综合教学方法在护理学专业（助产方向）本科生临床实习中的应用研究

A study on application of integrated teaching method in nursing undergraduate students of midwifery in clinical practice

目的探讨综合教学方法在护理学专业（助产方向）本科生（后文简称为助产学生）临床实习中的教学效果。方法以2014年、2015年在南方医科大学南方医院手术室进行临床实习的助产学生为研究对象，以2015年的19名助产学生为实验组，采用“以问题为基础学习＋以案例为基础学习＋以授课为基础学习”综合教学方法进行临床实习；2014年20名助产学生为对照组，采用传统教学方法进行临床实习。于临床实习结束后对两组学生进行理论知识、临床综合技能考核，对评判性思维能力、实习效果进行调查。结果实验组学生理论知识和综合技能临床考核成绩高于对照组学生；评判性思维能力的各维度评分及临床实习效果的18个主观评价条目评分均高于对照组学生。结论综合教学方法有效提高了助产学生的临床实习效果和临床教学质量。

Objective To explore the teaching effect of integrated teaching method in nursing undergraduate students of midwifery in clinical practice. Methods Nursing undergraduate students of midwifery in clinical practice in our department in the year of 2014, 2015 were chosen as object of study. 19 students of 2015 who were taught by integrated teaching method（ problem-based learning ＋ case-based learning ＋ lecture- based learning） in clinical practice were chosen as experiment group and 20 of 2014 who were taught by conventional teaching methods were control group. After the clinical practice, subjective evaluation of practice effect and critical thinking ability, and objective evaluation of comprehensive skills of both groups were made. Results There was no significant difference in critical thinking ability between students in two groups before clinical practice in Operation Room, While the scores related to critical thinking were significant higher in experiment group which adopted integrated teaching method than those in control group after clinical practice; In 18 single investigation items of subjective evaluation, the experiment group had higher satisfaction rate in teaching effect than that in control group and there was also significant difference in clinical test of theory knowledge and comprehensive skill between two groups. Conclusions Integrated teaching method can improve clinical practice effect of high nursing undergraduate students of midwifery and improve clinical teaching quality.