结构化引导性反馈在心内科护生临床实习中的应用  

Application of structured guided feedback in the clinical practice of cardiology nursing students

作　　者：迪力努尔·波拉提 刘婷[1] 虞彬[1] Dilinuer·Bolati;Liu Ting;Yu Bin(Department of Cardiac Pacing and Electrophysiology,The 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心脏起搏电生理科,乌鲁木齐830054

出　　处：《中华医学教育探索杂志》2022年第6期753-756,共4页Chinese Journal of Medical Education Research

基　　金：自治区卫生健康扶贫工作优秀适宜技术推广项目(SYTG-Y202032)

摘　　要：目的探讨结构化引导性反馈在提高心内科实习护生的临床技能及改善教学效果方面的价值研究。方法选取2018级心内科实习护生60人为对照组,采用引导性反馈方法;2019级护生60人作为研究组,采用结构化引导性反馈方法。实习护生临床教学结束后,采用理论考核和案例情景模拟演练考核评分及自评量表评价护生的临床技能(包括护理操作技能、沟通技巧、病情观察和处理、应急能力、团队协作、临床决策)和教学效果。采用SPSS 22.0进行t检验。结果研究组实习护生理论考核[(91.30±2.42)vs.(94.62±2.28)]和情景模拟演练考核[(89.06±3.35)vs.(93.11±3.40)]得分高于对照组,差异有统计学意义(P<0.05)。研究组实习护生的临床技能(包括护理操作技能、沟通技巧、病情观察和处理、应急能力、团队协作、临床决策)和教学效果评分优于对照组,差异有统计学意义(P<0.05)。结论心内科实习护生护理带教应用结构化引导性反馈下的以问题为基础的学习联合情景模拟教学,可进一步促进实习护生的临床技能并改善教学效果。Objective To explore the value of structured guided feedback in improving the clinical skills and teaching effect of the cardiology practice nursing students.Methods A total of 60 nursing students of Batch 2018 in the Department of Cardiology were selected as the control group,and guided feedback methods were used.Another 60 nursing students of Batch 2019 were collected as the research group,using structured guided feedback methods.After the clinical teaching of the intern nurses,the clinical skills(nursing operation skills,communication skills,condition observation and handling,emergency response ability,team collaboration and clinical decision-making)and the teaching effect were evaluated by theoretical assessment and case scenario simulation exercise assessment scores and self-assessment scales.SPSS 22.0 was performed for t test.Results The theoretical assessment and scenario simulation exercise assessment scores of the research group were significantly higher than those of the control group[(91.30±2.42)vs.(94.62±2.28);(89.06±3.35)vs.(93.11±3.40)](P<0.05).The clinical skills(nursing operation skills,communication skills,condition observation and handling,emergency response ability,team collaboration and clinical decision-making)and teaching effect scores of the nursing students in the study group were significantly better than those of the control group(P<0.05).Conclusion The application of problem-based learning combined with scenario simulation teaching under the structured guided feedback in the nursing teaching of cardiology practice nurses can further promote the clinical skills of the practice nurses and improve the teaching effect.

关 键 词：结构化引导性反馈 心内科 实习护生 临床技能 教学效果 

分 类 号：R-05[医药卫生]