摘要
目的观察成果导向教育(outcome-based education,OBE)理念在耳鼻喉科护理教学中的应用效果。方法以本院耳鼻喉科轮转的97名实习护生为研究对象;其中2017年3月至2019年2月46名为对照组,2019年3月至2021年2月51名为观察组;对照组采取传统护理临床带教,观察组采取基于OBE理念的护理临床带教。护生均实习3周,评价两组护生出科时临床沟通能力(护生临床沟通能力测评量表)、日常生活问题解决能力(简化中文版日常生活问题解决调查表)、理论及操作考核成绩、实习满意度(护生实习满意度量表)。应用SPSS 19.0进行独立样本t检验。结果出科时,观察组临床沟通能力评分中建立和谐关系、敏锐倾听、确认患者问题、共同参与、传递有效信息、验证感受各维度及总分均高于对照组(P<0.05);观察组简化中文版日常生活问题解决调查表评分中理性问题解决、正性问题定向得分均高于对照组(P<0.05),而负性问题定向、回避风格、冲动/疏忽风格得分均低于对照组(P<0.05);观察组理论考核及操作考核得分均高于对照组(P<0.05);观察组实习满意度评分中临床教学、课堂教学、实习计划、支持与资源各维度及总分均高于对照组(P<0.05)。结论OBE理念用于耳鼻喉科护理教学中,可增强护生临床沟通能力及日常生活问题解决能力,提高理论及操作考核成绩,并改善实习满意度。
Objective To observe the application effect of outcome-based education(OBE)concept on the teaching of otorhinolaryngology nursing.Methods A total of 97 nursing interns from the Department of Otorhinolaryngology in The Second Affiliated Hospital of Army Medical University were selected as the research objects.Among them,46 ones from March 2017 to February 2019 were collected as the control group,and 51 ones from March 2019 to February 2021 as the observation group.The control group adopted traditional nursing clinical teaching,and the observation group adopted the nursing clinical teaching based on the OBE concept.All the nursing students had an internship for 3 weeks,and had an evaluation in terms of the clinical communication ability of the two groups of nursing students when they leave the department(the nursing students'clinical communication ability assessment scale),the daily life problem solving ability(simplified Chinese version of the daily life problem solving questionnaire),theoretical and operational assessment results,and the internship satisfaction(nursing student internship satisfaction scale).SPSS 19.0 was used for independent-sample t test.Results When leaving the department,the observation group's clinical communication ability scores were significantly higher than those of the control group in such dimensions as establishing a harmonious relationship,keen listening,confirming patient problems,participating together,transmitting effective information,and verifying feelings(P<0.05).The scores of simplified Chinese version of the daily life problem solving questionnaire of rational problem solving and positive problem orientation of the observation group were significantly higher than those of the control group(P<0.05),while the scores of negative problem orientation,avoidance style and impulsivity/carelessness style were significantly lower than those of the control group(P<0.05).The scores of theoretical and operational evaluations of the observation group were significantly higher than those of the control group(P<0.05).The practice satisfaction scores on each dimension of the observation group,including clinical teaching,classroom teaching,and internship plan,support and resources were significantly higher than those of the control group(P<0.05).Conclusion The OBE concept applied in the teaching of otorhinolaryngology nursing can enhance the clinical communication ability and daily life problem-solving ability of nursing students,increase the theoretical and operational assessment results,and improve the satisfaction of internship.
作者
刘杰
谢方红
周茵
陈雨露
Liu Jie;Xie Fanghong;Zhou Yin;Chen Yulu(Department of Otorhinolaryngology,Head and Neck Surgery,The Second Affiliated Hospital of Army Medical University,Chongqing 400030,China)
出处
《中华医学教育探索杂志》
2022年第2期232-232,233-236,共5页
Chinese Journal of Medical Education Research
关键词
护理教学
成果导向教育
耳鼻喉科
临床沟通能力
实习满意度
Nursing teaching
Outcome-based education
Department of otorhinolaryngology
Clinical communication ability
Internship satisfaction
