院校联合教学模式在高职护理急危重症护理学课程改革中的实践

Reform of the curriculum of emergency and critical care through a hospital-based vocational nursing program

目的探讨院校联合教学模式在高职护理专业急危重症护理学课程改革中的应用效果,提高教学质量。方法将2009级护理系一班学生186人作为实验组,二班187人作为对照组。对照组实施传统的理论、实践分段教学,即在校本部完成所有理论课与实训课;实验组学生实施院校联合教学模式,即从第二学年(第三学期开始)进入医院,所有的专业课程均在医院内完成,每周一至周四在医院教室内全天上理论课,周五全天在医院实训室上实训课,课余时间(中午或晚上)学生分小组按计划有组织地到医院各科室进行实践学习。结果实验组考试考核成绩显著高于对照组(P<0.01);98.93%的学生认为提高了自我管理能力,84.37%带教老师认为学生能尽快适应临床。结论院校联合的高职护理专业急危重症护理学课程改革,适应目前教学改革要求,更加注重高职护理实用型人才的培养,提高了学生的综合急救能力。

Objective To reform the curriculum of emergency and critical care through a hospital-based vocational nursing program, to evaluate the effect of the program, and to improve the quality of teaching. Methods Two classes admitted in 2009 were divided into two groups by random. The control group of 187 students were assigned to traditional curriculum design for emergency and critical care： they completed class room teaching at the school first, then received field teaching and practiced in the hospital. The ex- perimental group of 186 students were on a hospital-based nursing program： they started to work and studied in the hospital from the 3rd semester on, they had to complete all the professional courses in ways of classroom teaching within the hospital Monday through Thursday, and they had to work in the hospital on Friday as interns; in their spare time（in the mid day or evening）, they were organized to pay visits to every clinical departments for field learning as planned. Results The experimental group had higher examination scores than the control group did （P〈0.01）; 98.93% of the students thought the curriculum reform improved the ability of self-management, and 84.37% of clinical teachers cited that students could adapt as soon as possible to clinical settings. Conclusion Reform of the curriculum of emergency and critical care through a hospital-based vocational nursing program could meet current requirements of teaching reform. This method pays more attention to cultivation of practical nursing talents, and improves students＇ comprehensive emergency caring capacity.