KWL表格联合问题引导式教学对实习护士批判性思维及认知水平的影响  

Effect of KWL form combined with question-guided teaching on the critical thinking and cognitive level of trainee nurses

作　　者：邹芳[1] 肖冬梅[1] 陈爱霞[1] 陈婷婷 易青梅[1] ZOU Fang;XIAO Dongmei;CHEN Aixia;CHEN Tingting;YI Qingmei(Children’s Hospital of Hunan Province,Changsha 410007,China)

机构地区：[1]湖南省儿童医院留观输液科,湖南省长沙市410007

出　　处：《护理实践与研究》2021年第2期159-163,共5页Nursing Practice and Research

摘　　要：目的探讨KWL表格联合问题引导式教学对实习护士批判性思维及认知水平的影响。方法选择2018年1月—2019年10月入医院实习的100名护士作为研究对象,采用组间匹配法分为观察组和对照组,每组各50例。对照组给予常规老师临床带教法,观察组给予KWL(K-Know,W-Want,L-Learned)表格联合问题引导式教学,采用批判性思维能力测量表(CTDI-CV)评价两组护士的批判性思维能力;培训4周后,比较两组护士认知水平及对教学方法满意度的差异。结果观察组CTDI-CV总分明显高于对照组(P<0.05);观察组急救护理技能、基础知识、风险防范意识、护患沟通意识等认知水平得分明显高于对照组(P<0.05)。护士对教学方法评价中,激发学习兴趣、提高自学能力、提高思考能力、提高沟通交流能力、拓展知识面、培养实践能力等项目满意度明显高于对照组(P<0.05)。结论KWL表格联合问题引导式教学,能激发实习护士的学习兴趣,引导其主动思考问题、自主学习,从而迅速提升新实习护士知识水平及批判性思维。Objective To explore the effect of KWL form combined with question-guided teaching on the critical thinking and cognitive level of trainee nurses.Methods To select 100 nurses who entered hospital for internship from January 2018 to October 2019 as the study objects,and they were divided into an observation group and a control group by using the matching method between groups,with 50 cases in each group.The control group was given regular teacher clinical teaching method,and the observation group was given KWL(K-Know,W-Want,L-Learned)form combined with question-guided teaching,and crirical thinking disposition inventory-Chinese version(CTDI-CV)was used to evaluate the critical thinking ability of the two groups of nurses.After 4 weeks of training,the two groups of nurses were compared with the cognitive level and diff erences in satisfaction with teaching methods.Results The total score of CTDI-CV in the observation group was signifi cantly higher than that in the control group(P<0.05).The cognitive level scores on emergency nursing skills,basic knowledge,risk prevention awareness,and nurse-patient communication awareness in the observation group were signifi cantly higher than those in the control group(P<0.05).In the evaluation of teaching methods by nurses,satisfaction with items such as stimulating learning interest,improving self-study ability,improving thinking ability,improving communication ability,expanding knowledge and training practical ability were signifi cantly higher than those of the control group(P<0.05).Conclusion KWL forms combined with question-guided teaching can stimulate the interest of student nurses in learning,guide them to actively think about problems and learn independently,thereby rapidly improving the knowledge and critical thinking of new nurses.

关 键 词：批判性思维 KWL表格 问题引导式教学 实习护士 

分 类 号：R47[医药卫生—护理学]