项目学习法在内科护理学临床见习中的应用

Application of project-based learning method in clinical practice of internal medicine nursing

目的探讨项目学习法在内科护理学临床见习中的应用效果。方法选取湖北医药学院2014级护理学本科生80人,采用随机数表法分为对照班和试验班各40人。于2017年2~7月在试验班内科护理学临床见习中实施项目学习法教学,同时在对照班开展传统模式教学。教改结束时,对两个班的学生进行自主学习能力、临床沟通能力、批判性思维能力检测,并对检测结果进行统计学分析。结果试验班护生自主学习能力、临床沟通能力、批判性思维能力总评分分别为(119.25±19.74)分、(100.49±10.13)分、(328.53±31.59)分,明显高于对照班的(106.61±13.59)分、(89.69±13.01)分、(287.64±20.03)分,差异均有显著统计学意义(P<0.01);前者三个指标的各维度评分也明显高于后者相应指标的各维度评分,差异均有统计学意义(P<0.01或0.05)。结论在内科护理学临床见习中实施项目学习法教学,能明显提高学生的自主学习能力、临床沟通能力和批判性思维能力。

Objective To explore the application effects of project-based learning method in clinical practice of internal medicine nursing. Methods A total of 80 undergraduate nursing students of Grade 2014 in Hubei University of Medicine were selected, and they were divided into a control class and a test class by a random number table method（40 students in each class）. During the period from February 2017 to July 2017, the project-based learning method was carried out in the clinical practice of internal medicine nursing in the test class, and the traditional mode of teaching was conducted in the control class. At the end of the teaching reform, the students in the two classes were tested for self-directed learning ability, clinical communication ability and critical thinking ability. The test results were then statistically analyzed. Results The total score for self-directed learning ability, clinical communication ability and critical thinking ability in nursing students of the test class, respectively, was（119.25±19.74）,（100.49±10.13） and（328.53±31.59）, which was significantly higher than the score of（106.61±13.59）,（89.69±13.01） and（287.64±20.03） for the control class, respectively, and the differences were statistically significant（P〈0.01）. The scores of three indicators of the former were also significantly higher than those of the corresponding indicators of the latter, and the differences were statistically significant（P〈0.01 or 0.05）. Conclusion The implementation of project-based learning in the clinical practice of internal medicine nursing can significantly improve students＇ ability of self-directed learning, clinical communication and critical thinking.