以循证思维为导向的微课程联合CBL教学法在ICU规培护士临床思维能力培养中的应用  

Effectiveness of evidence-based thinking oriented micro-course and teaching method of case-based learning:cultivation of clinical thinking ability of nurses taking standardised training in ICU

作　　者：郭诗畅 薛孟奇 吴巧媚[2] 张利娟[2] 谭文婷 Guo Shichang;Xue Mengqi;Wu Qiaomei;Zhang Lijuan;Tan Wenting(Second Clinical Medical College,Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong Province,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,Guangdong Province,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院,广东广州510120

出　　处：《现代临床护理》2024年第7期39-45,共7页Modern Clinical Nursing

基　　金：广东省教育厅高等教育教学改革建设项目,项目编号A1-2601-22-427-003Z059;广州中医药大学2021年校级教学质量与教学改革工程项目;广东省临床教学基地教学改革研究项目,项目编号2021JD170。

摘　　要：目的 探讨以循证思维为导向的微课程联合案例为基础的教学法(case-based learning,CBL)在重症监护病房(intensive care unit,ICU)规培护士临床思维能力培养中的应用效果,为临床提供一种新的教学方法。方法 选取2021年11月至2023年10月在本院ICU轮转的72名规培护士为研究对象,将2021年11月至2022年10月在本院ICU轮转的36名规培护士设为对照组,将2022年11月至2023年10月在本院ICU轮转的36名规培护士设为试验组。对照组采用CBL教学法,试验组采用以循证思维为导向的微课程与CBL教学法。教学前后比较两组护士临床思维能力评分,理论考核和临床技能考核评分,两组规培护士对教学的满意度。结果 培训后试验组规培护士临床思维能力的总分及其批判性思维能力、系统性思维能力、循证思维能力3个维度评分均高于对照组,理论考核与临床技能考核成绩均高于对照组,教学形式、教学方式、学习氛围满意度均优于对照组,两组比较,差异有统计学意义(均P<0.05)。结论 采用以循证思维为导向的微课程联合CBL教学法能有效提高ICU规培护士的临床思维能力、理论与技能水平。Objective To explore the effect of evidence-based thinking oriented micro-course and case-based learning(CBL)on cultivation of clinical thinking ability of nurses who are taking the standardised nursing training in intensive care unit(ICU)so as to provide a new teaching method in the training of nurses.Methods A total of 72 nurses taking standardised nursing training in ICU of our hospital from November 2021 to October 2023 were selected as the research objects.Thirty-six of nurses who took rotation in the ICU from November 2021 to October 2022 were assigned in the control group,and other 36 nurses who took rotation in the ICU from November 2022 to October 2023 were assigned in the trial group.In the control group,CBL teaching method was adopted in the standardised nursing training,while both of evidence-based thinking oriented micro-course and CBL teaching mothed were adopted in the trial group for the standardised nursing training.The two groups were compared in terms of scores of clinical thinking ability,assessment of theory and clinical skills,as well as nurses’satisfaction with the teaching.Results After the training,nurses in the trial group exhibited significant superiority to the control group in total scores of clinical thinking ability and its three dimensions,critical thinking ability,systematic thinking ability and evidence-based thinking ability(P<0.05 for all).Furthermore,nurses in the trial group achieved significantly higher scores in theoretical assessment and assessment of clinical skills in comparison with those in the control group(P<0.05).Moreover,the trial group reported significantly higher satisfaction with both of the teaching method and learning atmosphere than those of the control group(P<0.05 for both).Conclusion Evidence-based thinking oriented micro-course and CBL teaching method can effectively improve the clinical thinking ability,theoretical knowledge and operational skills among the nurses taking standardised nursing training in ICU.

关 键 词：重症监护病房 规培护士 微课程 以案例为基础的教学法 循证思维 临床思维能力 前-后对照试验 

分 类 号：R47[医药卫生—护理学]