Application of Miller pyramid method in competency training of new nurses in hemodialysis room_West China Medical Journal

Authors：

 YUAN Huaihong , YANG Yujie , MA Chunyan , LI Qiao , ZENG Ying

Hemodialysis Center, Department of Nephrology, West China Hospital / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YUAN Huaihong, Email: 1609136873@qq.com

Keywords：

Miller pyramid teaching method; Hemodialysis room; New nurse; Post competence

DOI：

10.7507/1002-0179.201912034

Video：

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Objective To discuss the application of Miller pyramid teaching method in the competency training of new nurses in hemodialysis room and evaluate the effect.Methods Fourteen new nurses in hemodialysis room adopting conventional teaching method from January 2017 to December 2018 were retrospectively selected as the control group; from January to December 2019, another 14 new nurses in hemodialysis room were prospectively selected as the trial group and Miller pyramid teaching method was adopted. After three months of training, the theory and operation of the two groups of new nurses were assessed, and the post competency was assessed by using the Competency Inventory for Registered Nurse, and the teaching satisfaction was assessed by using the self-designed questionnaire on the teaching effect satisfaction of new nurses in hemodialysis room. The data of the two groups were compared.Results The theoretical examination score (91.54±5.89 vs. 83.86±6.45), operational examination score (96.89±3.65 vs. 90.58±5.15), score of Competency Inventory for Registered Nurse (186.66±4.89 vs. 163.76±6.89), and teaching satisfaction (4.56±0.72 vs. 3.56±0.97) in the trial group were all higher than those in the control group, the differences were statistically significant (P<0.05).Conclusion Miller pyramid teaching method is feasible to train the post competency of new nurses in hemodialysis room, which is helpful to improve the theoretical basis, operational skills, post competency, and teaching satisfaction of new nurses in hemodialysis room.

Citation： YUAN Huaihong, YANG Yujie, MA Chunyan, LI Qiao, ZENG Ying. Application of Miller pyramid method in competency training of new nurses in hemodialysis room. West China Medical Journal, 2020, 35(6): 696-700. doi: 10.7507/1002-0179.201912034 Copy

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10.	王香莉, 劉玲玉, 張才慧, 等. Miller 金字塔教學法在新入職護士操作技能培訓中的效果研究. 中華醫院管理雜志, 2017, 33(4): 318-320.
11.	劉梅, 楊春靜, 林征, 等. 以團隊為基礎的教學法聯合翻轉課堂在骨科專科護士培訓中的應用研究. 護理管理雜志, 2017, 17(11): 819-821.
12.	王晶晶, 李羅蘭, 徐琪, 等. 翻轉課堂模式在胸心外科專科護士培訓中的應用研究. 護理管理雜志, 2018, 18(1): 64-66.
13.	陳建勝, 孫麗娜, 周曉惠, 等. 論醫學模擬技術在診斷學實踐教學中的應用. 實驗技術與管理, 2013, 30(10): 96-99.
14.	鄭佳, 楊建國, 阮海濤. “三明治”教學法在新入職護士規范化培訓中的應用. 護理學雜志, 2018, 33(15): 19-21.
15.	吳娟. ICU 專科護士培訓及使用的現狀與思考. 中國護理管理, 2007, 7(10): 37-39.

1. Saran R, Robinson B, Abbott KC, et al. US Renal Data System 2017 annual data report: epidemiology of kidney disease in the United States. Am J Kidney Dis, 2018, 71(3 Suppl 1): A7.
2. Saran R, Robinson B, Abbott KC, et al. US Renal Data System 2016 annual data report: epidemiology of kidney disease in the United States. Am J Kidney Dis, 2017, 69(3 Suppl 1): A7-A8.
3. 張穎君, 石梅, 陳林. 血液透析患者多維癥狀評估量表的漢化及信效度檢驗. 現代預防醫學, 2020, 47(4): 743-746.
4. 李蓮葉, 張琳琪, 曲斌. 我國兒科新護士規范化培訓現狀. 中華現代護理雜志, 2014, 20(29): 3779-3783.
5. 張含鳳, 李秋潔, 呂冬梅. 新畢業護士角色轉變的研究進展. 中華護理雜志, 2011, 46(11): 1142-1145.
6. Miller MD. Simulations in medical education: a review. Med Teach, 1987, 9(1): 35-41.
7. 王麗敏, 喻曉芬. Miller 金字塔教學法在手術室低年資護士應急能力培訓中的應用研究. 護理管理雜志, 2019, 19(9): 678-682.
8. 鄒亦廬, 鄭秀, 胡繼芬, 等. Miller 金字塔原理的模擬教學分層應用模式在婦產科臨床教學中的應用. 吉林醫學, 2018, 39(6): 1194-1196.
9. 劉明, 殷磊, 馬敏燕, 等. 注冊護士核心能力測評量表結構效度驗證性因子分析. 中華護理雜志, 2008, 43(3): 204-206.
10. 王香莉, 劉玲玉, 張才慧, 等. Miller 金字塔教學法在新入職護士操作技能培訓中的效果研究. 中華醫院管理雜志, 2017, 33(4): 318-320.
11. 劉梅, 楊春靜, 林征, 等. 以團隊為基礎的教學法聯合翻轉課堂在骨科專科護士培訓中的應用研究. 護理管理雜志, 2017, 17(11): 819-821.
12. 王晶晶, 李羅蘭, 徐琪, 等. 翻轉課堂模式在胸心外科專科護士培訓中的應用研究. 護理管理雜志, 2018, 18(1): 64-66.
13. 陳建勝, 孫麗娜, 周曉惠, 等. 論醫學模擬技術在診斷學實踐教學中的應用. 實驗技術與管理, 2013, 30(10): 96-99.
14. 鄭佳, 楊建國, 阮海濤. “三明治”教學法在新入職護士規范化培訓中的應用. 護理學雜志, 2018, 33(15): 19-21.
15. 吳娟. ICU 專科護士培訓及使用的現狀與思考. 中國護理管理, 2007, 7(10): 37-39.

West China Medical Journal

Application of Miller pyramid method in competency training of new nurses in hemodialysis room

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