混合教学模式在护理综合技能与临床思维课程教学中的应用效果

Application effect of mixed teaching model in the course of comprehensive nursing skills and clinical thinking

目的 构建线上教学与翻转课堂相结合的混合教学模式,探讨其应用效果.方法 2016年2—7月采用整群抽样法选择杭州医学院2015级高职护理6个班级180名护生为研究对象,根据随机数字表将3个班级分为对照组（n=90）,3个班级分为观察组（n=90）.在护理综合技能与临床思维课程教学中对照组采用传统教学模式,观察组依托慕课在线网络教学平台,构建翻转课程,开展线上教学＋翻转课堂的混合模式教学.1个学期结束后分别从教学参与情况、教学效果、教学方式评价3个方面对两种教学方法的实施效果进行评价.结果 翻转课堂实施期间,线上教学平台总访问次数9564人次,师生共参与讨论话题372个,完成任务点38个.观察组护生期末总成绩为（91.75±5.40）分,对照组为（84.57±5.32）分,观察组高于对照组,差异有统计学意义（t=-2.683,P〈0.05）.观察组护生在督促开展预习、主动查找资料、培养自学能力、提高学习积极性、提高课堂参与积极性、对错误之处印象深刻、考核更客观、总体评价8个方面的评价赞同度高于对照组,差异均有统计学意义（P〈0.05）.结论 混合教学模式能促进高职护生自主学习能力的提升,提高护生课堂参与积极性,使教学评价更加客观公正,但如何让学生喜欢上此教学模式、如何科学设置考核比例等问题仍有待进一步研究.

ObjectiveTo establish a mixed teaching mode characterized by online teaching and flipped class,and explore its application effect.Methods From February 2016 to July 2016,a total of 180 students from 6 classes of grade 2015 in Hangzhou Medical College were selected as the research object by cluster sampling method. According to random number table,students were divide into the control group（3 classes,n=90）,and the observation group（3 classes,n=90）. For the comprehensive skills and clinical thinking courses,traditional teaching mode was applied in the control group,while observation group adopted the mixed teaching mode which was combined the massive open online courses（MOOCs）and flipped class together. Teaching participation,teaching effect,teaching methods were evaluated to assess the implementation effect of two teaching methods one term after the implementation of mixed teaching model.Results The total person-time of online visits was 9564. The number of discussions and fullfiled tasks were 372 and 38. The total final exam score of students in the observation group was（91.75±5.40）,which was higher than that in the control group（84. 57±5.32）（t=-2.683,P〈0.05）. The scores of evaluation of 8 aspects in the observation group were higher than those in the control group,such as urging to prepare,finding information actively, developing self-study ability,improving study enthusiasm,improving the class participation enthusiasm,being impressive for the mistake,assessing more objectively and overall evaluation（P〈0.05）.Conclusions Mixed teaching model could promote the autonomous learning and class participation of nursing students. It also can make the teaching appraisal more objective and fair. However,how to make the students love this mode and how to set up the examination ratio scientifically should be studied further.