新形势下社区护理学实践教学设计与实施

The teaching design and implementation of practice teaching in community nursing under the new conditions of community health services

目的:探讨社区卫生服务新形势下社区护理学实践教学的最佳模式,提高本科护生的综合素质。方法:在社区护理学实践教学中实施模拟实践、社区见习、实地实践的三阶段改革教学法,采用综合评价方法了解改革效果。结果:校内实训优良率达86.7%,社区实践优良率达75.2%,110名学生中有108人(98.2%)对实践教学总体安排非常满意或比较满意,89人(81.0%)认为校内模拟实践很有必要,104人(94.5%)认为社区实习很有必要,98人(89.0%)对实践内容安排满意或比较满意,55人(50.0%)认为实习时间需要2周或更长时间,有92人(83.6%)对社区实习的效果满意或比较满意,96人(87.5%)认为通过实习对社区护理有了更深刻的了解。结论:社区护理学的三阶段改革教学法令学生满意,绝大多数护生对社区护理有了更深刻的认识和理解。

Objective： To investigate the best pattern of practice teaching for community nursing under the new conditions of community health services so as to improve the comprehensive competence of undergraduate nursing students.Methods： The three- stage pattern of practice teaching for community nursing was implemented,including simulation practice,community probation and field practice,and the integrated evaluation method was used to measure the effect.Results： The rate of getting good marks in school simulation practice of undergraduate nursing students was 86.7%,which was 75.2% for community probation and field practice.Totally 108 students （98.2%） were completely or relativly satisfied with the general arrangement of the practice teaching of community nursing among 110 students,and 89 students （81.0%） thought the implement of school simulation practice was very necessary,also 104 students （94.5%） had the same opinion in community practice arrangement and 92 students （83.6%） in the field practice.About 98 students （89.0%） were satisfied with the practice content,while 55 students （50.0%） thought the time of field practice should take two weeks or more.Finally 96 students （87.5%） had deeper understanding through the community practice.Conclusion： Most nursing students were satisfied with the three-stage pattern of teaching for community nursing,and they had deeper understanding on community nursing.