ADDIE教学设计模型在脊柱外科实习护生临床教学中的应用  

Application of ADDIE Model in clinical teaching for nursing interns in spine surgery department

作　　者：佟冰渡[1] 陈亚萍[1] 刘芳[2] 叶雅雯 王巍[3] 李红艳[3] 梁涛[4] 霍晓鹏[3] 史冬雷[3] Tong Bingdu;Chen Yaping;Liu Fang;Ye Yawen;Wang Wei;Li Hongyan;Liang Tao;Huo Xiaopeng;Shi Donglei(Department of Orthopedics,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Bejing 100730,China;Department of Hepatic Surgery,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;Department of Nursing,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;School of Nursing,Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院骨科,北京100730 [2]中国医学科学院北京协和医院肝脏外科,北京100730 [3]中国医学科学院北京协和医院护理部,北京100730 [4]北京协和医学院护理学院,北京100730

出　　处：《中华现代护理杂志》2024年第32期4459-4464,共6页Chinese Journal of Modern Nursing

基　　金：北京协和医学院教学改革项目(2022zlgc0122);协和特色临床专科护理质量提升项目(2022-PUMCH-B-130)。

摘　　要：目的探讨ADDIE教学设计模型在脊柱外科实习护生临床教学中的应用效果。方法采用便利抽样法,于2021年7月—2022年5月在中国医学科学院北京协和医院骨科选取44名实习护生作为对照组,采用传统方法进行临床带教。于2022年7月—2023年5月选取45名实习护生作为观察组,组建师资团队,按ADDIE教学设计模型的5个阶段,基于脊柱外科实习护生调查分析设计培训方案,开展提升临床综合能力的临床教学。培训结束后,从两组实习护生知识考核成绩、技能考核成绩、临床综合能力和教学满意度方面评价教学效果。结果培训后,观察组护生的专科护理技能考核成绩为(94.87±1.10)分,高于对照组的(93.98±1.41)分,差异有统计学意义(P<0.01);观察组护生迷你临床演练评估的临床判断、组织效能、整体表现维度评分及总分均高于对照组,差异有统计学意义(P<0.01);观察组实习护生对教学计划及教学方法满意度高于对照组,差异有统计学意义(P<0.05)。结论基于ADDIE教学设计模型的脊柱外科实习护生临床教学可提高护生专科实践能力及临床综合能力,实习护生对该教学设计模型认可度较高。Objective To explore the effectiveness of applying the ADDIE(analysis,design,develop,implement,evaluate)Model in clinical teaching for nursing interns in spine surgery department.MethodsUsing a convenience sampling method,44 nursing interns in the Department of Orthopedics at Peking Union Medical College Hospital were selected as the control group from July 2021 to May 2022,and were taught using traditional methods.From July 2022 to May 2023,45 nursing interns were selected as the observation group,and a teaching team was formed to design a training program based on the five stages of the ADDIE instructional design model.This program was tailored to improve the overall clinical competence of the spinal surgery nursing interns.After training,the teaching effects were evaluated based on knowledge test scores,skills test scores,overall clinical competence,and teaching satisfaction.Results After the training,the skills test scores in specialized nursing for the observation group were(94.87±1.10)points,higher than the control group's(93.98±1.41)points,with a statistically significant difference(P<0.01).The observation group also scored higher than the control group in clinical judgment,organizational effectiveness,overall performance,and total score in the Mini-Clinical Evaluation Exercise,with statistically significant differences(P<0.01).Additionally,the observation group reported higher satisfaction with the teaching plan and methods compared to the control group(P<0.05).Conclusions Clinical teaching for spinal surgery nursing interns based on the ADDIE instructional design model can improve their specialized practical skills and overall clinical competence.The interns also expressed a high level of acceptance for this teaching design model.

关 键 词：学生 护理 实习生 ADDIE教学设计模型 临床带教 教学效能 

分 类 号：G642.44[文化科学—高等教育学] R47-4[文化科学—教育学]