“三维知识-目标”教学结合沉浸式临床体验在五官科手术室护理实习带教中的应用研究  

Application of"three-dimensional knowledge-objective"teaching combined with immersive clinical experience in nursing practice teaching in the operating room of department of ophthalmology and otorhinolaryngology

作　　者：金凤[1] 王慧[2] 朴英兰[3] 于静 张玚[4] 严静玲[4] 卢宁[4] 刘宏伟 Jin Feng;Wang Hui;Piao Yinglan;Yu Jing;Zhang Chang;Yan Jingling;Lu Ning;Liu Hongwei(Operating Room,Department of Ophthalmology and Otorhinolaryngology,The First Affiliated Hospital of Jiamusi University,Jiamusi 154002,China;Department of Cardiovascular Medicine,The First Affiliated Hospital of Jiamusi University,Jiamusi 154002,China;Department of Obstetrics and Gynecology,The First Affiliated Hospital of Jiamusi University,Jiamusi 154002,China;Department of Ophthalmology,The First Affiliated Hospital of Jiamusi University,Jiamusi 154002,China)

机构地区：[1]佳木斯大学附属第一医院五官手术室,佳木斯154002 [2]佳木斯大学附属第一医院心血管内科,佳木斯154002 [3]佳木斯大学附属第一医院妇产科,佳木斯154002 [4]佳木斯大学附属第一医院眼科,佳木斯154002

出　　处：《中华医学教育探索杂志》2023年第7期1116-1120,共5页Chinese Journal of Medical Education Research

基　　金：黑龙江省教育科学“十四五”规划2022年度课题计划(GJBI422716)。

摘　　要：目的探讨“三维知识-目标”教学结合沉浸式临床体验在五官科手术室护理实习带教中的应用研究。方法选取在佳木斯大学附属第一医院五官科手术室实习的86名护生作为研究对象,按照简单随机数字表法分为对照组及观察组。对照组43名实习生采用传统教学,观察组43名实习生采用“三维知识-目标”教学结合沉浸式临床体验教学。评估两组实习生的课堂教学效果情况、护理质量评分及护患纠纷处理能力评分。采用SPSS 22.0进行卡方检验和t检验。结果培训后两组实习生的基础护理、专科护理、器械管理、器械配合能力、巡回配合能力、文书记录能力各维度评分及总分较培训前均有上升,且观察组高于对照组(P<0.05);培训后两组实习生的纠纷识别能力、纠纷应急处理能力、护患沟通技巧、护理法律法规认知、应激心理调整能力各维度评分及总分较培训前均有上升,且观察组高于对照组(P<0.05)。结论“三维知识-目标”教学结合沉浸式临床体验在五官科手术室护理实习带教中可以提高课堂教学效果,改善其护理质量,提高护患纠纷处理能力。Objective To investigate the application of"three-dimensional knowledge-objective"teaching combined with immersive clinical experience in nursing practice teaching in the operating room of department of ophthalmology and otorhinolaryngology.Methods A total of 86 nursing students who received practice teaching in the operating room of Department of Ophthalmology and Otorhinolaryngology in our hospital were selected as research subjects and were divided into control group and observation group using a simple random number table,with 43 students in each group.The students in the control group received traditional teaching,and those in the observation group received"three-dimensional knowledge-objective"teaching and immersive clinical experience.The two groups were assessed in terms of the effectiveness of classroom teaching,nursing quality score,and the score of the ability to handle nurse-patient dispute.SPSS 22.0 was used to perform the chi-square test and the t-test.Results After training,both groups had significant increases in the scores of basic nursing,specialized nursing,equipment management,equipment coordination ability,patrol coordination ability,and document recording ability and the total score of all dimensions,and the observation group had significantly higher scores than the control group(P<0.05).After training,both groups had significant increases in the scores of dispute identification ability,the ability of emergency response to dispute,nurse-patient communication skills,the awareness of nursing laws and regulations,and psychological stress adjustment ability and the total score of all dimensions,and the observation group had significantly higher scores than the control group(P<0.05).Conclusion In the nursing practice teaching in the operating room of the department of ophthalmology and otorhinolaryngology,"three-dimensional knowledge-objective"teaching combined with immersive clinical experience can improve the effectiveness of classroom teaching,enhance nursing quality,and strengthen the ability

关 键 词：“三维知识-目标”教学 沉浸式临床体验 五官科 护患纠纷处理能力 护理质量 

分 类 号：R-05[医药卫生]