以病例为导向以问题为目标的护理教学查房在心内科的应用效果

The application and evaluation of the case-oriented and problem-targeted nursing teaching grand rounds in the department of cardiovascular

目的探讨以病例为导向以问题为目标的护理教学查房模式在心内科临床本科护理教学中的应用效果。方法将在心内科实习的本科护生分为实验组（n=29）和对照组（n=28），实验组采用以病例为导向以问题为目标的护理教学查房模式进行护理教学查房，对照组实施传统教学查房方法。结果实验组护生对教学查房满意度95．9％，高于对照组的88％（P〈0．05），出科理论及综合技能考试成绩优于对照组（P〈0．05）。结论以病例为导向以问题为目标的护理教学查房在心内科临床护理教学查房中的应用效果显著，能提高护生的综合素质、临床实践技能、激发了护生的自学动机、扩展思维视觉和促进老师的角色转变、提升了老师的整体综合能力。

Objective To explore the applicative effect of the ease-oriented and problem-targeted nursing teaching grand rounds in the department of cardiovascular. Methods A total of 57 nurse students were divided into two groups, 29 bachelor practice nurse students in the department of cardiovascular from July 2008 to July 2009 as research group （ n = 29 ） and 28 bachelor practice nurse students in the department of cardiovascular from July, 2007 to July, 2008 as control group （ n = 28）. The research group adopted the ease- oriented and problem-targeted nursing teaching grand rounds mode, while the control group adopted the traditional nursing teaching grand rounds mode. Results The satisfied rate of the research group was higher than that of control group（95.9% vs 88%, P 〈 0. 05 ）. The students＇ scores of the assessment exam after the intern in the research group was better than the students ＇ in the control group（ P 〈 0.05 ）. Conclusions There was a significant effect in the adopting of the case-oriented and problem-targeted nursing teaching grand rounds mode. This mode can improve the overall quality and clinical practice skills of nursing students, stimulate the motivation of self-learning, expand the visual thinking, promote the alteration of the teacher＇ s role and enhance the teacher＇s overall comprehensive capacity.