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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9.	刘明, 殷磊, 马敏燕, 等. 注册护士核心能力测评量表结构效度验证性因子分析. 中华护理杂志, 2008, 43(3): 204-206.
10.	王香莉, 刘玲玉, 张才慧, 等. Miller 金字塔教学法在新入职护士操作技能培训中的效果研究. 中华医院管理杂志, 2017, 33(4): 318-320.
11.	刘梅, 杨春静, 林征, 等. 以团队为基础的教学法联合翻转课堂在骨科专科护士培训中的应用研究. 护理管理杂志, 2017, 17(11): 819-821.
12.	王晶晶, 李罗兰, 徐琪, 等. 翻转课堂模式在胸心外科专科护士培训中的应用研究. 护理管理杂志, 2018, 18(1): 64-66.
13.	陈建胜, 孙丽娜, 周晓惠, 等. 论医学模拟技术在诊断学实践教学中的应用. 实验技术与管理, 2013, 30(10): 96-99.
14.	郑佳, 杨建国, 阮海涛. “三明治”教学法在新入职护士规范化培训中的应用. 护理学杂志, 2018, 33(15): 19-21.
15.	吴娟. ICU 专科护士培训及使用的现状与思考. 中国护理管理, 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. 张颖君, 石梅, 陈林. 血液透析患者多维症状评估量表的汉化及信效度检验. 现代预防医学, 2020, 47(4): 743-746.
4. 李莲叶, 张琳琪, 曲斌. 我国儿科新护士规范化培训现状. 中华现代护理杂志, 2014, 20(29): 3779-3783.
5. 张含凤, 李秋洁, 吕冬梅. 新毕业护士角色转变的研究进展. 中华护理杂志, 2011, 46(11): 1142-1145.
6. Miller MD. Simulations in medical education: a review. Med Teach, 1987, 9(1): 35-41.
7. 王丽敏, 喻晓芬. Miller 金字塔教学法在手术室低年资护士应急能力培训中的应用研究. 护理管理杂志, 2019, 19(9): 678-682.
8. 邹亦庐, 郑秀, 胡继芬, 等. Miller 金字塔原理的模拟教学分层应用模式在妇产科临床教学中的应用. 吉林医学, 2018, 39(6): 1194-1196.
9. 刘明, 殷磊, 马敏燕, 等. 注册护士核心能力测评量表结构效度验证性因子分析. 中华护理杂志, 2008, 43(3): 204-206.
10. 王香莉, 刘玲玉, 张才慧, 等. Miller 金字塔教学法在新入职护士操作技能培训中的效果研究. 中华医院管理杂志, 2017, 33(4): 318-320.
11. 刘梅, 杨春静, 林征, 等. 以团队为基础的教学法联合翻转课堂在骨科专科护士培训中的应用研究. 护理管理杂志, 2017, 17(11): 819-821.
12. 王晶晶, 李罗兰, 徐琪, 等. 翻转课堂模式在胸心外科专科护士培训中的应用研究. 护理管理杂志, 2018, 18(1): 64-66.
13. 陈建胜, 孙丽娜, 周晓惠, 等. 论医学模拟技术在诊断学实践教学中的应用. 实验技术与管理, 2013, 30(10): 96-99.
14. 郑佳, 杨建国, 阮海涛. “三明治”教学法在新入职护士规范化培训中的应用. 护理学杂志, 2018, 33(15): 19-21.
15. 吴娟. ICU 专科护士培训及使用的现状与思考. 中国护理管理, 2007, 7(10): 37-39.

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West China Medical Journal

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

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