护生基于Gibbs反思循环圈撰写实习反思日志的效果  

Effect of writing practicing reflective journal based on Gibbs reflection cycle in nursing interns

作　　者：杜静[1] 徐明明[2] 廖国琼[2] 余红[1] Du Jing;Xu Mingming;Liao Guoqiong;Yu Hong(Department of Acupuncture and Moxibustion,Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033,China)

机构地区：[1]深圳市中医院针灸科,广东深圳518033 [2]深圳市中医院护理部,广东深圳518033

出　　处：《护理学杂志》2021年第24期65-68,共4页Journal of Nursing Science

摘　　要：目的探讨护生基于Gibbs反思循环圈撰写实习反思日志的效果。方法按照进入临床实习的时间将本科护生分为对照组62名和观察组63名。两组均采用传统临床带教,对照组每周撰写心得体会,观察组基于Gibbs反思循环圈按描述、感受、评价、分析、总结和行动计划6步每周书写实习反思日志。结果实习10个月后,观察组评判性思维能力总分、各维度评分及床边护理综合能力评分显著高于对照组;且观察组对实习带教总体评价及建立临床思维,提升理论知识、人际交往和沟通能力、循证能力方面的评价显著优于对照组(P<0.05,P<0.01)。结论临床实习中,护生基于Gibbs反思循环圈撰写反思日志,有利于培养其评判性思维能力,提升其临床实践综合能力,并赢得护生对实习带教的好评。Objective To explore the effect of writing practicing reflective journal based on Gibbs reflection cycle in nursing interns.Methods Baccalaureate nursing interns were divided into a control group(n=62)and an experimental group(n=63)chronologically.The control group received traditional clinical teaching and writing learning experience every week,while the experimental group wrote six step(description,feeling,evaluation,analysis,summary and action plan)practicing reflective journal based on the framework of Gibbs reflection cycle once a week.Results After practicing 10 months,the total score of critical thinking ability inventory and its subscale score,the bedside comprehensive ability score in the experimental group were significantly higher than those in the control group,and the practice teaching overall evaluation and its evaluation on establishing clinical thinking,improving theoretical knowledge,interpersonal communication ability and the evidence-based nursing ability of the experimental group were significantly better than those of the control group(P<0.05,P<0.01).Conclusion Writing practicing reflective journal based on Gibbs reflection cycle in nursing interns,is conducive to cultivating their critical thinking ability,improving their comprehensive ability of clinical practice,and attaining students′good practice teaching evaluation.

关 键 词：护生 本科 临床实习 Gibbs反思循环圈 反思日志 评判性思维 床边护理综合能力 

分 类 号：R47[医药卫生—护理学] G424[医药卫生—临床医学]