支架式模式在护理临床操作教学中的应用

Application of Scaffolding Instruction in clinical nursing practice

目的探讨支架式教学模式对实习护生护理临床操作实践的影响。方法通过样本计算,以2013年进入上海中医药大学附属市中医医院实习的护理本科生30名为对照组,以2014年实习的护理本科生30名为观察组。对照组采用常规带教方法进行临床带教,观察组采用支架式教学进行临床操作实践带教,在实习结束前对两组护生的操作技能成绩、理论成绩、软技能水平和教学满意度进行比较。结果实习结束后,观察组理论考核成绩及操作考核平均成绩高于对照组;观察组软技能水平中,人际关系、自我管理、认知技能和组织管理高于对照组。结论支架式教学能较好地提高实习护生的操作技能,提高临床思维能力,有利于培养护生职业素养、人际沟通、自我管理及分析和解决问题能力。

Objective To explore the effect of Scaffolding Instruction on clinical nursing practice. Methods Thirty undergraduate nursing students in Shanghai Shanghai Municipal Hospital of Traditional Chinese Medicine, University of Traditional Chinese Medicine practiced during 2013 were enrolled in the control group, and another 30 undergraduate nursing students practiced during 2014 were enrolled in the observation group. The control group adopted routine teaching method, and the observation group adopted Scaffolding Instruction method. The performance of operation skills, theoretical achievements, level of soft skills and satisfaction of teaching were compared between the two groups. Results The observation group had higher performance of operation skills theoretical achievements than the control group （ P 〈 0.05 ）. The level of soft skills such as interpersonal relationship, self-management, cognitive skills, and organization and management was also higher in the observation group. Conclusion Scaffolding Instruction can improve the operation skills and clinical thinking ability of undergraduate nursing students, which is helpful in cultivation of their professional quality, interpersonal communication, self-management, and ability of analyzing and solving problems