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1. 新疆医科大学第三附属肿瘤医院重症医学科,乌鲁木齐
2. 新疆维吾尔自治区人民医院泌尿外科,乌鲁木齐
3. 新疆医科大学附属第三临床医学院教学科研管理办公室,乌鲁木齐
纸质出版日期:2021,
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单世君1 梁泽兰2 魏薇3. 体验式教学结合CBL在重症医学科实习护生带教中的作用[J]. 中华医学教育探索杂志, 2021,20(12):1480-1484.
The role of experiential teaching combined with CBL in the teaching of nursing students in intensive care unit[J]. 2021,20(12):1480-1484.
目的 探讨在重症医学科实习护生带教中应用体验式教学结合案例教学的作用。方法 将2016年4月至2017年3月在新疆医科大学第三附属肿瘤医院重症医学科实习的63名护士设为A组,将2017年4月至2018年3月在本院重症医学科实习的63名护士设为B组,将2018年4月至2019年3月在本院重症医学科实习的63名护士设为C组,将2019年4月至2020年3月在本院重症医学科实习的63名护士设为D组;A组采用常规教学,B组采用常规教学+CBL,C组采用常规教学+体验式教学,D组采用常规教学+CBL+体验式教学;均带教3个月。比较4个组理论和技能出科考核成绩,带教前后人文关怀、支持性沟通和批判性思维能力评分,以及对带教模式的满意度。采用SPSS 26.0进行单因素方差分析,以及SNK-q检验和卡方检验。结果 D组理论和技能出科考核成绩高于其余3个组,B组和C组均高于A组(P<0.05);带教后4个组人文关怀、支持性沟通和批判性思维能力评分均高于带教前(P<0.05),且带教后D组人文关怀、支持性沟通和批判性思维能力评分均高于其余3个组(P<0.05),B组和C组均高于A组(P<0.05);D组对教学技巧、教学内容、教学效果的满意度评分均高于其余3个组(P<0.05),B组和C组均高于A组(P<0.05)。结论 在重症医学科实习中,对护生在采用常规教学的基础上辅以体验式教学、CBL,均可提高出科成绩,提升人文关怀、支持性沟通和批判性思维能力,且有利于提高满意度,二者结合使用的效果与作用更佳
Objective To explore the application of experiential teaching combined with case-based learning (CBL) in the teaching of nursing students in intensive care unit (ICU). Methods A total of 63 nurses who had internship in the ICU of our hospital from April 2016 to March 2017 were selected as group A
63 nurses from April 2017 to March 2018 were selected as group B
63 nurses from April 2018 to March 2019 were selected as group C
and 63 nurses from April 2019 to March 2020 were selected as group D. Group A adopted conventional teaching method
group B adopted conventional teaching method + CBL
group C adopted conventional teaching method + experiential teaching method
and group D adopted conventional teaching method + CBL + experiential teaching method. All of them had been taught for 3 months. The scores of theory and skills examination
humanistic care
supportive communication and critical thinking ability before and after teaching
and satisfaction with teaching mode were compared among the four groups. SPSS 26.0 was used for one-way variance analysis
SNK-q test and χ2 test. Results The scores of theory and skill examination in group D were higher than those in the other three groups
and those in group B and C were higher than those in group A (P<0.05). After teaching
the scores of humanistic care
supportive communication and critical thinking ability of the four groups were higher than those before teaching (P<0.05). After teaching
the scores of humanistic care
supportive communication and critical thinking ability of group D were higher than those of the other three groups (P<0.05)
and those of group B and group C were higher than those of group A (P<0.05). The satisfaction scores of teaching skills
teaching content and teaching effect in group D were higher than those in the other three groups (P<0.05)
and those in group B and C were higher than those in group A (P<0.05). Conclusion On the basis of conventional teaching method
experiential teaching and CBL can improve the performance of nursing students
improve the ability of humanistic care
supportive communication and critical thinking
and improve the satisfaction of nursing students. The combination of the two has a better effect.
体验式教学 案例教学 重症医学科 实习护生
Experiential teaching Case-based learning Intensive care unit Nursing interns
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