理解性教学模式在实习护士血管外科轮转教学中的应用  

The application of teaching for understanding model in the rotation teaching of the nursing students in vascular surgery department

作　　者：黄靖 张林[1] 宁倩[1] 阿各 刘莉慧[1] 张洁[1] 刘晓艳[1] Huang Jing;Zhang Lin;Ning Qian;A Ge;Liu Lihui;Zhang Jie;Liu Xiaoyan(Department of Vascular Surgery,West China Hospital,Sichuan University,Chengdu 610000,China)

机构地区：[1]四川大学华西医院血管外科,成都610000

出　　处：《中华医学教育探索杂志》2020年第11期1321-1324,共4页Chinese Journal of Medical Education Research

摘　　要：目的评估理解性教学(teaching for understanding,TfU)在血管外科实习护士教学中的应用效果。方法选取2018年7月至2019年7月在四川大学华西医院血管外科轮转的27名实习护士为研究对象,采用TfU教学,通过设定启发性论题和理解目标,设计标准化病人、小组情景模拟等理解活动,开展持续性评价进行教学。通过理论成绩考核和教学满意度调查,与2017年7月至2018年7月的27名实习同学进行比较,评价教学效果。结果理论考核结果显示,两组同学血管外科相关疾病发病机制和临床症状上成绩差异无统计学意义,但实验组临床护理和总成绩高于对照组,差异有统计学意义(t=2.934、2.641,P=0.005、0.011)。满意度调查结果显示,实验组护士对于理论知识掌握、沟通能力、团队协作能力、增加学习兴趣和总体教学方面评分,均优于对照组,差异具有统计学意义(P<0.05)。结论 TfU能够增加实习生对相关疾病的临床护理知识掌握度,提高学生学习兴趣、沟通和协作能力,有利于学生全面发展。Objective To evaluate effect of teaching for understanding(TfU)model on the teaching of nursing students in vascular surgery department.Methods A total of 27 nursing students rotating in vascular surgery department in our hospital from July 2018 to July 2019 were enrolled to receive TfU teaching.This model included setting enlightening topics and understanding goals,desigaing standardized patients,group scenario simulation and other understanding activities,and sustainability evaluation was carried out for teaching.Compared with 27 interns from July 2017 to July 2018,the teaching effect was evaluated through theoretical achievement assessment and teaching satisfaction survey.Results The results of theoretical assessment showed that there was no significant difference between the control group and the experimental group in the and pathogenesis and clinical symptoms(P>0.05)in the examination.However,the experimental group was higher than the control group in the measurement of the clinical nursing and the total score,with statistical difference(t=2.934,t=2.641,P=0.005,P=0.011).The results of satisfaction survey showed that the students'satisfaction scores of the experimental group on the mastery of theoretical knowledge,communication ability,teamwork and cooperation,learning interest improvement and the overall teaching were better than those of the control group,with significant differences(P<0.05).Conclusion The TfU teaching model can increase the understanding and the mastery of the clinical nursing knowledge of related diseases,improve students'learning enthusiasm,enhance the ability of communication and cooperation,and it's beneficial for the all-round development of students.

关 键 词：实习护士 理解性教学 血管外科 

分 类 号：R47[医药卫生—护理学]