation training based on DIKW model can effectively enhance the humanistic professional competence,empathy level,and professional identity of newly recruited ophthalmic nurses.It also improves patient satisfaction,reduces the incidence of nursing adverse events,and comprehensively improves the quality of nursing care.

陈杨杨;庄淑梅;郝帅;孙杰;陶俊竹;刘珺;肖抒情;史宇红;任永霞

天津市眼科医院护理部,天津 300020天津医科大学护理学院,天津 300023天津市眼科医院住院部,天津 300020天津市眼科医院住院部,天津 300020天津市眼科医院住院部,天津 300020天津市眼科医院住院部,天津 300020天津市眼科医院住院部,天津 300020天津市眼科医院护理部,天津 300020天津市眼科医院护理部,天津 300020

医药卫生

DIKW模型视觉障碍模拟体验眼科新入职护士

DIKW modelvisual impairmentsimulation trainingnovice ophthalmic nurse

《眼科学报》 2026 (5)

381-395,15

天津市一流课程建设项目(202001-07).This work was supported by Tianjin First-Class Course Construction Project(202001-07).

10.12419/25063001

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