典型个案追踪双向评价模式在临床教学实践中的应用

Application of typical case tracking two-way evaluation mode in the clinical practice teaching

目的 探讨典型个案追踪双向评价模式在临床护理教学中的应用效果.方法 选取2014年7月—2015年6月的126名护生作为对照组,采用传统带教评价模式;选取2015年7月—2016年6月的126名护生作为观察组,采用典型个案追踪双向评价模式.评价两组护生临床实践行为表现自评得分、综合临床实践能力自评、带教老师综合临床实践能力评价及满意度.结果 观察组护生临床实践行为表现自评中沟通交流、专业和自我发展、管理、教学指导、临床护理5个维度得分高于对照组,差异有统计学意义（P〈0.05）,而两组科研和评判性思维2个维度差异无统计学意义（P〉0.05）;观察组中的护生和带教老师的综合临床实践能力评价成绩及满意度高于对照组,差异有统计学意义（P〈0.05）.结论 在临床护理教学中应用典型个案追踪双向评价模式有助于注重环节管理,及时反馈信息,达成了教与学的真正互动,充分调动评价双方的积极性.

Objective To explore the application effect of typical case tracking two-way evaluation in the clinical practice teaching. Methods A number of 126 nursing students from July 2014 to June 2015 were included in the control group and received traditional teaching evaluation mode. Other 126 nursing students from July 2015 to June 2016 were recruited in the observation group and adopted typical case tracking two-way evaluation mode. Self-evaluation of clinical practice behavior, evaluation of comprehensive clinical practice ability of students and teachers and satisfaction in both groups were evaluated. Results In the clinical practice performances self-evaluation, scores of five dimensions including communication, profession and self-development, management, teaching guidance and clinical nursing in the observation group were significantly higher than those in the control group （P〈0.05）; there were no statistically significant differences in other two dimensions including scientific research and critical thinking between two groups （P〉0.05）. The comprehensive clinical practice ability evaluation scores and satisfaction degree of nursing students and teachers in the observation group were significantly better compared to the control group （P〈0.05）. Conclusions Application of typical case tracking two-way evaluation in the clinical practice teaching can help to pay attention to the link management, timely feedback information, reach the true interaction of teaching and learning, and arouse the enthusiasm of both sides.