“五一体”教学模式在内科护理教学中的应用

Application of ＂Five in One＂ education model of nursing teaching practice in internal medicine

目的探讨“五一体”教学模式（课岗一体、双师一体、教做一体、学做一体、教评一体）在内科护理教学中的应用效果，以培养护生的临床思维能力和应用能力。方法将2个大专班护生随机分为试验组54名和对照组52名。对照组按照传统教学模式授课，试验组按照“五一体”教学模式授课，学期结束后，两组护生进行内科护理临床能力综合考核，比较教学效果。结果试验组的理论考核（84．17±5．12）分，实训考核（86．98±3．74）分，均高于对照组的（79．37±6．22）、（80．96±5．67）分，差异有统计学意义（t值分别为4．33，6．43；P〈0．01）。对试验组37名护生进行随访，其中81．1％的护生表示“五一体”教学模式对提高她们的临床适应能力有帮助。结论“五一体”教学模式的应用提高了护生的临床思维能力和临床适应能力。

Objective To discuss the application of ＂Five in One＂ education model of nursing teaching practice （ integration of Course ＆ Position, integration of Practice ＆ Theory teachers, integration of Teaching ＆ Doing, integration of Learning ＆ Doing, and integration of Teaching ＆ Evaluation） in internal medicine, to cultivate students＇ abilities of clinical thinking and clinical application. Methods College nursing students from 2 classes were divided into two groups, experimental group （54 cases） and control group （52 cases）. In control group, students were taught by the traditional way, while in experimental group, the students were under the ＂Five in One＂ education model. After the end of a semester, a comprehensive assessment of clinical ability in internal medicine was conducted among nursing students from both two groups, to compare the teaching effectiveness. Results For experimental group,the theory examination score was （ 84. 17 ±5.12） and training assessment score was （86.98 ± 3.74）, higher than the control group, the difference was statistically significant （ t = 4.33,6.43, respectively ;P 〈 0.01 ）. Follow-up of the experimental group 37 nursing students, 81.1% of the nursing students said ＂ Five in One＂ teaching mode was helpful to improve their clinical ability to adapt. Conclusions Application of ＂ Five in One＂ education model can improve the nursing students in clinical thinking ability and also clinical adaptability.