基于动态病例的反馈式教学对神经外科实习护生带教质量的影响  

Effects of feedback teaching based on dynamic cases on teaching quality of practice nurses in the department of neurosurgery

作　　者：赵璇 王瑶 邵长伟 任海林 林超 Zhao Xuan;Wang Yao;Shao Changwei;Ren Hailin;Lin Chao(Department of Neurosurgery,The First Affiliated Hospital of Nanjing Medical University/Jiangsu Provincial People's Hospital,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院/江苏省人民医院神经外科,南京210029

出　　处：《中华医学教育探索杂志》2022年第11期1584-1587,共4页Chinese Journal of Medical Education Research

摘　　要：目的探究基于动态病例的反馈式教学对神经外科实习护生带教质量的影响。方法以2019年1月至2020年8月南京医科大学第一附属医院神经外科69名实习护生作为研究对象,其中2019年1月至10月33名实习护生作为对照组,2019年11月至2020年8月36名实习护生作为观察组。对照组采用常规教学,观察组采用基于动态病例的反馈式教学。比较两组带教后考核成绩、见习效果、护理工作满意度、护理差错发生率等。采用SPSS 24.0进行t检验和卡方检验。结果观察组带教后考核成绩各项(神经外科知识知晓、教学查房、专科护理操作、晨间提问、基础操作、理论考核)评分较对照组高。观察组病情变化识别能力评分、独立工作能力评分、沟通能力评分、团队协作能力评分较对照组高(P<0.05)。带教1周后、带教2周后、带教3周后、带教4周后,观察组护生教学满意度较对照组高(P<0.05)。观察组护理差错总发生率2.78%(1/36)较对照组低27.27(9/33)(P<0.05)。结论基于动态病例的反馈式教学可有效提高神经外科实习护生带教质量、提高护理工作满意度并降低护理差错发生风险。Objective To explore the effects of feedback teaching based on dynamic cases on teaching quality of practice nurses in the department of neurosurgery.Methods A total of 69 practice nurses from the Department of Neurosurgery in the First Affiliated Hospital of Nanjing Medical University were enrolled as the research subjects between January 2019 and August 2020,of which 33 practice nurses between January and October 2019 were selected as the control group and the other 36 practice nurses between November 2019 and August 2020 were selected as the observation group.The control group used routine teaching,while the observation group adopted feedback teaching based on dynamic cases.The assessment scores,practice effect,nursing job satisfaction,and the incidence of nursing errors after teaching were compared between the two groups.SPSS 24.0 was used for Chi-square test and t-test.Results After teaching,the scores of each assessment(teaching rounds,health education,specialist nursing operations,morning questions,basic operations,and theoretical assessment)in the observation group were significantly higher than those in the control group,and the scores of disease change recognition ability,independent work ability,communication ability and teamwork ability were significantly higher than those in the control group(P<0.05).After 1 week,2 weeks,3 weeks and 4 weeks of teaching,the teaching satisfaction in the observation group was significantly higher than that in the control group(P<0.05).The total incidence of nursing errors in the observation group 2.78%(1/36)was significantly lower than that in the control group 27.27(9/33)(P<0.05).Conclusion Feedback teaching based on dynamic cases can effectively improve the teaching quality of practice nurses in the department of neurosurgery,improve nursing job satisfaction,and reduce the risk of nursing errors.

关 键 词：神经外科 实习护生 动态病例 反馈式教学 带教 

分 类 号：R47[医药卫生—护理学]