基于SPOC的创客式教学在肿瘤外科护理带教中应用研究

Lu Minmin; Lu Jiangping; Gu Lili

doi:10.3760/cma.j.cn116021-20240511-02002

您当前的位置：

首页 >

文章列表页 >

基于SPOC的创客式教学在肿瘤外科护理带教中应用研究

Nursing Education Study | 更新时间：2025-04-27

- 基于SPOC的创客式教学在肿瘤外科护理带教中应用研究
- Chinese Journal of Medical Education Research Vol. 24, Issue 4, Pages: 566-571(2025)
- 作者机构：
  
  1.南通市肿瘤医院综合外科，南通 226361
  2.南通市肿瘤医院肝胆胰外科，南通 226361
- 作者简介：
  
  Gu Lili, Email: GLL98155@126.com
- 基金信息：
  
  Nantong Municipal Health Commission General Program(MB2021048);Research Hospital Society of Jiangsu Province Lean Medicine Special Research Fund Project(JY202233)
- DOI：10.3760/cma.j.cn116021-20240511-02002
  CLC： R-05
- Received：11 May 2024，
  
  Published：20 April 2025
- 稿件说明：
移动端阅览
陆敏敏, 陆姜萍, 顾丽丽. 基于SPOC的创客式教学在肿瘤外科护理带教中应用研究[J]. 中华医学教育探索杂志, 2025, 24(4): 566-571.

Lu Minmin, Lu Jiangping, Gu Lili. [J]. Chinese journal of medical education research, 2025, 24(4): 566-571.
陆敏敏, 陆姜萍, 顾丽丽. 基于SPOC的创客式教学在肿瘤外科护理带教中应用研究[J]. 中华医学教育探索杂志, 2025, 24(4): 566-571. DOI： 10.3760/cma.j.cn116021-20240511-02002.

Lu Minmin, Lu Jiangping, Gu Lili. [J]. Chinese journal of medical education research, 2025, 24(4): 566-571. DOI： 10.3760/cma.j.cn116021-20240511-02002.

摘要

目的

分析基于小规模限制性在线课程（small private online course，SPOC）的创客式教学在肿瘤外科护理带教中的应用效果。

方法

本研究选取2022年1月至2023年9月期间，在肿瘤外科实习的105名护理学生为研究对象。按照入科先后分为对照组（

=52，传统教学）和观察组（

=53，基于SPOC的创客式教学）。

教学前后，分别对护生理论知识、操作技能、护理实践能力、创新能力、自主学习能力、职业认同与团队协作能力量进行评分；运用医学教育满意度量表（medical education satisfaction scale-21，MESS-21）对教学进行评价。采用SPSS 25.0进行

检验和卡方检验。

结果

教学后，观察组护生理论知识[（93.60±12.53） vs. （85.90±10.49）

]

、操作技能[（92.63±12.40） vs. （83.75±10.27）

]

、护理实践能力[（93.50±12.81） vs. （84.72±11.43）

]

及创新能力[（91.68±12.53） vs. （ 80.20±8.37）

]

分值均高于对照组，观察组护生学习动机[（16.63±4.76） vs. （12.90±3.85）

]

、计划和实施[（16.83±4.77） vs. （13.54±4.32）

]

、自我管理[（15.49±4.60）vs. （13.42±4.13）

]

以及人际沟通[（14.74±4.53） vs. （11.77±3.59）

]

分值亦高于对照组（

0.05）。此外，观察组护生医学生职业认同量表（professional occupational identity scale for medical students，POIS-M）评分[（84.61±8.84） vs. （63.53±6.48）

]

和团队合作态度量表（teamSTEPPS teamwork attitudes questionnaire，T-TAQ）评分[（53.90±5.07） vs. （46.75±4.02）

]

高于对照组（

0.05）。在教学评价方面，观察组学生教学目标清晰度[（13.58±3.47） vs. （9.14±2.66）

]

、教学内容实用性[（13.50±3.69）vs. （10.62±2.81）

]

及教学资源支持性[（13.92±3.58） vs.（ 8.88±2.34）

]

评分均高于对照组。

结论

基于SPOC的创客式教学在肿瘤外科护理带教中具有显著优势，能够有效提升护生理论知识、操作技能、护理实践能力、创新能力、自主学习能力、职业认同感及团队协作能力，同时获得学生较高的评价，其创新性和实效性为肿瘤外科护理教学提供了新思路。

Abstract

Objective

To analyze the application effect of small private online course (SPOC)-based maker education in oncology surgical nursing teaching.

Methods

This study enrolled 105 nursing students who completed their internship in the Department of Oncology Surgery from January 2022 to September 2023. The subjects were divided into control group (

=52

conventional teaching) and observation group (

=53

SPOC-based maker education) according to their admission order. Before and after teaching

students were evaluated on the theoretical knowledge

operational skills

nursing practice ability

innovation ability

self-learning ability

professional identity

and teamwork ability. The Medical Education Satisfaction Scale (MESS-21) was used to evaluate teaching outcomes. Data were analyzed using

the

-test and chi-square test with SPSS 25.0.

Results

After teaching

the observation group had higher scores than the control group in theoretical knowledge [(93.60±12.53) vs. (85.90±10.49)

]

operational skills [(92.63±12.40) vs. (83.75±10.27)

]

nursing practice ability [(93.50±12.81) vs. (84.72±11.43)

]

and innovation ability [(91.68±12.53) vs. (80.20±8.37)

]

; this was also true for learning motivation [(16.63±4.76) vs. (12.90±3.85)

]

planning and implementation [(16.83±4.77) vs. (13.54±4.32)

]

self-management [(15.49±4.60) vs. (13.42±4.13)

]

interpersonal communication [(14.74±4.53) vs. (11.77±3.59)

]

POIS-M score [(84.61±8.84) vs. (63.53±6.48)

]

and T-TAQ score [(53.90±5.07) vs. (46.75±4.02)

]

(all

0.05). The observation group also had significantly higher scores than the control group in clarity of teaching objectives [(13.58±3.47) vs. (9.14±2.66)

]

practicality of teaching content [(13.50±3.69) vs. (10.62±2.81)

]

and supportiveness of teaching resources [(13.92±3.58) vs. (8.88±2.34)

]

Conclusions

SPOC-based maker education offers significant advantages in oncology surgical nursing teaching. It effectively enhances nursing students' theoretical knowledge

operational skills

nursing practice ability

innovation ability

self-learning ability

professional identity

and teamwork ability and it is highly valued by students. Its novelty and effectiveness provide new ideas for oncology surgical nursing teaching.

关键词

Keywords

references

柯婧婧，葛晓霞，徐燕飞，等 . 视频案例结合OSCE模式下的情景模拟教学在肿瘤科规培护士中的应用 [J ] . 保健医学研究与实践， 2024 ， 21 （ 1 ）： 126 - 131 . DOI: 10.11986/j.issn.1673-873X.2024.01.21 http://dx.doi.org/10.11986/j.issn.1673-873X.2024.01.21 .

蒋楠楠，张艳丽，张静，等 . 本科老年护理学课程“SPOC+任务驱动案例”思政育人方案的构建与应用 [J ] . 中华全科医学， 2023 ， 21 （ 4 ）： 685 - 688 . DOI: 10.16766/j.cnki.issn.1674-4152.002960 http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.002960 .

秦赛玉 . 创客教育： “智造”新型校园 [J ] . 中小学信息技术教育， 2015 （ 7 ）： 61 - 62 . DOI: 10.3969/j.issn.1671-7384.2015.07.025 http://dx.doi.org/10.3969/j.issn.1671-7384.2015.07.025 .

申静洁，赵呈领，李芒 . 创客教育：学科视域下提升学生核心素养的路径探析 [J ] . 中国电化教育， 2020 （ 6 ）： 30 - 36 . DOI: 10.3969/j.issn.1006-9860.2020.06.005 http://dx.doi.org/10.3969/j.issn.1006-9860.2020.06.005 .

毛虹羽，姜安丽 . 护理专业学生自主学习能力量表常模的构建 [J ] . 解放军护理杂志， 2016 ， 33 （ 6 ）： 13 - 17 . DOI: 10.3969/j.issn.1008-9993.2016.06.003 http://dx.doi.org/10.3969/j.issn.1008-9993.2016.06.003 .

肖娟，袁少艳，许芳，等 . 中文版团队合作态度量表和团队合作认知量表应用于实习护生信效度分析 [J ] . 中文科技期刊数据库（文摘版）社会科学， 2024 （ 4 ）： 120 - 123 .

Skjevik EP , Schei E , Boudreau JD , et al . What makes mentors thrive? An exploratory study of their satisfaction in undergraduate medical education [J ] . BMC Med Educ , 2024 , 24 ( 1 ): 372 . DOI: 10.1186/s12909-024-05344-y http://dx.doi.org/10.1186/s12909-024-05344-y .

Vaysse C , Fize AL , Despas F , et al . Small private online course in teaching oncology-feedback after 1 year: what lessons? [J ] . J Cancer Educ , 2021 , 36 ( 1 ): 65 - 71 . DOI: 10.1007/s13187-019-01598-z http://dx.doi.org/10.1007/s13187-019-01598-z .

巩珊珊，路璐，刘亚龙，等 . 基于微信公众平台的 “创客式翻转课堂” 教学设计与实践：以“Med Show医学英语视听秀”为例 [J ] . 中华医学教育探索杂志， 2022 ， 21 （ 11 ）： 1462 - 1467 . DOI: 10.3760/cma.j.cn116021-20210603-01059 http://dx.doi.org/10.3760/cma.j.cn116021-20210603-01059 .

薛子豪，童莺歌，孙丽华，等 . 国内外专科护士核心能力或胜任力评价体系的研究进展 [J ] . 护士进修杂志， 2020 ， 35 （ 20 ）： 1864 - 1867， 1870 . DOI: 10.16821/j.cnki.hsjx.2020.20.005 http://dx.doi.org/10.16821/j.cnki.hsjx.2020.20.005 .

张良 . 核心素养为何是必备品格与关键能力：基础教育改革中的核心素养观的反思与重建 [J ] . 南京社会科学， 2021 （ 5 ）： 154 - 160 . DOI: 10.15937/j.cnki.issn1001-8263.2021.05.018 http://dx.doi.org/10.15937/j.cnki.issn1001-8263.2021.05.018 .

巩小军，郝沛，赵建伟 . 基于SPOC的创客教育在护理硕士研究生实践教学中的应用研究 [J ] . 循证护理， 2023 ， 9 （ 13 ）： 2440- 2443. DOI: 10.12102/j.issn.2095-8668.2023.13.031 http://dx.doi.org/10.12102/j.issn.2095-8668.2023.13.031 .

秦小金，王丽娟，王小芳，等 . 临床护士评判性思维态度倾向性与护理伦理决策能力的相关性分析 [J ] . 中国医学伦理学， 2018 ， 31 （ 12 ）： 1573 - 1576 . DOI: 10.12026/j.issn.1001-8565.2018.12.18 http://dx.doi.org/10.12026/j.issn.1001-8565.2018.12.18 .

于斌斌，于良芝 . 面向LIS研究与实践的批判思维倾向量表：对CTDI-CV进行简化的可行性检验 [J ] . 图书与情报， 2020 （ 4 ）： 21 - 27 . DOI: 10.11968/tsyqb.1003-6938.2020058 http://dx.doi.org/10.11968/tsyqb.1003-6938.2020058 .

白东梅 . 基于SPOC与翻转课堂的线上线下交互反馈在内科护理学教学中的模式改革研究 [J ] . 护理研究， 2019 ， 33 （ 16 ）： 2858 - 2861 . DOI: 10.12102/j.issn.1009-6493.2019.16.028 http://dx.doi.org/10.12102/j.issn.1009-6493.2019.16.028 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of modified OSCE in evaluating core competencies of new nurses in neurosurgery standardized training

Application of virtual reality technology in clinical internship teaching of thoracic surgery nursing

A study on the impact of problem-based simulation training video feedback combined with hierarchical management on the core competence of elderly care personnel

Construction of an index system of ideological and political education elements of Health Assessment course based on consensus methods

The scientific research capacity and its influencing factors of nursing graduates in application- oriented university

Related Author

Xian Jishu

Yang Xue

Tan Binbin

Chen Fei

Chen Xiaoying

Wang Yi

Deng Liping

Li Yumei

Related Institution

Department of Neurosurgery, The First Affiliated Hospital of Army Medical University

Nursing Department, Shanghai Pulmonary Hospital Affiliated to Tongji University

Department of Thoracic Surgery, Shanghai Pulmonary Hospital Affiliated to Tongji University

Department of Spinal Bone Disease Surgery, Sichuan Science City Hospital

Department of Nursing, Sichuan Science City Hospital

⁰