多维度互动结合PBL教学在急危重症护理实习教学中的应用研究  

Application research of multi-dimensional interaction combined with PBL teaching in emergency and critical care nursing practice teaching

作　　者：郭璇[1] 张莉[1] 张红[1] 许姗姗[2] 杨建中[2] 侯芳[3] Guo Xuan;Zhang Li;Zhang Hong;Xu Shanshan;Yang Jianzhong;Hou Fang(Department of Nursing,First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Emergency Trauma Center,First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Department of Critical Care Medicine,First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院护理部,乌鲁木齐830054 [2]新疆医科大学第一附属医院急救创伤中心,乌鲁木齐830054 [3]新疆医科大学第一附属医院重症医学科,乌鲁木齐830054

出　　处：《中华医学教育探索杂志》2022年第11期1592-1595,共4页Chinese Journal of Medical Education Research

基　　金：新疆维吾尔自治区教育厅课题(PT-2020023)

摘　　要：目的探讨多维度互动结合以问题为基础的学习(problem-based learning,PBL)应用于急危重症护理实习带教中的价值。方法选取2019年6月至2020年3月在新疆医科大学第一附属医院急救、重症实习的110名护生作为对照组,采用传统教学。另选取2020年6月至2020年12月实习的89名护生作为研究组,采用多维度互动结合PBL教学。通过实习护生综合成绩(出科考核+平时表现考核)和护生对教学质量的反馈情况来评估教学质量。采用SPSS 22.0进行t检验和卡方检验。结果研究组实习护生综合成绩(出科考核+平时表现考核)高于对照组,差异有统计学意义(P<0.001)。与对照组比较,研究组实习护生认为多维度互动结合PBL教学可提高护理知识和技能、临床整体护理能力、自我管理能力、临床思维能力、临床护理问题的分析判断解决能力、团体协作能力、医护患之间的沟通能力、应急能力和抢救能力及职业素养,差异有统计学意义(P<0.001)。结论多维度互动结合PBL教学可提高护理实习生的理论成绩和临床实践操作水平,同时有助于培养具备优秀综合素质的护理人才。Objective To explore the value of multi-dimensional interaction combined with problem-based learning(PBL)teaching in the nursing practice teaching of emergency and critical care.Methods A total of 110 nursing students who practiced in the First Affiliated Hospital of Xinjiang Medical University from June 2019 to March 2020 were selected as the control group,and the traditional teaching was adopted.In addition,89 nursing students who practiced from June 2020 to December 2020 were selected as the research group,and multi-dimensional interaction combined with PBL teaching was adopted.The teaching quality was assessed through the comprehensive scores of the nursing students(departure examination+regular performance assessment)and nursing students'feedback on the teaching.SPSS 22.0 was used for t-test and Chi-square test.Results The comprehensive scores of the nursing students in the research group were higher than those in the control group,and the difference was statistically significant(P<0.001).Compared with the control group,the nursing students in the research group believed that multi-dimensional interaction combined with PBL teaching could improve nursing knowledge and skills,overall clinical nursing ability,self-management ability,clinical thinking ability,and the ability to analyze,judge and solve clinical nursing problems,group cooperation ability,communication ability between doctors,nurses and patients,emergency ability and rescue ability,and professional quality,with statistically significant differences(P<0.001).Conclusion Multi-dimensional interaction combined with PBL teaching can improve the theoretical and clinical practice level of nursing interns,and at the same time help to cultivate nursing talents with excellent comprehensive quality.

关 键 词：多维度互动 以问题为基础的学习 急危重症 护理实习 

分 类 号：R-05[医药卫生]