反思学习法在手术室临床带教中的应用

Reflective practice in surgery clinic teaching： a application study

目的探讨反思学习法在手术室临床带教中的应用效果。方法将96名手术室实习护士随机分为实验组（n=48）和对照组（n=48）。实验组采用反思学习法教学，对照组采用手术室传统方法教学。采用问卷调查和出科考试对2组的教学效果进行综合评价比较。结果实验组实习护士在提高沟通和语言表达能力、增加对手术患者的人文关怀、提高手术配合的能力、培养团队协作能力、提高自学能力5个方面均优于对照组（X2=15．10，17．14，8．49，19．10，6．98；P〈0．01），实验组综合评价得分（92．3±4．2）分，对照组综合评价得分为（79．5±3．8）分，组间比较差异具有统计学意义（t=15．65，P〈0．05）。结论反思学习法能提高手术室临床带教的效果，培养和提高学生的人文素养和批判性思考能力。

Objective To study the application effects of reflective practice in surgery clinic teaching. Methods 96 surgery exereitation nurses were randomly divided into two groups, study group （n = 48 ） and control group （ n = 48 ）. The study group was taught with reflective practice, while the control group was given conventional teaching method. The teaching effects of both groups were evaluated comprehensively with a questionnaire and department rotation examination. Results Communication and expression ability, humanistic care towards operated patients, surgical cooperation ability, teamwork ability, and self-culture ability in the study group were significantly more excellent than those in the control group （ X2 = 15.10, 17.14, 8.49, 19.10, 6.98 ; P 〈 0. 01 ）, the total score of the study group was （ 92.3 ±4.2 ）, （79.5 ± 3.8 ） for the control group, and there was significant difference between both groups （ t = 15. 65, P 〈 0. 05 ）. Conclusions Reflective practice could promote the effects of surgery clinic teaching, develop and improve students＇ humanistic accomplishments and critical thinking ability.