摘要目的:探讨分析多站式Mini-CEX在骨科护理实习生带教中的应用效果。方法:选择2019年9—12月在郑州大学第一附属医院4个骨科病区实习的97名护生作为研究对象，将其中在骨科一病区和骨科二病区实习的45名护生作为对照组，将在骨科三病区和骨科六病区实习的52名护生作为观察组。对照组给予常规护理带教，观察组在对照组基础上给予多站式Mini-CEX带教，比较两组护生教学完成后Mini-CEX各维度评分、出科考核成绩及多站式Mini-CEX评估法实施前后教师教学效能感得分。结果:观察组实习护生Mini-CEX各维度评分及总分均高于对照组，差异有统计学意义（ P<0.05）。观察组实习护生出科理论考核成绩及实践操作成绩高于对照组，差异有统计学意义（ P<0.05）。多站式Mini-CEX实施后护理教师的一般教师效能感、个人教学效能感及总分均高于实施前，差异有统计学意义（ P<0.05）。 结论:多站式Mini-CEX用于骨科护理实习带教，可提高实习护生的临床技能、综合能力和学习兴趣，同时有助于带教老师教学效能感的提升，值得推广应用。

abstractsObjective:To explore and analyze the application effects of multi-site Mini-clinical Evaluation Exercise (Mini-CEX) method in teaching of orthopedic nursing interns.Methods:From September 2019 to December 2019, a total of 97 nursing students who took an internship in 4 Orthopedic Wards of the First Affiliated Hospital of Zhengzhou University were selected as research objects. Among them, 45 nursing students who took an internship in the First Ward and the Second Ward of Orthopedics were set as the control group and other 52 nursing students who took an internship in the Third Ward and the Sixth Ward of Orthopedics were set as the observation group. The control group was given routine nursing instruction, while the observation group was given multi-site Mini-CEX method on the basis of the control group. Scores of all dimensions of Mini-CEX and scores of departmental rotation examination after the completion of teaching and the scores of teaching efficacy of teachers before and after the implementation of multi-site Mini-CEX method were compared between the two groups.Results:Scores of all dimensions and the total score of Mini-CEX of nursing interns in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . The scores of theoretical assessment and practical operation of departmental rotation examination of nursing students in the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . After the implementation of multi-site Mini-CEX teaching program, the general teacher efficacy, personal teaching efficacy and total scores of nursing teachers were higher than those before the implementation, and the differences were statistically significant ( P<0.05) . Conclusions:Application of multi-site Mini-CEX method in surgical nursing practice teaching can improve clinical skills, comprehensive ability and learning interest of nursing students, and also help to improve the teaching efficacy of teachers, which is worthy of promotion and application.