以案例为基础的教学模式结合微信公众平台在手术室护理教学实习中的应用

Application of Case-Based Learning teaching mode based on WeChat public platform in nursing teaching practice in operation room

目的 探讨基于微信公众平台的以案例为基础的教学法(CBL)在手术室护理实习教学中的应用效果。 方法 选择2016年7月至2018年6月在中国医科大学附属盛京医院手术室进行临床实习的护理学本科生132名作为研究对象,2016年7月至2017年6月为对照组,2017年7月至2018年6月为试验组,每组66名。对照组采用传统教学法,试验组在传统教学的基础上,基于微信公众平台,在实习前1周将基于本节课实习大纲的CBL案例内容推送至护生。教学结束时进行理论笔试和技能操作考核,并通过问卷进行主观学习感受调查。 结果 试验组护生理论成绩和基本技能操作考试成绩分别为(42.33 ± 8.26)、(45.17 ± 6.79)分,对照组分别为(37.28 ± 7.70)、(39.23 ± 5.43)分,2组比较差异有统计学意义(t=2.289、2.150,P<0.05)。试验组总体满意度为90.90 %(60/66),对照组为57.58 %(38/66),2组比较差异有统计学意义(χ^2=6.339,P <0.05 )。 结论 微信公众平台辅助CBL在手术室护理实习能够提高学习效率,辅助加深理解,可以在有条件的单位逐步尝试推广。

Objective To explore the application effect of Case-Based Learning(CBL) teaching mode based on WeChat public platform in nursing practice teaching in operating room. Methods From July 2016 to June 2018, 132 nursing students in the operating room of Shengjing Hospital of China Medical University were selected as experimental subjects. They were randomly divided into the traditional teaching group (control group, from July 2016 to June 2017) and WeChat public platform combined with CBL group (experimental group, from July 2017 to June 2018 ). On the basis of traditional teaching and based on the WeChat public platform, the experimental group were sent the content of the CBL case based on the syllabus of the courses to students one week before the internship. At the end of the teaching, a theoretical written examination and skill operative quiz were performed to assess the effects of teaching and satisfaction of the subjective learning experience. Results The scores of the theoretical and basic skills of the experimental group were (42.33±8.26) and (45.17±6.79) points, respectively. The control group was (37.28 ± 7.70) and (39.23 ± 5.43) points, respectively. The difference between the two groups was statistically significant (t =2.289 , 2.150, P < 0.05). The overall satisfaction of the experimental group was 90.90% (60/66), and the overall satisfaction of the control group was 57.58% (38/66). The difference between the two groups was statistically significant (χ^2=6.339, P <0.05). Conclusions The WeChat public platform assisted CBL teaching model in the operating room nursing practice improved the learning efficiency, helped to deepen understanding, and can be adopted gradually in large teaching hospitals for clinical practical teaching of operation room for nursing students.