床边带教老师和教育护士标准化培训

中国首家通过国际医院（JCI）评审的公立医院浙江大学医学院附属邵逸夫医院冯金娥护理硕士护理教育部主任FengJinE,RN,MNS.床边带教老师和教育护士标准化培训StandardizedTrainingApproachesforPreceptorandAducatorGivingYouSincerity,ConfidenceandLove教学目标LearningObjective了解邵逸夫医院临床带教老师和教育护士培训项目实践LearnaboutthestandardizedpreceptorandeducatortrainingprogramatSRRSH探讨临床带教老师和带教护士的角色功能和作用ExploretherolesofpreceptorandeducatorinsettingofclinicaleducationGivingYouSincerity,ConfidenceandLove医院护理教学队伍ATeamforStaffDevelopment护士长Nurseadministrator教育护士NurseeducatorAPN护士APNnurse高年资床边带教老师PreceptorGivingYouSincerity,ConfidenceandLove指导框架FrameworkBENNER从新手到专家的发展模式BENNER’SMODELfromnovicetoexpert新手(Novice)资深新手(AdvancedBeginner)掌握阶段(Competent)熟练阶段(Proficient)专家阶段(Expert)在职教育教学程序Staffdevelopmentprocess教学需要评估Needassessment教学目标和教学计划制定Learningobjectiveandplanning教学实施Implementing教学评价EvaluatingGivingYouSincerity,ConfidenceandLove床边带教老师培训教育需要LeaningNeedforPreceptorTraining每年监管指导大约200-300名护生和新护士的临床实践，临床实习和工作初期是护士专业认同性形成的重要阶段Annuallysupervise200-300novicenursetopracticeinclinicalsetting床边带教老师是新手护士从课堂到临床实践最重要的纽带Preceptorsarecriticallinkfornovicenursetobecomeaqualifiednurse合格护士是新手合适的带教老师ThecompetentnursesaregoodpreceptorsforthenoviceandadvancedbeginnerGivingYouSincerity,ConfidenceandLove床边护士与带教护士之间的关系TheRelationshipbetweenStaffNurseandPreceptorCompetenceCompetenceasaSTAFFNURSE合格的护士CompetenceasaPRECEPTOR合格的带教老师临床带教老师需要具备那些能力？Whatcompetencethepreceptorshouldhave?GivingYouSincerity,ConfidenceandLove能力评估：知识CompetenceAssessment:Knowledge临床护理实践的标准包括各种护理制度、护理常规、护理技术操作流程Policies,protocols,techniques护理常规工作Routine护理记录Documentation教与学原则和成人教育原则Principlesofadulteducation团队协作Teamwork……………GivingYouSincerity,ConfidenceandLove能力评估：技术CompetenceAssessment:Skill护理操作技能Techniques交流技能Communication人际关系Interpersonalrelations使用各种资源技能Useofresource设备的使用技能Useofequipment解决问题Problem-solving决策Decisionmaking工作优先性安排Priority–setting工作指配Delegation……………GivingYouSincerity,ConfidenceandLove能力评估：态度CompetenceAssessment:Attitude尊重人Respectful客观现实Realistic耐心Patient思维开放Open-minded可靠Dependable善于倾听他人Goodlistener支持性的Supportive积极向上Positive幽默感Senseofhumor建设性的Constructive成熟Mature诚实Honest………….GivingYouSincerity,ConfidenceandLove教学资源评估EducationalResourcesAssessment有一支积累一定教学经验的带教队伍Ateamforstaffdevelopmentandstudentclinicaleducationwithsomeexperience.制定了带教老师学习自学包Self–studypackagedevelopmentforroletransition.罗马琳达大学医学中心护理教育专家ConsultationfromLLUnurseEducatortostandardizethetrainingprogramin2009.GivingYouSincerity,ConfidenceandLove教学目标LearningObjective讨论床边带教老师的职能、挑战和能力要求Discusstheresponsibility,challengeandcompetenceofapreceptor.列出床边带教老师的3个角色作用Listtherolesofpreceptor.讨论床边带教老师的模范作用的概念和实践活动Discusstheroleofrolemodelingandhowtoplaytherolewell.举例说明如何应用成人教学原则Givetheexamplehowtoapplyadultprinciple.评价自我的学习方式并举例说明不同学习方式的优势和不足之处Evaluateyourownlearningstyleanddiscussthecharacteristicofdifferentlearningstyles.GivingYouSincerity,ConfidenceandLove教学目标LearningObjective举例说明不同领域的教学目标、不同的教学方法和评价的实施Giveexamplestohowtoimplementdifferentteachingandevaluationmethodsfordifferentdomainoflearning.讨论带教老师评价者的作用并举例说明如何有效地评价带教对象Discusstheroleofevaluatorandgiveexamplehowtoeffectivelyplaytherole.讨论带教老师引导者作用的概念并举例说明Discusstheroleoffacilitatorandgiveexamplehowtoplaytherole.为保持与带教对象良好的关系，举例说明带教老师“该做的”和“不该做的”3条原则Givetheexamplehowtomaintainagoodrelationshipbetweenpreceptorandpreceptee.GivingYouSincerity,ConfidenceandLove计划、实施与评价Plan,ImplementingandEvaluating自学包学习相关理论，思考课前问题Selfstudytheself-learningpackageandthinkthequestionbeforeclass参与8小时课堂授课与讨论Participate8hoursclassroomlectureanddiscussion课后复习自学包、强化相关理论Reviewtheself-studypackageafterclass在带教中实践学到教学原则与方法Applytheprinciplestopracticeduringthefollowingpreceptorship完成课后作业Accomplishhomework颁发床边带教老师合格证书Lssuethecertificate被带教对象、教育护士根据角色期望要求进行评价反馈GivingYouSincerity,ConfidenceandLove带教老师角色之一：模范作用Role1：RoleModeling角色模范作用是一个过程，在这个过程中，一个人认同并采用另一个人的价值观和行为，最终导致行为的永恒改变RoleModelingisaprocessinwhichanindividualidentifieswithandassumesthevaluesandbehaviorsofanotherpersonthatultimatelyresultsinbehaviormodificationthatisusuallypermanent.(Bidwell&Braswell)在她特定的工作单元按工作职责中的要求履行好一名合格护士Tobeaqualifiednurse护士本身的言行就是一种非常有效、有力的教学方法Yourselfisaneffectiveandpowerfulteachingmethods模塑你专业最佳的状态ModeltheBESTofyourprofession!GivingYouSincerity,ConfidenceandLove带教老师角色之二：教育Role2：Educator教与学原则、成人教学原则Adultprinciple不同学习方式的特点Differentlearningstyle临床技能从新手到专家的发展Clinicalskilldevelopmentfromnovicetoexpert教学需要的评估Learningneedassessment教学目标制定Writinglearningobjective教学方法：如何教操作、如何提问题、各种其他应用的教学方法Teachingmethods:howtoteachclinicaltechniquesandaskquestionandothermethods教学评价：如何有效的反馈尤其是进行正性的和建设性的反馈Evaluation:HowtogiveeffectiveevaluationGivingYouSincerity,ConfidenceandLove带教老师角色之三：引导者Role3：FacilitatorofSocialization引导实习生和新护士进行角色转换FacilitatethesocializationofnursestudentandnewnurseMarleneKramer的现实休克Realityshock蜜月期Honeymoon休克期Shock恢复期Recovery解决期ResolutionGivingYouSincerity,ConfidenceandLove评价：4层次评价模式根据Kerikpatrick.行为评价结果评价GivingYouSincerity,ConfidenceandLove项目评价层次1-课程评价ProgramEvaluationLevel1–HappinessEvaluation1.课程内容符合你的学习需要4.412.课程极大地改变了我对带教工作的方法4