基于成果导向教育理念的情景模拟方法提升护理实习生儿童危重症护理能力的教学实践  

Teaching practice of scenario simulation method to enhance nursing interns’competence in pediatric critical illness care based on the concept of outcome-based education

作　　者：黄晓波[1] 王丽芳[1] 黄丹娜 唐凤佳 韦琴[1] HUANG Xiaobo;WANG Lifang;HUANG Danna;TANG Fengjia;WEI Qin(Pediatric Intensive Care Unit,the First Affiliated Hospital of Guangxi Medical University,Guangxi,Nanning 530001,China)

机构地区：[1]广西医科大学第一附属医院儿童重症监护病房,广西南宁530001

出　　处：《中国医药科学》2024年第22期51-54,67,共5页China Medicine And Pharmacy

基　　金：广西医科大学本科教育教学改革项目(2022XJGY82);广西医科大学第一附属医院管理研究培育项目(YYZS2022019)。

摘　　要：目的探讨基于成果导向教育(OBE)理念的情景模拟方法提升护理本科实习生儿科危重症护理能力的教学实践方法。方法将广西医科大学临床护理学专业本科生90名按入儿科实习时间分成两组,2022年1—12月为对照组(n=42),运用传统教学方式,2023年1—12月为干预组(n=48),运用OBE理念的情景模拟方法的教学模式。课程结束后统一进行考核,并对课堂教学效果进行问卷调查。结果干预组理论考核成绩、技能考核成绩均高于对照组,差异有统计学意义(P<0.05)。问卷调查结果显示,干预组实习生对此种教学模式喜欢程度高,认为收获大,在学习积极性和主动性、临床思维能力、实践操作水平、理论结合临床实践能力、医/护/患沟通能力均有所提升,心理素质得到锻炼,对教学满意度均显著高于对照组,差异有统计学意义(P<0.05)。结论基于OBE理念的情景模拟教学方法能够提升护理实习生危重症护理能力,为儿科重症护理奠定基础,效果良好,具有临床和教学的双重意义。Objective To explore the teaching practice method of using outcome-based education(OBE)concept based scenario simulation to enhance care ability of pediatric critical illness among nursing undergraduate interns.Methods A total of 90 undergraduate students major in clinical nursing at Guangxi Medical University was divided into two groups based on their internship time in Pediatrics Department.From January to December 2022,42 patients in the control group used traditional teaching methods,and from January to December 2023,48 patients in the intervention group used scenario simulation methods based on the OBE concept.After the end of the course,a unified assessment will be conducted,and a questionnaire survey will be conducted on the effectiveness of classroom teaching.Results The theoretical and skill assessment scores of the intervention group were higher than those of the control group,with statistically significant difference(P<0.05).The results of the questionnaire survey showed that the intervention group of interns had a high degree of liking for this teaching mode,believed that they gained a lot,and improved their learning enthusiasm and initiative,clinical thinking ability,practical operation level,theoretical and clinical practice ability,and medical/nursing/patient communication ability.Their psychological qualities were exercised,and their satisfaction with teaching was significantly higher than that of the control group,with statistically significant difference(P<0.05).Conclusion The scenario simulation teaching method based on the OBE concept can improve the critical illness care ability of nursing interns,lay a foundation for pediatric critical care,and achieve good results.It has dual clinical and teaching significance.

关 键 词：儿科学 护理学 基于成果导向教育 急重症 教学 

分 类 号：G642[文化科学—高等教育学] R47[文化科学—教育学]