用药过程三幕微情境课堂教学设计及其在护理药物学教学中的应用  

Three-scene medication process simulation and its application in teaching of nursing pharmacology

作　　者：鞠瑞[1] 王钰铖 朱蕾[1] 于晓丽[2] 董燕[3] 郭磊[1] JU Rui;WANG Yucheng;ZHU Lei;YU Xiaoli;DONG Yan;GUO Lei(Department of Pharmacology,Institute of Basic Medical Sciences CAMS,School of Basic Medicine PUMC,Beijing 100005;Center for Experimental Education,Institute of Basic Medical Sciences CAMS,School of Basic Medicine PUMC,Beijing 100005;School of Nursing,PUMC,Beijing 100144,China)

机构地区：[1]中国医学科学院基础医学研究所、北京协和医学院基础学院药理学系,北京100005 [2]中国医学科学院基础医学研究所、北京协和医学院基础学院实验教学中心,北京100005 [3]北京协和医学院护理学院,北京100144

出　　处：《基础医学与临床》2023年第12期1905-1910,共6页Basic and Clinical Medicine

基　　金：北京协和医学院青年教育学者项目(2022zlgc0715);北京协和医学院校级本科教育教学改革项目(2022zlgc0129)。

摘　　要：目的探索用药前、用药时及用药后三幕微情境课堂在护理药物学教学中的成效。方法选取护理本科2020级和2021级完成护理药物学课程的学生作为研究对象,分别设为对照组(用药情境教学)和实验组(用药情境细化的三幕微情境教学),研究所选章节知识内容相同。对两组护理药物学课程成绩和试题回答准确率进行分析;设计调查问卷分析学生在三幕微情境课堂上的学习感受。结果实验组护理药物学成绩显著高于对照组(P<0.001);对于三幕微情境课堂知识相关的闭卷考试试题,实验组答题准确率显著高于对照组(P<0.001);对于未进行教学设计调整的课堂知识相关的闭卷考试试题,两组答题准确率之间没有显著差异;调查问卷显示学生认为三幕细化用药情境对于知识学习记忆和素养培养有帮助。结论相比细化前的情境课堂,用药前中后三幕微情境课堂更合理地串联了知识要点,增加了学生知识掌握程度及职业责任意识。Objective To explore the effectiveness of a refined three-scene medication simulation teaching in nursing pharmacology course for nursing undergraduates.Methods Undergraduates of four-year curriculum in School of Nursing,Peking Union Medical College enrolled in 2020 and 2021 were selected as objects in control group and experimental group,respectively.Students in control group learned medication knowledge in a patient case simulation scene,while a refined three-scene medication process(before,during and after medication)simulation was applied in experimental group.The learning outcome was evaluated in forms of both test of key knowledge points and a questionnaire survey at the end of the semester.Results The scores of nursing pharmacology in experimental group were significantly higher than in control group(P<0.001).The rates of right answer for knowledge associated with the refined class in experimental group were also significantly higher than in control group(P<0.001).However,for knowledge that has not been adjusted for instructional design,there is no significant difference in answer accuracy between two groups.The survey by questionnaire showed that the students believed the three-scene medication simulation as good learning method and may support to strengthen professional quality of clinical performance.Conclusions Compared with the unrefined simulation class,the three-scene(before,during and after medication)class further simulated the real work flow,connected the knowledge points more reasonably,and enhanced the knowledge mastery and professional responsibility awareness.

关 键 词：护理本科 护理药物学教学 用药三幕微情境 知识串联 护理沟通 

分 类 号：R96[医药卫生—药理学]