以工作过程为导向的高职护生临床综合见习模式的实践

Study on Work Process-oriented Integrated Clinical Probation Mode for Higher Vocational Nursing Students

目的探讨以工作过程为导向的高职护生临床综合见习模式的教学效果。方法以2009级高职护生4个班共240名护生为研究对象,用抛硬币法整群随机抽样分成观察组与对照组各2个班各120名护生,两组护生均在中国人民解放军第303医院进行临床见习,观察组采用以工作过程为导向的综合临床见习模式,对照组采用传统的分学科临床见习模式。比较2种见习模式的效果。结果观察组的护生95.8%对综合见习模式表示赞同,95.0%见习积极性高,93.0%见习效果满意;临床带教老师对观察组护生的临床思维能力、理论联系实践能力及见习综合表现评价均优于对照组护生(P<0.01)。结论以工作过程为导向的高职护生临床见习模式行之有效,值得推广应用。

Objective To explore the effect of working process-oriented integrated clinical probation mode for higher vocational nursing students. Methods With cluster random sampling, 240 students in grade 2009 randomly divided into experimental group （n= 120） and control group （n=120） and all the students in both groups had clinical practice. The working process-oriented integrated clinical probation model was applied in experiment group while the traditional clinical probation model was used in control group. The effects of two kinds of mode were compared. Results In experimental group, students who were satisfied with the integrated practice mode accounted for 95.8% and most of them played positive role in the practice （95.0%） and achieved greatly after the practice （93.0%）. Students in experimental group performed better in different aspects than those in control group did. Conclusion The working process-oriented clinical probation model is effective for higher vocational nursing students and worthy to be popularized.