成果导向教育模式在神经外科护生临床教学中的应用  

Application of outcome-based education model in clinical teaching for neurosurgery nursing students

作　　者：祝静雯[1] 朱敏芳 赵静[1] 邓瑛瑛[1] 刘瑶[1] 王晓艳[1] Zhu Jingwen;Zhu Minfang;Zhao Jing;Deng Yingying;Liu Yao;Wang Xiaoyan(Deptartment of Neurosurgery,Nanfang Hospital of Southern Medical University,Guangzhou 510515,China;Nursing Department,Jiangmen Central Hospital,Guangdong Province,Jiangmen 529030,China)

机构地区：[1]南方医科大学南方医院神经外科,广州510515 [2]广东省江门市中心医院护理部,江门529030

出　　处：《中华现代护理杂志》2019年第24期3071-3075,共5页Chinese Journal of Modern Nursing

基　　金：南方医科大学护理专项基金项目(Y2018007)。

摘　　要：目的探讨成果导向教育(OBE)模式在神经外科护生临床教学中的应用效果。方法采用便利抽样法,选取2016年8月—2017年7月和2017年8月—2018年7月于南方医科大学南方医院神经外科轮转实习的护生分别作为对照组(55名)和观察组(51名)。根据教学大纲要求,对照组采用传统教学方法;观察组在传统教学方法的基础上采用OBE模式下的护理临床教学。两组护生神经外科实习时间均为4周。采用两独立样本t检验比较两组护生出科时的理论与操作成绩、护理专业学生临床沟通能力量表和日常生活问题解决调查表评分的差异。结果对照组护生的理论成绩为(91.71±3.28)分,操作成绩为(89.38±5.39)分,观察组护生的理论成绩为(94.06±2.73)分,操作成绩为(91.71±4.67)分,两组得分比较差异均有统计学意义(P<0.05)。观察组护生的临床沟通能力量表总分为(90.08±7.43)分,高于对照组的(83.38±7.07)分,两组得分比较差异有统计学意义(P<0.01);观察组护生日常问题解决能力总分及各维度得分均高于对照组,两组得分比较差异均有统计学意义(P<0.01)。结论OBE模式下的神经外科护理临床教学可有效提高护生的理论与操作成绩,增强护生的临床沟通能力和问题解决能力,有利于优秀临床应用型人才的培养。Objective To explore the application effect of outcome-based education model in clinical teaching for neurosurgery nursing students.Methods By convenience sampling,the nursing students on placement rotation in Department of Neurosurgery in Nanfang Hospital of Southern Medical University from August 2016 to July 2017 were selected and assigned into the control group(n=55),and those from August 2017 to July 2018 were put into the observation group(n=51).According to the requirements of the curriculum,the traditional teaching method was adopted for the control group,on the basis of that,the outcome-based education model was adopted for the observation group.The two groups of nursing students rotated in the Department of Neurosurgery for four weeks.Two independent sample t-test was used to compare the score of theoretical achievement,clinical achievement,Clinical Communication Ability Scale and Problem-solving Ability Scale between the two groups.Results The average theoretical and operational scores of nursing students in the control group were(91.71±3.28)and(89.38±5.39)respectively.The average theoretical and operational scores of nursing students in the observation group were(94.06±2.73)and(91.71±4.67),respectively.There were significantly statistical differences between the two groups(P<0.05).The total score of Clinical Communication Ability Scale of nursing students in the observation group was(90.08±7.43),higher than that of the control group(83.38±7.07),there were significantly statistical differences between the two groups(P<0.01);the scores of Problem-solving Ability Scale of nursing students in the observation group were higher than that of the control group(P<0.01),there was significantly statistical difference between the two groups.Conclusions The outcome-based education model in clinical teaching for neurosurgery nursing students can effectively improve the nursing students'theoretical and operational performance,enhance their clinical communication skills and problem-solving ability and is conduc

关 键 词：神经外科 学生 护理 医院 教学 成果导向教育 临床沟通能力 问题解决能力 

分 类 号：R47[医药卫生—护理学]