摘要
目的探讨线上线下混合式情景模拟教学在护理本科生实习中的应用效果。方法采用便利抽样法,选取2020年8月—2021年5月在哈尔滨医科大学附属第二医院心内科实习的76名2017级护理本科生为研究对象,将其随机分为试验组和对照组,各38名。对照组接受传统毕业实习培养模式,试验组在此基础上进行线上线下混合式情景模拟教学。实习结束后利用临床思维能力评估量表评估两组学生的临床思维水平;通过客观结构化临床考试(OSCE)评估两组学生的临床实践能力,同时对其进行教学满意度调查。结果试验组学生临床思维能力总分及批判性思维能力、系统思维能力、循证思维能力得分、OSCE总分均高于对照组,差异有统计学意义(P<0.05)。试验组学生认为该教学方法更有助于深入理解并运用理论知识,提高护理评估技能、临床应对能力及沟通交流能力,同时有助于培养批判性思维和团队合作意识,调动学习积极性(均P<0.05)。结论线上线下混合式情景模拟教学可有效提高护理本科生的临床思维能力、临床实践能力及教学满意度,在本科护生毕业实习中的应用效果良好。
Objective To explore the effect of online and offline blended scenario simulation teaching in the practice of nursing undergraduates.Methods From August 2020 to May 2021,convenience sampling was used to select 76 nursing undergraduates in the class of 2017 who practiced in the Cardiology Department of the Second Affiliated Hospital of Harbin Medical University as the research object.The undergraduates were randomly divided into the experimental group and the control group,38 in each group.The control group received the traditional graduation practice training,and the experimental group received online and offline blended scenario simulation teaching on this basis.After the practice,the clinical thinking ability of the two groups of students was evaluated by the Clinical Thinking Ability Evaluation Scale,the clinical practice ability of the two groups of students was evaluated by the Objective Structured Clinical Examination(OSCE),and a teaching satisfaction survey was conducted.Results The total score of clinical thinking ability,critical thinking ability,systematic thinking ability,evidence-based thinking ability,OSCE total score of the students in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).The students in the experimental group thought that the teaching method was helpful for in-depth understanding and application of theoretical knowledge,improving nursing assessment skills,clinical coping skills and communication skills,and at the same time helping to cultivate critical thinking and teamwork awareness,and arouse learning enthusiasm,and the differences were statistically significant(all P<0.05).Conclusions The online and offline blended scenario simulation teaching can effectively improve the clinical thinking ability,clinical practice ability and teaching satisfaction of nursing undergraduates,and it has good effect in the graduation practice of undergraduate nursing students.
作者
刘国杰
林平
高学琴
隋欣
何蕊鑫
朱瑞雪
赵振娟
李楠
Liu Guojie;Lin Ping;Gao Xueqin;Sui Xin;He Ruixin;Zhu Ruixue;Zhao Zhenjuan;Li Nan(Cardiology Department,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)
出处
《中华现代护理杂志》
2022年第23期3202-3206,共5页
Chinese Journal of Modern Nursing
基金
黑龙江省高等学校教改工程项目 (SJGY20190436)。
关键词
混合式教学
情景模拟教学
临床思维
临床实践
毕业实习
Blended teaching
Scenario simulation teaching
Clinical thinking
Clinical practice
Graduation practice
