CBS联合PBL用于实习护生主查房教学的研究

Effect of combination of CBS and PBL in teaching rounds led by nursing students

目的探讨以病例为引导(CBS)联合以问题为基础的学习(PBL)模式指导下的实习护生主查房在临床带教中的应用效果。方法将轮转实习的护生80名随机分成观察组和对照组各40名。观察组采用以护生为主查人的教学查房,查房中应用CBS联合PBL模式;对照组常规由护生参与科室组织的教学查房。均每周1次。结果观察组护生出科考试成绩、患者对护生的评价、带教老师对护生的评价和护生实习结束后自我评价显著优于对照组(P<0.05,P<0.01)。结论护生主查房充分调动护生主动思考和学习,将CBS和PBL联合应用有助于临床实践和理论知识相结合,提高护生的学习针对性,提高学习效率,并深化记忆,充分调动护生的学习兴趣,还能培养和提高与患者之间的亲和力,增强护生的自我价值感。

Objective To identify the training needs of students who will attend the ICU CNS training program, and to provide scien- tific basis for course design. Methods An outline of interview was carefully worked out based on theories and principles of curricu- lum development, literature, and current practices of ICU nursing. Twelve students participated in this qualitative study. Focus group interview was used to develop insights into students＇ perceptions. Results Students believed that the training of ICU CNS is essential and feasible. Training contents should include direct nursing care, education, research, management and consultation, and should reflect the recent development of nursing. According to the characteristic of adult learning, several teaching methods could be used, such as lecture, seminar, situational simulation and self-study.