阶梯式带教联合案例工作坊在脊柱外科护士规培教学中的应用研究  

Study on the application of step-by-step teaching combined with case workshop in teaching spinal surgery nurse residents

作　　者：王慧 刘名名 赵经纬 Wang Hui;Liu Mingming;Zhao Jingwei(Department of Spinal Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

机构地区：[1]首都医科大学附属北京积水潭医院脊柱外科,北京100035

出　　处：《中华医学教育探索杂志》2025年第2期261-265,共5页Chinese Journal of Medical Education Research

基　　金：北京积水潭医院院级护理科研基金(HL202201)。

摘　　要：目的:探究基于阶梯式带教联合案例工作坊在脊柱外科护士规培教学中的应用研究。方法:选取2023年6月至2024年6月轮转到脊柱外科规培的100名护理人员为研究对象,根据入科先后将其均分为对照组、观察组,对照组采用传统护理规培教学,观察组实施阶梯式带教联合案例工作坊,对两组规培护士考核成绩、综合能力、自主学习能力及满意度进行比较。采用SPSS 26.0进行 t检验和卡方检验。 结果:规培后,观察组护士理论考核成绩[(91.65±1.27)分 vs.(85.71±1.33)分]、操作考核成绩[(90.24±1.52)分 vs.(84.78±1.46)分]均高于对照组;观察组护士领导能力、危重症监护、教学与合作、计划与评估、沟通交流、专业发展评分均优于对照组( P<0.05);观察组护士自我动机信念、自我监控与调节、任务分析、自我评价得分均高于对照组;观察组护士教学满意度明显优于对照组。 结论:阶梯式带教联合案例工作坊可以有效提高脊柱外科规培护理人员的考核成绩,提升整体综合能力以及自主学习能力,并在一定程度上提升规培护士的满意度,值得在临床护理教学中应用。Objective To study the application of step-by-step teaching combined with case workshop in teaching spinal surgery nurse residents.MethodsA total of 100 nurse residents in spinal surgery from June 2023 to June 2024 were selected as the research subjects.They were divided into a control group and an observation group based on the order of enrollment.The control group received traditional nurse residency training,while the observation group received a training method combining step-by-step teaching and case workshop.The two groups were compared in assessment scores,comprehensive abilities,self-learning abilities,and satisfaction.The t-test andχ2 test were performed using SPSS 26.0.ResultsAfter the residency training,the observation group outperformed the control group in theoretical assessment scores[(91.65±1.27)vs.(85.71±1.33)]and operational assessment scores[(90.24±1.52)vs.(84.78±1.46)].The observation group also scored significantly higher than the control group in leadership ability,critical care monitoring,teaching and cooperation,planning and evaluation,communication,and professional development(P<0.05).Additionally,the observation group showed higher scores in self-motivation and belief,self-monitoring and regulation,task analysis,and self-evaluation.The satisfaction with teaching was significantly higher in the observation group than in the control group.ConclusionsThe method combining step-by-step teaching and case workshop can effectively improve the assessment scores of spinal surgery nurse residents,their comprehensive ability and self-learning ability,and their satisfaction with teaching.This method holds significant potential for application in clinical nursing teaching.

关 键 词：阶梯式带教 案例工作坊 脊柱外科 规培教学 护士规培 

分 类 号：R47[医药卫生—护理学]