基础护理学中PBL案例教学法对高职护生评判性思维能力的影响

The Effect of Problem-based Learning Case Study in Basic Nursing Science on Developing Critical Thinking of Nursing Students in Higher Vocational School

目的探讨基础护理学教学中,PBL案例教学法对高职护生评判性思维能力的影响。方法选择我校2006级高职护理9班、10班、11班的113名大专护生作为研究对象,采用彭美慈教授改良的中文版评判性思维能力测量表(CTDI-CV)作为测量工具,对学生在PBL案例教学前、后进行问卷调查。结果 PBL案例教学前后护生评判性思维能力各条目中寻找真相、分析能力、系统化能力、批判思维自信心、认知成熟度、求知欲的差异(P<0.05)具有明显的统计学意义,开放思想的差异无统计学意义(P>0.05);PBL案例教学前后护生评判性思维能力总分的差异具有明显的统计学意义(P<0.01);PBL案例教学后护生评判性思维能力总分≥280的比例明显提高(90.43%)。结论研究结果表明,以问题为基础的PBL教学方法有利于提高学生的评判性思维能力,有助于提高学生的学习效率,是医学院校值得推广的先进的教学方法。

Objective To test the effect of problem-based Learning（PBL） case study in Basic Nursing Science on developing higher vocational nursing students’ critical thinking.Methods We choose 2006 Vocational Nursing 9 classes,10 classes,11 classes of 113 college nursing students in our school as research objects,using the Chinese version of California critical thinking disposition inventory（CTDI-CV） improved by professor Peng Mei-ci as a measurement tool.The nursing students were given questionnaire before and after PBL case teaching.Results Before and after the PBL case teaching,critical thinking ability of nursing students to truth-seeking,analyticity,systematicity,critical thinking,self-confidence,cognitive maturity,curiosity,the difference（P0.05） was a statistically significant.The difference on Critical thinking ability of nursing students to open-mindedness was not a statistically significant.The Critical Thinking Ability differences of nursing students in the total score before and after PBL case teaching has a statistically significant（P0.01）.After PBL Case teaching nursing students’critical thinking ability to the proportion of total score≥280 increased significantly（90.43%）.Conclusion The results show that PBL teaching methods help to improve Critical thinking ability of students,to help students increase learning efficiency,the medical colleges should be to promote the advanced teaching methods.