赛教融合视角下临床护理技能综合实训教学方案的设计与实践效果评价  

Design and practice of clinical nursing skills training proposal with incorporation of competition and education

作　　者：林丹[1] 张艺雄 孙蓉[1] 柏亚妹[1] 张薛晴 宋玉磊[1] LIN Dan;ZHANG Yixiong;SUN Rong;BAI Yamei;ZHANG Xueqing;SONG Yulei

机构地区：[1]南京中医药大学护理学院,南京市210023

出　　处：《中华护理教育》2024年第9期1088-1092,共5页Chinese Journal of Nursing Education

基　　金：2021年度江苏省高等教育学会评估委员会课题(2021-C117);南京中医药大学2022年度本科教育教学改革研究课题(NZYJG2022016)。

摘　　要：目的基于赛教融合的理念设计临床护理技能综合实训教学方案,并探究其实施效果。方法结合中国大学生医学技术技能大赛项目,从总体思路、教学内容、教学资源、教学活动、教研团队等方面设计临床护理技能综合实训方案。对236名护理专业本科三年级学生通过课前导学、课中开展OSCE与引导性反馈、课后巩固三环节开展实训方案教学实践并评价方案实施效果。结果OSCE第1站点入院接诊完成时间为(564±240)s,第2站点术前护理完成时间为(618±121)s,第3站点术后护理完成时间为(653±166)s。理论基础、操作技能、团队配合、人文关怀、临床思维的得分率为78.9%~91.7%。学生对教学方法、教学内容、教学过程安排、教学环境布置的满意度为89.7%~97.6%。反思报告结果显示,竞赛紧张但参与度高,操作后讨论有利于知识与技能的综合。结论将竞赛任务具有挑战性的特点融入临床护理综合实训教学设计,以竞赛的趣味性提高学生学习兴趣,结合引导性反馈可有效培养学生的综合能力。Objective To investigate the effect of a clinical nursing skill training proposal that incorporates both competition and education.Methods The study involved 236 grade three nursing undergraduates who completed a clinical nursing skill training proposal,which covered different aspects including overall thinking,teaching content,teaching resources,teaching activities,and teacher teams.Pre class guidance,OSCE and guided feedback during class,and post class consolidation were conducted in practical training.Results OSCE was conducted to access the competency of the students.Time to complete the task of the first station in OSCE was(564±240)s.Time to complete the task of the second and third station was(618±121)s and(653±166)s respectively.The score range for theoretical foundation,operational skills,team cooperation,humanistic care,and clinical thinking varied from 78.9%to 91.7%.Moreover,the satisfaction rate of students with teaching methods,teaching content,teaching process arrangement,and teaching environment arrangement varied from 89.7%to 97.6%.The feedback from the students indicated that integrating competition and education was highly engaging,which assisted them to improve their knowledge and skills.Conclusion The clinical nursing skills training proposal that incorporates competition and education is highly feasible and effective in improving students'comprehensive ability in clinical nursing.

关 键 词：教育 护理 学士 护理技术技能竞赛 客观结构化临床考试 引导性反馈 临床综合能力 

分 类 号：R47-4[医药卫生—护理学] G642[医药卫生—临床医学]