案例情景教学在神经外科实习教学中的应用

Application of the case and scenario teaching method in the neurosurgical practice teaching

目的 探讨案例情景教学在神经外科护理实习教学中的应用效果.方法 整群选取201 1年9月至2012年7月,在三峡大学人民医院神经外科轮转的护理专业实习生153人作为教学对象,采用情景模拟训练结合案例回放进行实习教学.实习结束后对实习护生进行满意度调查及护生业务能力评价.满意度评价采用自制调查表进行;实习护生业务能力采用基础操作考核（30％）、专科操作考核（30％）、专业理论考核（30％）及教师评价（10％）,计算总成绩.数据录入Excel 2007,采用函数公式Countif及Count计算合格人数及合格率.结果 实习护生对案例情景教学评价较高,153（100％）名实习护生均认为提高了学习积极性.实习结束时实习护生基础护理操作考试合格率为98.69％（151/153）,专科护理操作考试合格率为96.73％（148/153）,专科理论考试合格率为100％,总成绩合格率为100％.结论 案例情景教学能够提高实习护生的学习积极性及动手能力,提高实习教学效果.

Objective To explore the efficacy of the case and scenario teaching method in the neurosurgery practice teaching.Methods By cluster sampling,153 nursing students underwent rotary practice in neurosurgery department in People＇s Hospital of Three Gorges University from September 2011 to July 2012 were trained with the case and scenario teaching method.Scenario simulation training combined with case playback teaching was used in practice teaching.At the end of the internship,nursing students＇ satisfaction was investigated and their operational capacity was evaluated.Self-designed questionnaire was adopted to evaluate satisfaction.Operational capacity evaluation scores of nursing students were divided into several parts：basic operation examination （30%）,specialized operation （30%）,professional theory （30%） and teacher evaluation （10%）.Data were analyzed using Excel spreadsheet for entry.Countif and Count function formula were used to calculate eligibility and the passing rate.Results Nursing students had high evaluation on case playback teaching methods.By this method,153（100%） nursing students considered that the learning initiative was improved.At the end of the internship,passing rates of basic operation examination,specialized operation,professional theory were 98.69% （151/153）,96.73 % （148/153） and 100% while the total passing rate was 100%.Conclusion The case and scenario teaching method could develop the study positivity and practice ability of nursing students and can enhance the internship efficacy.