基于Seminar教学的CDIO-PAD模式在手术室实习护生带教中的应用效果

葛郑东; 鲍凤香; 曹瑶; 包园

doi:10.3760/cma.j.cn116021-20250511-02307

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基于Seminar教学的CDIO-PAD模式在手术室实习护生带教中的应用效果

护理教育研究 | 更新时间：2026-07-27

- 基于Seminar教学的CDIO-PAD模式在手术室实习护生带教中的应用效果
- Effectiveness of CDIO-PAD model based on Seminar teaching in the training of operating room nursing interns
- 中华医学教育探索杂志 2026年25卷第7期页码：855-862
- 作者机构：
  
  1.徐州医科大学附属连云港医院手术室，连云港 222000
  2.徐州医科大学附属连云港医院技能培训中心，连云港 222000
- 作者简介：
  
  鲍凤香，Email：bfx19988@163.com
- 基金信息：
  
  连云港市第一人民医院青年英才基金项目(QN2309)
- DOI：10.3760/cma.j.cn116021-20250511-02307
  中图分类号： R-0;R-4
- 收稿：2025-05-11，
  
  网络首发：2026-07-27，
  
  纸质出版：2026-07-20
- 稿件说明：
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葛郑东, 鲍凤香, 曹瑶, 等. 基于Seminar教学的CDIO-PAD模式在手术室实习护生带教中的应用效果[J]. 中华医学教育探索杂志, 2026, 25(7): 855-862.

Ge Zhengdong, Bao Fengxiang, Cao Yao, et al. Effectiveness of CDIO-PAD model based on Seminar teaching in the training of operating room nursing interns[J]. Chinese Journal of Medical Education Research, 2026, 25(7): 855-862.
葛郑东, 鲍凤香, 曹瑶, 等. 基于Seminar教学的CDIO-PAD模式在手术室实习护生带教中的应用效果[J]. 中华医学教育探索杂志, 2026, 25(7): 855-862. DOI： 10.3760/cma.j.cn116021-20250511-02307.

Ge Zhengdong, Bao Fengxiang, Cao Yao, et al. Effectiveness of CDIO-PAD model based on Seminar teaching in the training of operating room nursing interns[J]. Chinese Journal of Medical Education Research, 2026, 25(7): 855-862. DOI： 10.3760/cma.j.cn116021-20250511-02307.

摘要

目的

探究基于Seminar教学的构思—设计—实现—运作—对分课堂（CDIO-PAD）模式在手术室实习护生带教中的应用价值。

方法

选取2024年1月至2025年1月在徐州医科大学附属连云港医院手术室实习的护生，随机分为对照组和观察组，每组60人。对照组接受传统带教，观察组接受基于Seminar教学的CDIO-PAD模式。比较两组实习护生的理论及实践技能、批判性思维能力、职业认同感情况。采用SPSS 26.0进行卡方检验、

检验。

结果

教学后，两组理论和实践技能均优于教学前，且观察组理论测试（80.47±4.39 vs. 74.15±4.45）和实践操作测试（76.37±5.32 vs. 70.56±4.85）均高于对照组。两组批判性思维能力均较教学前有所提升，且观察组在问题识别、临床决策、护理优先次序、护理计划、护理计划实施与改进和总分均高于对照组（

0.01）。职业认同感中，观察组的职业认知评价、社会支持、社交技能、挫折应对、自我反思和总分均高于对照组（

0.01）。

结论

基于Seminar教学的CDIO-PAD模式提升了手术室实习护生的理论和实践技能考核成绩、批判性思维能力，同时提升了职业认同感，具有良好的临床应用价值。

Abstract

Objective

To investigate the application value of the Conceive-Design-Implement-Operate-Presentation-Assimilation-Discussion (CDIO-PAD) model based on Seminar teaching in the training of nursing interns in the operating room.

Methods

Nurses who interned in the operating room of The Affiliated Lianyungang Hospital of Xuzhou Medical University from January 2024 to January 2025 were selected and randomly divided into a control group and an observation group using the random number table method

with 60 participants in each group. The control group received the traditional apprenticeship teaching model

while the observation group received the CDIO-PAD model based on Seminar teaching. The theoretical knowledge and practical skills

critical thinking abilities

and professional identity of the two groups were compared.

Results

After teaching

both groups showed improvement in theoretical knowledge and practical skills compared to before teaching. The observation group scored (80.47±4.

39 vs. 74.15±4.45) in theoretical tests and (76.37±5.32 vs. 70.56±4.85) in practical operation tests

which were higher than those of the control group (

0.05). Critical thinking abilities improved in both groups compared to before teaching. The observation group scored in problem identification

in clinical decision-making

in nursing care prioritization

in nursing planning

and in implementation and improvement of nursing plans

and showed a total score of

which were higher than those of the control group (

0.01). Regarding professional identity

the observation group scored in career cognitive evaluation

in social support

in social skills

in frustration coping

and in self-reflection

and showed a total score of

which were higher than those of the control group (

0.01).

Conclusions

The CDIO-PAD model based on Seminar teaching significantly improves the theoretical knowledge and practical skill assessment scores

critical thinking abilities

and professional identity of nursing interns in the operating room

demonstrating good clinical application value.

关键词

Keywords

references

Pan YY , Zhang QX . Combination of comprehensive thermal care and detail-oriented nursing care in the operating room for managing gestational diabetes mellitus [J ] . World J Clin Cases , 2024 , 12 ( 25 ): 5706 - 5712 . DOI: 10.12998/wjcc.v12.i25.5706 http://dx.doi.org/10.12998/wjcc.v12.i25.5706 .

Lenet T , McIsaac DI , Hallet JH , et al . Intraoperative blood management strategies for patients undergoing noncardiac surgery: the Ottawa intraoperative transfusion consensus [J ] . JAMA Netw Open , 2023 , 6 ( 12 ): e2349559 . DOI: 10.1001/jamanetworkopen.2023.49559 http://dx.doi.org/10.1001/jamanetworkopen.2023.49559 .

Idzik S , Holland AC . Nurse practitioner curriculum puzzle: Connecting all of the documents [J ] . J Am Assoc Nurse Pract , 2023 , 35 ( 9 ): 582 - 589 . DOI: 10.1097/JXX.0000000000000933 http://dx.doi.org/10.1097/JXX.0000000000000933 .

伍沛，王惠平，刘卫红，等 . 沉浸式临床体验教学对手术室低年资护士共情能力影响的研究 [J ] . 中华护理教育， 2023 ， 20 （ 7 ）： 780 - 783 . DOI: 10.3761/j.issn.1672-9234.2023.07.002 http://dx.doi.org/10.3761/j.issn.1672-9234.2023.07.002 .

Kennedy JA , Laskowski P , Breyman B . Clinical judgment in new nurse graduates: identifying the gaps [J ] . Int J Nurs Educ Scholarsh , 2023 , 20 : 20220112 . DOI: 10.1515/ijnes-2022-0112 http://dx.doi.org/10.1515/ijnes-2022-0112 .

Zhai J , Dai L , Peng C , et al . Application of the presentation-assimilation-discussion class in oral pathology teaching [J ] . J Dent Educ , 2022 , 86 ( 1 ): 4 - 11 . DOI: 10.1002/jdd.12767 http://dx.doi.org/10.1002/jdd.12767 .

Lv H , Tang L , Luo G , et al . Rain Classroom and PAD class blended learning mode effectively improves teaching quality in a surgical nursing course [J ] . Am J Transl Res , 2024 , 16 ( 1 ): 200 - 207 . DOI: 10.62347/CWAJ4534 http://dx.doi.org/10.62347/CWAJ4534 .

Chen Y , Wen H , Huang Z , et al . Advancing arrhythmia education through the CDIO approach: a new paradigm in nursing student training [J ] . BMC Nurs , 2024 , 23 ( 1 ): 427 . DOI: 10.1186/s12912-024-02118-1 http://dx.doi.org/10.1186/s12912-024-02118-1 .

曹爱爱，贾洁，贾丽卿，等 . 《临床护理教学手册》在实习带教中的应用 [J ] . 护理研究， 2007 ， 21 （ 3 ）： 271 - 272 . DOI: 10.3969/j.issn.1009-6493.2007.03.054 http://dx.doi.org/10.3969/j.issn.1009-6493.2007.03.054 .

彭美慈，汪国成，陈基乐，等 . 批判性思维能力测量表的信效度测试研究 [J ] . 中华护理杂志， 2004 ， 39 （ 9 ）： 644 - 647 .

刘玲，郝玉芳，刘晓虹 . 护士职业认同评定量表的研制 [J ] . 解放军护理杂志， 2011 ， 28 （ 3 ）： 18 - 20 . DOI: 10.3969/j.issn.1008-9993.2011.03.006 http://dx.doi.org/10.3969/j.issn.1008-9993.2011.03.006 .

刘佳 . CDIO教学模式对手术室新入职护士培训考核成绩及职业认同感的影响 [J ] . 黑龙江医学， 2024 ， 48 （ 5 ）： 598 - 600 . DOI: 10.3969/j.issn.1004-5775.2024.05.024 http://dx.doi.org/10.3969/j.issn.1004-5775.2024.05.024 .

Holopainen R , Piirainen A , Karppinen J , et al . An adventurous learning journey. Physiotherapists' conceptions of learning and integrating cognitive functional therapy into clinical practice [J ] . Physiother Theory Pract , 2022 , 38 ( 2 ): 309 - 326 . DOI: 10.1080/09593985.2020.1753271 http://dx.doi.org/10.1080/09593985.2020.1753271 .

Vasli P , Mortazavi Y , Aziznejadroshan P , et al . Correlation between critical thinking dispositions and self-esteem in nursing students [J ] . J Educ Health Promot , 2023 , 12 ( 1 ): 144 . DOI: 10.4103/jehp.jehp_1481_22 http://dx.doi.org/10.4103/jehp.jehp_1481_22 .

谷晨，曾莉，滕思思 . 新入职规范化培训护士职业认同感的现状及其影响因素分析 [J ] . 当代护士， 2024 ， 31 （ 16 ）： 128 - 131 . DOI: 10.19791/j.cnki.1006-6411.2024.16.031 http://dx.doi.org/10.19791/j.cnki.1006-6411.2024.16.031 .

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