关键词: 胸腔镜, 技术培训, 柯氏四级培训评估, 卫生合作, 中亚地区

Abstract: Objective To explore the effect of minimally invasive thoracoscopic surgery training based on Kirkpatrick's four-level training model,and to provide a basis for improving related clinical training programs. Method A prospective analysis was conducted on 54 trainees from Central Asian countries who participated in the training of tuberculosis minimally invasive thoracoscopic surgery in the Eighth Affiliated Hospital of Xinjiang Medical University from February 2020 to June 2023. A questionnaire survey was conducted before the training, at the end of the training and 3 months after the training. The training results were analyzed by Kirkpatrick's four-level training evaluation model [reaction layer (training satisfaction), learning layer (theoretical assessment score, operation assessment score, overall evaluation), behavior layer (clinical nursing ability score, leadership score, interpersonal relationship and communication score, ethics and legal practice score, professional development score, education and consultation score, critical thinking and scientific research score), outcome layer (Nursing errors and effective complaints)]. Result The evaluation results of the response layer showed that the training satisfaction scores of 54 trainees for the harvest of training, the practicability of training content, the evaluation of training methods, the evaluation of teachers, and the overall evaluation of training were (4.61±0.56), (4.67±0.48), (4.52±0.57), (4.65±0.52), and (4.59±0.53), respectively. The evaluation results of the learning layer showed that the theoretical assessment scores（95.19±2.07）, operation assessment scores（93.22±2.60）and overall evaluation after training scores（97.15±1.55）after training were higher than those before training（82.43±6.56）,（80.98±5.20）and（82.30±6.27）(P<0.05). The evaluation results of the behavior layer showed that the scores of clinical nursing ability（4.37±0.65）, leadership（4.09±0.71）, interpersonal relationship and communication（4.72±0.66）, ethical and legal practice（4.65±0.65）, professional development（4.57±0.72）, education and consultation（4.41±0.71）, critical thinking and scientific research（4.35±0.73） after training were higher than those before training（3.83±0.61）,（3.57±0.50）,（4.02±0.31）,（3.96±0.39）、（3.98±0.36）,（4.02±0.31）and（3.72±0.53）(P<0.05). The evaluation results of the outcome layer showed that there were no medical and nursing errors and effective complaints among 54 trainees since they participated in the training until October 2023. Conclusion It is very important to participate in standardized technical training courses before surgery. The training of thoracoscopic minimally invasive surgery for tuberculosis can effectively improve the clinical practice ability of doctors and nurses. Kirkpatrick four-level training evaluation can effectively verify the effectiveness of the training program.

Key words: Thoracoscopy, Technical training, Kirkpatrick four-level training evaluation, Cooperation for health, Central Asia