情境模拟教学在本科生口服给药护理实验课中的应用  

Application of a situational simulation in the skill training of oral medication administration for nursing undergraduates

作　　者：王冰飞 赵岩岩 陈春宁[1] 蒋睿[1] 赵燕[1] 陈海英[1] WANG Bing-fei;ZHAO Yan-yan;CHEN Chun-ning;JIANG Rui;ZHAO Yan;CHEN Hai-ying

机构地区：[1]河北医科大学护理学院,石家庄市050031

出　　处：《中华护理教育》2020年第9期827-830,共4页Chinese Journal of Nursing Education

基　　金：2018年河北省高等学校人文社会科学研究项目(SQ181065);2018年河北医科大学教育教学研究项目(2018YB-57);中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2018年医学教育研究立项课题一般项目(2018B-N21006)。

摘　　要：目的探讨情境模拟教学法在口服给药实验课中的应用效果。方法便利选取某校大学二年级2个班37名护理本科生,在基础护理学口服给药实验课中采用情境模拟教学法,共设置4个案例,分别为高龄发热病人服用退热药、鼻饲病人服用地高辛、患儿服用止咳药、产褥期贫血妇女服用铁剂。学生分为4~5名/组,每组完成1个案例的情境模拟。教师对学生的演练过程进行观察、点评,纠正给药操作、健康宣教和态度方面的问题。课后,用问卷调查学生对教学效果的反馈,学生撰写学习体会及意见。结果绝大部分学生认为情境模拟教学激发了学习动机(36/37),提升了临床技能(36/37),加强了学习共同体(37/37),强化了理论知识(34/37)。学生在学习体会中表示情境模拟可以强化记忆、培养共情、加强合作、激发兴趣。结论情境模拟教学有助于学生更好地掌握口服给药护理的知识和技能并得到学生认可,情境模拟中显现的问题也为开展教学改革提供依据。Objective To explore the effects of a situational simulation in the skill training of oral medication administration.Methods A total of 37 year-two nursing undergraduates of two classes in a university were recruited by convenience sampling.The situational simulation was used in the skill training of oral medication administration in Fundamentals of Nursing.Four cases were designed including anti-fever medicine for a patient with high body temperature,digoxin for a patient with nasal feeding,cough medicine for a child,and iron supplement for an anemia woman during puerperal period.Students were divided into several groups with 4 to 5 students in each group and each group completed a case.Teachers observed the medication administration process and gave their comments and corrected their problems.After class,a questionnaire was used to investigate students'feedback on the simulation.Besides,students were invited to write down their learning experiences and opinions.Results The majority of students agreed that situational simulation was beneficial for their learning motivation(36/37),clinical skills(36/37),learning community(37/37),and theoretical knowledge(34/37).Students indicated that situational simulation could strengthen memory,cultivate empathy,strengthen cooperation,and arouse their interests.Conclusion The situational simulation teaching helps students better grasp the knowledge and skills of oral medication administration.The problems emerging in situational simulations also provide a basis for teaching reform.

关 键 词：投药 口服 情境模拟教学 临床案例 

分 类 号：G642.423[文化科学—高等教育学] R47-4[文化科学—教育学]