Analysis of the effectiveness of stepwise teaching combined with reflective cycle in intraosseous infusion training for undergraduate nursing interns

Xue Lili; Zhu Long; Jing Li

doi:10.3760/cma.j.cn116021-20260323-02316

您当前的位置：

首页 >

文章列表页 >

Analysis of the effectiveness of stepwise teaching combined with reflective cycle in intraosseous infusion training for undergraduate nursing interns

Nursing Education Study | 更新时间：2026-10-26

- Analysis of the effectiveness of stepwise teaching combined with reflective cycle in intraosseous infusion training for undergraduate nursing interns
- Chinese Journal of Medical Education Research Vol. 25, Issue 10, Pages: 1258-1264(2026)
- 作者机构：
  
  1.中国人民解放军联勤保障部队第九六〇医院眼科，济南 250031
  2.山东省立医院西院护理部，济南 250031
  3.中国人民解放军联勤保障部队第九六〇医院产科二科，济南 250031
- 作者简介：
  
  Jing Li, Email: 1044095236@qq.com
- 基金信息：
  
  The 960th Hospital of the PLA Joint Logistics Support Force Nursing Youth Research Fund(2024HL02);Shandong Second Medical University 2024 School-Level Education Teaching Reform and Research Practice Teaching Special Project(2024SJZX024)
- DOI：10.3760/cma.j.cn116021-20260323-02316
  CLC： R-0;R-4;R472;R459.7
- Received：23 March 2026，
  
  Published：20 October 2026
- 稿件说明：
移动端阅览
薛利利, 朱珑, 井丽. 阶梯式教学联合反思循环在本科护理实习生骨髓腔输液培训中的应用效果分析[J]. 中华医学教育探索杂志, 2026, 25(10): 1258-1264.

Xue Lili, Zhu Long, Jing Li. Analysis of the effectiveness of stepwise teaching combined with reflective cycle in intraosseous infusion training for undergraduate nursing interns[J]. Chinese Journal of Medical Education Research, 2026, 25(10): 1258-1264.
薛利利, 朱珑, 井丽. 阶梯式教学联合反思循环在本科护理实习生骨髓腔输液培训中的应用效果分析[J]. 中华医学教育探索杂志, 2026, 25(10): 1258-1264. DOI： 10.3760/cma.j.cn116021-20260323-02316.

Xue Lili, Zhu Long, Jing Li. Analysis of the effectiveness of stepwise teaching combined with reflective cycle in intraosseous infusion training for undergraduate nursing interns[J]. Chinese Journal of Medical Education Research, 2026, 25(10): 1258-1264. DOI： 10.3760/cma.j.cn116021-20260323-02316.

摘要

目的

探讨阶梯式教学联合反思循环在护理本科实习生骨髓腔输液培训中的应用效果。

方法

采用便利抽样法，选取2024年7月至2025年11月在中国人民解放军联勤保障部队第九六〇医院实习的103名护理本科生作为研究对象。按入科批次采用随机分组法分为试验组（51人）与对照组（52人）。对照组采用传统带教模式，试验组在传统带教基础上实施为期3周的阶梯式教学联合反思循环临床实践教学干预。通过理论考核、操作技能考核及护理专业学生临床实践反思能力量表收集资料，采用独立样本

检验和卡方检验进行统计分析。

结果

试验组理论考核成绩为（89.23±5.81）分、操作技能考核成绩为（92.52±6.21）分，均高于对照组的（81.52±6.93）分和（79.85±8.12）分，2组比较差异有统计学意义（

=6.04，

0.001；

=9.25，

0.001）。试验组临床反思实践能力总分为148.32±15.76，高于对照组的126.45±18.23，差异有统计学意义（

=6.85，

0.001）。试验组教学满意度得分为62.95±4.25，高于对照组的51.85±5.97，差异有统计学意义（

=13.27，

0.001）。

结论

阶梯式教学联合反思循环可有效提高护理本科实习生骨髓腔输液的理论与操作成绩，增强临床反思实践能力，并提升教学满意度。该方案可作为护理本科实习生急救技能教学的优化措施。

Abstract

Objective

To explore the effectiveness of stepwise teaching combined with reflective cycle in intraosseous infusion training for undergraduate nursing interns.

Methods

Using convenience sampling

103 undergraduate nursing interns who interned at The 960th Hospital of the PLA Joint Logistics Support Force between July 2024 and November 2025 were selected as the study subjects. They were randomly divided into an experimental group (51 interns) and a control group (52 interns) according to the batches in which they entered the department. The control group adopted a traditional teaching model

while the experimental group received a 3-week clinical t

eaching intervention of stepwise teaching combined with reflective cycle in addition to the traditional teaching model. Data were collected through theoretical assessment

operational skills assessment

and the Clinical Practice Reflection Ability Scale for Nursing Students. A statistical analysis was performed using the independent samples

-test and chi-square test.

Results

The theoretical assessment score (89.23±5.81 vs. 81.52±6.93

=6.04

0.001) and operational skills assessment score (92.52±6.21 vs. 79.85±8.12

=9.25

0.001) of the experimental group were significantly higher than those of the control group. The total score of clinical practice reflective ability in the experimental group was significantly higher than that in the control group (148.32±15.76 vs. 126.45±18.23

=6.85

0.001). The teaching satisfaction score in the experimental group was significantly higher than that in the control group (62.95±4.25 vs. 51.85±5.97

=13.27

0.001).

Conclusions

Stepwise teaching combined with reflective cycle can effectively improve the theoretical and operational scores of undergraduate nursing interns in intraosseous infusion

enhance their clinical practice reflective ability

and increase teaching satisfaction. This approach can be used as an optimization strategy for teaching emergency skills to undergraduate nursing interns.

关键词

Keywords

references

包汉茹，罗小平，李瑞玲，等 . 骨髓腔输液的研究现状及启示 [J ] . 护理研究， 2025 ， 39 （ 14 ）： 2483 - 2486 . DOI: 10.12102/j.issn.1009-6493.2025.14.025 http://dx.doi.org/10.12102/j.issn.1009-6493.2025.14.025 .

张悦，胡雪慧，孙晶娜，等 . 战创伤失血性休克伤员骨髓腔输液的证据总结 [J ] . 军事护理， 2025 ， 42 （ 11 ）： 21 - 25 .

王慧，刘名名，赵经纬 . 阶梯式带教联合案例工作坊在脊柱外科护士规培教学中的应用研究 [J ] . 中华医学教育探索杂志， 2025 ， 24 （ 2 ）： 261 - 265 . DOI: 10.3760/cma.j.cn116021-20240512-01967 http://dx.doi.org/10.3760/cma.j.cn116021-20240512-01967 .

黄璠，蔡春凤 . 阶梯式带教配合个体化考核在高职院校护理实训教学中的应用 [J ] . 中华医学教育探索杂志， 2023 ， 22 （ 8 ）： 1263 - 1267 .

El-Sayed BKM , El-Sayed AAI , Alsenany SA , et al . The role of artificial intelligence literacy and innovation mindset in shaping nursing students' career and talent self-efficacy [J ] . Nurse Educ Pract , 2025 , 82 : 104208 . DOI: 10.1016/j.nepr.2024.104208 http://dx.doi.org/10.1016/j.nepr.2024.104208 .

魏晓旭，查梦培，陈静 . Gibbs反思循环联合抛锚实例教学法在实习护生死亡教育教学中的应用研究 [J ] . 护理学报， 2025 ， 32 （ 20 ）： 19 - 23 . DOI: 10.16460/j.issn2097-6569.2025.20.019 http://dx.doi.org/10.16460/j.issn2097-6569.2025.20.019 .

孔娜，张云，杨岩岩，等 . 吉布斯反思循环联合VR全景视频的手术室新护士技能培训实践 [J ] . 护理学杂志， 2025 ， 40 （ 13 ）： 51 - 56 .

盛婉婷，李祥云，杨小惠，等 . 成年患者紧急抢救中骨髓腔输液通路与外周静脉输液通路应用效果Meta分析 [J ] . 中国急救医学， 2024 ， 44 （ 10 ）： 913 - 920 . DOI: 10.3969/j.issn.1002-1949.2024.10.014 http://dx.doi.org/10.3969/j.issn.1002-1949.2024.10.014 .

王荟苹，田瑞杰，徐飒，等 . 吉布斯反思循环在护理硕士研究生腹膜透析临床教学中的应用 [J ] . 护理学杂志， 2024 ， 39 （ 19 ）： 77 - 80， 96 . DOI: 10.3870/j.issn.1001-4152.2024.19.077 http://dx.doi.org/10.3870/j.issn.1001-4152.2024.19.077 .

仵菲斐，张蒙蒙，甘思林，等 . 迷你临床演练评估联合操作技能直接观察评估在血液肿瘤学住院医师规范化培训教学中的应用 [J ] . 肿瘤基础与临床， 2025 ， 38 （ 4 ）： 611 - 613 . DOI: 10.3969/j.issn.1673-5412.2025.04.048 http://dx.doi.org/10.3969/j.issn.1673-5412.2025.04.048 .

张增梅，王宇，赵海运，等 . 抛锚式教学联合Gibbs反思循环在手术室专科护士培训中的应用 [J ] . 护理学报， 2023 ， 30 （ 24 ）： 12 - 15 . DOI: 10.16460/j.issn1008-9969.2023.24.012 http://dx.doi.org/10.16460/j.issn1008-9969.2023.24.012 .

李松，李红玉，张艳丽，等 . 护生临床实践反思问卷的汉化及信效度检验 [J ] . 护理学杂志， 2022 ， 37 （ 23 ）： 8 - 11 . DOI: 10.3870/j.issn.1001-4152.2022.23.008 http://dx.doi.org/10.3870/j.issn.1001-4152.2022.23.008 .

杜景榕，王娟，王子文，等 . 基于虚拟病人的阶梯式护理问诊训练模式的设计与应用 [J ] . 中华医学教育杂志， 2026 ， 46 （ 1 ）： 47 - 52 .

Engelbrecht R , Patey C , Dubrowski A , et al . Development and evaluation of a 3D-printed adult proximal Tibia Model for simulation training in intraosseous access [J ] . Cureus , 2020 , 12 ( 12 ): e12180 . DOI: 10.7759/cureus.12180 http://dx.doi.org/10.7759/cureus.12180 .

罗倩，明政，王安素，等 . 吉布斯反思循环在ICU护理本科实习生临床教学中的应用 [J ] . 中华护理教育， 2023 ， 20 （ 9 ）： 1070- 1076. DOI: 10.3761/j.issn.1672-9234.2023.09.009 http://dx.doi.org/10.3761/j.issn.1672-9234.2023.09.009 .

许力，黄晓旭，吴成伟，等 . 阶梯式教学法在外科专硕研究生腹腔镜缝合打结教学中的应用价值 [J ] . 皖南医学院学报， 2025 ， 44 （ 2 ）： 185 - 187 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Effectiveness evaluation of a constructivism-based three-stage human-artificial intelligence collaborative teaching model in psychological nursing practice education

A systematic evaluation of the application effect of extended reality technology in undergraduate nursing teaching

Exploration of integrating artificial intelligence with thinking-guided teaching in the physical examination component of the Health Assessment course

Advances in application of data intelligence technologies in nursing education

Development and application of an artificial intelligence-assisted learning platform for the entire process of medical education

Related Author

Xue Lili

Zhu Long

Yang Haoshuang

Liu Qin

Zhang Lihua

Liu Na

Zhang Lanfang

Che Jie

Related Institution

Department of Nursing, Air Force Medical University

School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College

School of Nursing, Southern Medical University

College of Medicine and Health Science, China Three Gorges University

Wuhan Donghu University

⁰