导学式情境模拟教学法在实习护生职业风险培训中的应用  

Application of guided-learning combined with situational simulation teaching in professional risk training of nursing interns

作　　者：程喜荣 苏悦 薛媛[1] 朱雅[3] 陈如梦 陈立夏 陈燕[2] Cheng Xirong;Su Yue;Xue Yuan;Zhu Ya;Chen Rumeng;Chen Lixia;Chen Yan(Nursing Department,The Second Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210017,China)

机构地区：[1]南京中医药大学第二附属医院护理部,江苏南京210017 [2]南京中医药大学第二附属医院康复科,江苏南京210017 [3]南京中医药大学第二附属医院肛肠科,江苏南京210017 [4]南京中医药大学第二附属医院脑病科,江苏南京210017

出　　处：《护理学杂志》2022年第2期60-63,共4页Journal of Nursing Science

基　　金：2019年江苏高校“青蓝工程”护理学专业创新实践教学团队开放课题(NZYHLXPPQL2019-35)。

摘　　要：目的提高实习护生护理职业风险意识。方法根据实习时间将2018年6月至2019年4月的实习护生98人作为对照组,2019年6月至2020年4月的实习护生72人作为观察组。对照组按传统方法开展以PPT讲授为主导的不良事件分析会进行职业风险培训。观察组运用导学式情境模拟教学法,将护理不良事件案例结合情境模拟进行职业风险培训。采用中文版护士安全态度问卷、护士对不良事件报告认知问卷及自行设计的临床职业风险教学模式反馈问卷进行评估。结果培训后,观察组护理安全态度总分及对不良事件的认知得分显著高于对照组(均P<0.01);观察组实习护生对临床教学模式的评价显著优于对照组(P<0.05,P<0.01)。结论对实习护生实施导学式情境模拟教学,可有效提升实习护生的安全态度及对不良事件的认知,为今后的护理实践中更好地保障患者安全奠定基石。Objective To improve professional risk awareness of nursing interns.Methods According to practicing time,98 nursing interns practicing from June 2018 to April 2019 were taken as a control group,and other 72 nursing interns practicing from June 2019 to April 2020 were regarded as an experimental group.The control group received professional risk training through traditional PPT-led adverse event analysis meeting,while the experimental group was trained using guided-learning combined with situational simulation teaching.The Chinese version of Nurses′Safety Attitude Questionnaire(C-SAQ),nurses′cognition of adverse event report questionnaire and self-designed feedback questionnaire of clinical professional risk teaching model were used to evaluate the training effect.Results After the trai-ning,the total score of C-SAQ and cognition of adverse events in the experimental group were significantly higher than those of the control group(P<0.01 for all),and the evaluation of clinical teaching model in the experimental group was better than that in the control group(P<0.05,P<0.01).Conclusion Application of guided-learning combined with situational simulation teaching in nursing interns,can effectively improve their safety attitude and cognition of adverse events,and it lays the foundation for better ensuring the safety of patients in nursing practice in the future.

关 键 词：护理实习生 临床教学 导学式教学模式 情景模拟教学 护理职业风险 护理不良事件 安全态度 

分 类 号：R47[医药卫生—护理学] G424.1[医药卫生—临床医学]