TIG模式与组内拼图协同教学在ICU护士规范化培训中的应用研究

朱文; 张伟; 马英芝; 王彩虹

doi:10.3760/cma.j.cn116021-20251202-02310

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TIG模式与组内拼图协同教学在ICU护士规范化培训中的应用研究

更新时间：2026-07-31

- TIG模式与组内拼图协同教学在ICU护士规范化培训中的应用研究
- Application of the training in group model combined with intra-group jigsaw collaborative teaching in standardized training for intensive care unit nurses
- 中华医学教育探索杂志 2026年页码：1-9
- 作者机构：
  
  1.新疆维吾尔自治区人民医院心脏及泛血管医学诊疗中心心外二科，乌鲁木齐 830000
  2.新疆维吾尔自治区人民医院心脏及泛血管医学诊疗中心心外监护室，乌鲁木齐 830000
  3.新疆维吾尔自治区人民医院呼吸与危重症医学中心，乌鲁木齐 830000
- 作者简介：
  
  王彩虹，Email：554358431@qq.com
- 基金信息：
  
  新疆战略人才培养计划一流科技领军人才项目(XJRC2025KJPYKJLJ115)
- DOI：10.3760/cma.j.cn116021-20251202-02310
  中图分类号： R-05
- 收稿：2025-12-02，
  
  网络首发：2026-07-31，
- 稿件说明：
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朱文, 张伟, 马英芝, 等. TIG模式与组内拼图协同教学在ICU护士规范化培训中的应用研究[J/OL]. 中华医学教育探索杂志, 2026,1-9.

Zhu Wen, Zhang Wei, Ma Yingzhi, et al. Application of the training in group model combined with intra-group jigsaw collaborative teaching in standardized training for intensive care unit nurses[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-9.
朱文, 张伟, 马英芝, 等. TIG模式与组内拼图协同教学在ICU护士规范化培训中的应用研究[J/OL]. 中华医学教育探索杂志, 2026,1-9. DOI： 10.3760/cma.j.cn116021-20251202-02310.

Zhu Wen, Zhang Wei, Ma Yingzhi, et al. Application of the training in group model combined with intra-group jigsaw collaborative teaching in standardized training for intensive care unit nurses[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-9. DOI： 10.3760/cma.j.cn116021-20251202-02310.

摘要

目的

探讨分组培训（training in group，TIG）与组内拼图协同教学在ICU护士规培带教中的应用效果。

方法

将2023年8月至2025年3月在我院ICU进行规培的78名护士分别纳入对照组和联合组（各39人）。对照组接受传统带教，联合组接受基于TIG模式的组内拼图教学。比较两组护士的护理理论知识、操作技术、核心能力、团队合作能力、学习投入度及教学满意度的情况。采用SPSS 26.0进行

检验和

检验。

结果

教学后，联合组护士的护理理论知识中的重症医学知识、急救护理理论

、症状管理、感染防控原则、临床决策能力、目标设定与反思和总分[（81.07±8.68） vs.（68.23±9.29）

]

高于对照组，且操作技术中的基础技能、专科操作、急救能力、综合应用及总分亦高于对照组。核心能力中，联合组护士的注册护生核心能力测评量表（competency inventory for registered nurse，CIRN）评分高于对照组（

0.05）。团队合作能力中，联合组护士的护士团队合作问卷量表（nursing teamwork survey，NTS）评分高于对照组（

0.05）。在学习投入度方面，联合组护士在自我管理、学习参与、主动学习三个维度的得分及总分均高于对照组（

0.05）。在教学满意度方面，联合组护士对教学方式、教学内容、教学氛围、教学效果的满意度及总满意率（92.31%vs. 71.19%）均高于对照组（

0.05），两组对教学师资的满意度差异无统计学意义（

0.05）。

结论

基于TIG模式的组内拼图教学法提升了ICU规培护士的护理理论知识和护理操作技术考核成绩，同时提升了护士的各项核心能力和团队合作能力，并能有效提高护士的学习投入度和教学满意度，具有良好的应用价值。

Abstract

Objective

To investigate the effectiveness of the training in group (TIG) model combined with intra-group jigsaw collaborative teaching in the standardized training of intensive care unit (ICU) nurses.

Methods

A total of 78 nurses who received standardized training in the ICU of our hospital from August 2023 to March 2025 were assigned to the control group and the combined group

with 39 nurses in each group. The control group received traditional teaching

while the combined group received intra-group jigsaw teaching based on the TIG model. The two groups were compared in terms of nursing theoretical knowledge

operational skills

core competencies

teamwork ability

learning engagement

and teaching satisfaction.

Results

After teaching

the combined group scored higher than the control group in knowledge of critical care medicine

emergency nursing theory

symptom management

principles of infection prevention and control

clinical decision-making ability

goal setting and reflection

and total score [(81.07±8.68)vs.(68.23±9.29)

]

of nursing theoretical knowledge. In addition

the combined group also scored higher than the control group in basic skills

specialized operations

emergency response competence

comprehens

ive application and total score of operational skills. For core competencies

the combined group had a higher score on the Competency Inventory for Registered Nurses than the control group (

0.05). For teamwork ability

the combined group had a higher score on the Nursing Teamwork Survey than the control group (

0.05). In terms of learning engagement

the combined group scored significantly higher than the control group in self-management

learning participation

active learning

and total score (

0.05). In terms of teaching satisfaction

the combined group showed higher satisfaction with teaching methods

teaching content

teaching atmosphere

teaching effectiveness

and overall satisfaction rate (92.31%vs. 71.19%)than the control group (

0.05). There was no significant difference between the two groups in satisfaction with teaching faculty (

0.05).

Conclusions

The intra-group jigsaw teaching method based on the TIG model significantly improves the scores in nursing theoretical knowledge and operational skills assessments of ICU nurses during standardized training

enhances their core competencies and teamwork ability

and effectively increases their learning engagement and teaching satisfaction. This approach has high practical value.

关键词

Keywords

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