基于SMART原则的CBL联合PBL在放疗科护理实习带教中的应用  

Application of CBL and PBL based on SMART principle in nursing practice teaching in radiotherapy

作　　者：夏圆圆[1] 梁志娴[1] 罗珊珊[1] 何季颖 易梦婷[1] 徐丽元 陈爱丽[1] 谭雪蓉 Xia Yuanyuan;Liang Zhixian;Luo Shanshan;He Jiying;Yi Mengting;Xu Liyuan;Chen Aili;Tan Xuerong(Department of Radiotherapy,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]广东省中医院放疗科,广州510006

出　　处：《中华医学教育探索杂志》2021年第10期1227-1230,共4页Chinese Journal of Medical Education Research

摘　　要：目的探讨基于SMART(specific,measurable,attainable,relevant and time-based)原则的CBL联合PBL在放疗科护理实习带教中的应用。方法选取广东省中医院2016年5月至2020年5月于放疗科进行实习的护士100人为研究对象;根据入科先后分为对照组和研究组,每组50人;研究组采用基于SMART原则的CBL联合PBL教学,对照组采用传统实习带教。临床实习结束后对两组进行理论和临床实践操作技能考核,并通过座谈会及问卷调查评价两组的教学满意度及教学效果。采用SPSS 22.0进行t检验和卡方检验。结果研究组实习护士理论和临床实践操作考核成绩均高于对照组,差异有统计学意义(P<0.001)。对照组实习护士的教学满意度为62.00%(31/50),研究组实习护士的教学满意度为96.00%(48/50),差异有统计学意义(P<0.001)。在提升自主学习能力、信息获取及分析解决问题能力、提高临床思维能力、调动学习积极性、增强团队协作能力、护患沟通能力、创新能力的认可度方面,研究组教学满意度高于对照组。结论采用SMART原则带教具有目标明确、评估可量化等优势,基于SMART的CBL联合PBL有助于提高放疗科实习护士对理论和实践技能操作的掌握,并取得满意的教学效果。Objective To apply CBL combined with PBL based on SMART(specific,measurable,attainable,relevant and time-based)principle in nursing practice teaching in radiotherapy.Methods A total of 100 nurses who performed nursing practice in the Department of Radiotherapy in Guangdong Provincial Hospital of Traditional Chinese Medicine from May 2016 to May 2020 were selected as the research objects.They were divided into a control group and a study group according to their admissions,with 50 people in each group.The study group used CBL combined with PBL teaching based on SMART principle,and the control group used traditional practice teaching.After the clinical practice,the two groups were assessed on theoretical and clinical practice skills,and the two groups'teaching satisfaction and teaching effects were evaluated through seminars and questionnaire surveys.SPSS 22.0 was used for t test and chi-square test.Results The theoretical and clinical practice performance assessment scores of the practical nurses in the study group were higher than those in the control group,with statistically significant differences(P<0.001).The teaching satisfaction rate of the practice nurses in the control group was 62.00%(31/50),and that of the practice nurses in the study group was 96.00%(48/50),with significant differences(P<0.001).In terms of improving independent learning ability,information acquisition and problem analysis ability,improving clinical thinking ability,mobilizing learning enthusiasm,enhancing teamwork ability,nurse-patient communication ability,and recognition of innovation ability,the teaching satisfaction of the research group was higher than that of the control group.Conclusion The application of SMART principle in teaching has the advantages of clear goals and quantifiable evaluation.The combination of CBL and PBL based on SMART principle can help to improve the mastery of theoretical and practical skills of radiotherapy practice nurses,and achieve satisfactory teaching results.

关 键 词：SMART原则 案例教学 以问题为基础的教学 放疗科 护理 

分 类 号：R-05[医药卫生]