内科临床教学开展计划-实施-研究-处理的价值分析  

Value Analysis of Plan-Do-Study-Act in Clinical Teaching of Internal Medicine

作　　者：王惠娟 张伟强 WANG Huijuan;ZHANG Weiqiang(Department of Nephrology,Yantai Affiliated Hospital of Binzhou Medical University,Yantai Shandong 264100,China;Department of Critical Medicine,Yantai Affiliated Hospital of Binzhou Medical University,Yantai Shandong 264100,China)

机构地区：[1]滨州医学院烟台附属医院肾内科,山东烟台264100 [2]滨州医学院烟台附属医院重症医学科,山东烟台264100

出　　处：《中国继续医学教育》2024年第8期125-130,共6页China Continuing Medical Education

摘　　要：目的分析内科临床教学开展计划-实施-研究-处理(plan-do-study-act,PDSA)的价值。方法选取2021年7月—2022年7月在某市甲等医院内科实习的护士(以下简称“护生”)80名作为研究对象,根据护士实习时间进行分组,将2021年7月—2022年1月实习的护生作为对照组(n=40),实施常规教学,将2022年2—7月实习的护生作为观察组(n=40),实施PDSA循环教学。2组护生均教学1个月。分析两种教学方式对护生考试成绩、批判性思维能力和自我导向学习能力的影响。结果培训后,观察组理论考试、操作成绩[(92.74±4.96)分、(94.52±4.75)分]高于对照组[(85.62±4.82)分、(79.22±4.73)分],差异有统计学意义(P<0.001)。培训后,观察组寻求真相、开放思想、分析能力、系统能力、评判性思维的信心、求知欲、认知成熟度得分高于对照组,差异有统计学意义(P<0.001)。培训后,观察组学习意识、学习策略、学习行为、学习评价、人际关系技能得分高于对照组,差异有统计学意义(P<0.05)。结论将PDSA循环应用于内科教学中能够有效提升护生的考试成绩,改善其评判思维能力和自我导向学习能力。Objective To analyze the value of plan-do-study-act(PDSA)in clinical teaching of internal medicine.Methods A total of 80 nurses who were interns in internal medicine department of a first-class hospital between July 2021 and July 2022 were selected as research subjects,the nursing students from July 2021 to January 2022 were taken as control group(n=40),and routine teaching was carried out.The nursing students from February to July 2022 were taken as observation group(n=40),and PDSA circular teaching was carried out.Both groups were taught for 1 month.To analyze the influence of two teaching methods on nursing students'examination results,critical thinking ability and self-directed learning ability.Results After training,the scores of theoretical examination and operation in the observation group[(92.74±4.96)points and(94.52±4.75)points]were higher than those in the control group[(85.62±4.82)points and(79.22±4.73)points],and the differences were statistically significant(P<0.001).After training,the scores of truth-seeking,open-minding,analytical ability,systematic ability,confidence in critical thinking,intellectual curiosity and cognitive maturity of the observation group were higher than those of the control group,with statistical significance(P<0.001).After training,the scores of learning consciousness,learning strategy,learning behavior,learning evaluation and interpersonal skills of the observation group were higher than those of the control group,with statistical significance(P<0.05).Conclusion The application of PDSA cycle in internal medicine teaching can effectively improve the examination results of nursing students,improve their ability of critical thinking and self-directed learning.

关 键 词：内科 临床教学 PDSA循环 应用价值 批判性思维 自我导向学习能力 

分 类 号：G642[文化科学—高等教育学]