图尔敏论证模式在成人护理学实践教学中的应用  

Application of Toulmin′s model of argument in practical teaching of Adult Nursing

作　　者：杨茜 冯玉[1] 王媛媛[1] 曹熙 Yang Qian;Feng Yu;Wang Yuanyuan;Cao Xi(School of Nursing,Chengdu Medical College,Chengdu 610083,China)

机构地区：[1]成都医学院护理学院,四川成都610083

出　　处：《护理学杂志》2022年第11期57-60,共4页Journal of Nursing Science

基　　金：成都医学院护理学院课程思政项目(hlkcsz2021001)。

摘　　要：目的提高专升本护生成人护理学实践教学效果。方法将2018级专升本护生134人分为对照组、2019级114人分为试验组;对照组行常规实训课教学,试验组采用图尔敏论证模式分为3个阶段(课前、课中及课后)5个环节(案例主张、证据呈现、论证分析、辨证施护、引领反思)实施教学。课程结束后评价教学效果。结果试验组护生考核成绩、对本教学模式的效果评价均显著优于对照组(P<0.05,P<0.01);图尔敏论证模式教学后试验组护生临床推理与反思能力评分显著优于教学前(均P<0.01)。结论图尔敏论证模式应用于成人护理学实践教学中,可有效提高实践教学质量和效果。Objective To improve practical teaching effect of Adult Nursing in college nursing students.Methods A total of 134 post-secondary nursing students of Grade 2018 were served as a control group and received conventional practical teaching.One hundred and fourteen nursing students of Grade 2019 were treated as an experimental group and given practical teaching using Toulmin argument model.The teaching was divided into three stages(before,during,and after the class)and five procedures(case assertion,evidence presentation,argument analysis,dialectical care,and reflection).At the end of the course,teaching effect was eva-luated.Results The experimental group demonstrated better performance in exams and higher evaluation of the teaching model compared with the control group(P<0.05,P<0.01).The scores of clinical reasoning and reflection were significantly higher in the experimental group after the course than the baseline stage(P<0.01 for both).Conclusion Using Toulmin′s argument model in practical teaching of Adult Nursing effectively improves teaching quality and effect.

关 键 词：护生 本科 专科升本科 成人护理学 实践教学 图尔敏论证模式 教学方法 

分 类 号：R47[医药卫生—护理学] G424.1[医药卫生—临床医学]