社区实践教师教学需要的影响因素研究——基于学生的视角  

Research on the influencing factors of community practice preceptors’teaching needs based on the perspective of students

作　　者：陶琳[1,2] 刘素珍 付岚[1,2] 张晓霞[1,2] 易琼 TAO Lin;LIU Su-zhen;FU Lan;ZHANG Xiao-xia;YI Xiong(Department of Brest Surgery,West China Hospital,Sichuan University,Sichuan,Chengdu 610041,China;不详)

机构地区：[1]四川大学华西医院乳腺外科,四川成都610041 [2]四川大学华西护理学院

出　　处：《中华全科医学》2020年第12期2094-2098,共5页Chinese Journal of General Practice

基　　金：全国高等医学教育学会护理教育分会科学研究基金(GJHLZ160032)。

摘　　要：目的从学生视角出发,了解社区实践教师的教学需要影响因素。方法2017年6—11月采用方便抽样的方法在四川省承担了社区实践教学任务的社区卫生服务机构、医学院校和医院全科医学培训中心选取完成了社区实践学习的889名学员进行问卷调查。结果单因素分析显示,对教学需要有统计学意义的因素有:性别、年龄、学历、专业类型、是否在校、实践学习所在地、实践时间、实践效果评价、教学能力评价以及培训需要评价(均P<0.05)。而多因素分析中,与其他城市的学员比较,实践学习所在地为省会城市的学员评判的教师教学需要程度更低(OR=0.643,95%CI:0.463~0.891);与自评实践效果为差的学员比较,对自己实践效果评价为非常好(OR=0.385,95%CI:0.220~0.675)、好(OR=0.659,95%CI:0.433~1.002)、一般(OR=0.732,95%CI:0.518~1.034)的学员,其评判的教师教学需要程度更低;与教学能力评价为差的学员比较,对教师教学能力评价为非常好的学员,其评判的教师教学需要程度更低(OR=0.527,95%CI:0.301~0.923)。结论社区实践教师应关注学员的个人经历和学习背景,注重学生对实践学习效果和对其教学能力的评价,并根据学生的评价优化教学行为。Objective To explore the influencing factors of community practice preceptors’teaching needs based on the perspective of students.Methods A total of 889 students in Sichuan province were selected with methods of convenience sampling from June 2017 to November 2017.The sample came from community health service centers,medical schools and hospitals’general medicine training center burdened with community practice teaching task in Sichuan province.Results Single factor analysis showed that the gender,age,education,specialty,type,area,internship time,learning effects,preceptors’practical teaching ability and preceptors’training needs were statistically significant factors(all P<0.05).Ordinal regression analysis showed that students from provincial capital cities believe that preceptors’teaching needs are lower(OR=0.643,95%CI:0.463-0.891).Compared with the students who have poorer evaluation of their practical learning effects,students whose the evaluation was very good(OR=0.385,95%CI:0.220-0.675),good(OR=0.659,95%CI:0.433-1.002)and general(OR=0.732,95%CI:0.518-1.034)had lower levels of teaching needs.Compared with the students who have poor evaluation of teachers’teaching ability,students whose the evaluation was very good had lower levels of teaching needs(OR=0.527,95%CI:0.301-0.923).Conclusion Community practice preceptors should pay attention to the students’personal experience and learning background,focus on students’evaluation of practical learning and their teaching ability,and optimize teaching behavior according to students’evaluation.

关 键 词：社区实践教师 教学需要 实践教学 教学行为 

分 类 号：R192[医药卫生—卫生事业管理]