团队学习联合情景模拟教学模式在精神科护士规范化培训中的应用

Application of the team-based learning combined with situational simulation model in standardization training of psychiatric nurses

目的 探讨以团队为基础的学习联合情景模拟教学模式在精神科规范化培训中的实施效果.方法 将2015年6—8月进入精神科工作70名规范化培训期内的护士随机分为对照组和研究组各35名,对照组采用传统教学模式,研究组采用基于团队的学习联合情景模拟教学模式.培训结束后对两组护士理论知识和应急综合能力进行考核,并评价团队合作能力.结果 规范化培训6个月后,研究组理论知识考核（87.13±7.50）分、应急综合能力考核（95.57±4.19）分,均优于对照组,差异有统计学意义（t值分别为8.52、7.81;P〈0.01）.研究组团队合作能力各维度评分中乐群性（6.58±2.11）分、自律性（5.16±2.65）分、归属性（4.73±2.18）分、价值性（5.84±1.87）分,均优于对照组,差异有统计学意义（t值分别为-3.36、-6.55、-5.89、-4.51;P〈0.05）.结论 基于团队的学习联合情景模拟教学不仅能提高护士的理论知识水平和应急综合能力,还能提高护士的团队合作能力,丰富了精神专科规范化培训形式和内容.

Objective To discuss the implementation effects of the team-based learning combined with situational simulation in the standardized training in psychiatric.Methods A total of 70 psychiatric nurses in the standard training period from June to August 2015 were randomly divided into control group and experimental group, 35 respectively. Nurses in the control group received traditional teaching mode, while nurses in the experimental group used the teaching mode of the team-based learning combined with situational simulation. After the training, the theoretical knowledge, the comprehensive ability of emergency response, and the ability of team work of nurse in two groups were evaluated.Results After 6 months of standardized training, the scores of theoretical knowledge （87.13±7.50） and comprehensive ability of emergency response （95.57±4.19） of nurses in the experimental group were significantly higher than those in the control group （t=8.52, 7.81;P〈0.01）. The scores of different dimensions of team work ability were （6.58±2.11） of gregariousness, （5.16±2.65） of antorhythmicity, （4.73±2.18） of belongingness and （5.84±1.87） of valuable, which were significantly better than those in the control group （t=-3.36, -6.55, -5.89, -4.51;P〈0.05）.Conclusions The team-based learning combined with situational simulation model not only increases the knowledge level and comprehensive ability of emergency of nurses, but also improves the team work ability, which can enrich the forms and contents in psychiatric standardized training.