基于胜任力与学习需求的医学生医院感染防控教育现状与对策研究

    Study on the current status and countermeasures of hospital infection and control education for medical students based on competency and learning needs

    • 摘要:
      目的: 了解医学生对医院感染预防与控制教育现状,并分析其影响因素。
      方法: 采用一般问卷调查法,对安徽省38家医疗机构的1 820名医学生进行问卷调查。
      结果: 在感控胜任力中,手卫生和消毒隔离是医学生最薄弱的两项。多因素分析显示,硕士及以上学历、参加感控岗前培训及对感控的了解程度与胜任力显著相关(P < 0.05 ~ P < 0.01)。参加感控岗前培训、胜任力高的医学生越觉得有必要开设感控课程(P < 0.05 ~ P < 0.01)。48.8%的学生希望将感控课程安排在实习前,62.29%的学生建议课程学时为8 ~ 16学时。手卫生、医院感染概论和消毒隔离知识是医学生需求较高的知识内容。
      结论: 需构建分层次、重实践、贯穿院校教育与临床培训的感控胜任力教育新模式,以保障医疗质量与病人安全。

       

      Abstract:
      Objective To understand the current situation of medical students' education on hospital infection prevention and control, and analyze its influencing factors.
      Methods A general questionnaire survey was adopted to conduct a questionnaire survey among 1820 medical students from 38 medical institutions in Anhui Province.
      Results Among the infection control competencies, the hand hygiene and disinfection isolation were the two weakest aspects for medical students. The results of multivariate analysis showed that the master's degree or above, participation in pre-job training for infection control, and understanding of infection control were significantly correlated with competence (P < 0.05 to P < 0.01). Medical students who had participated in pre-job training for infection control and high competence felt it more necessary to offer infection control courses (P < 0.05 to P < 0.01). The 48.8% of the students hoped that the infection control course would be arranged before the internship, and 62.29% of the students suggest that the course duration should be 8 to 16 hours. Hand hygiene, overview of hospital infections and knowledge of disinfection and isolation were the knowledge contents that medical students had a relatively high demand for.
      Conclusions It is necessary to establish a new model of infection control competence education that is hierarchical, practice-oriented and integrates institutional education with clinical training to ensure medical quality and patient safety.

       

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