以提升辨证施护能力为导向的混合式教学模式在中医儿科护理教学中的应用

Effects of dialectic nursing-oriented hybrid teaching model in pediatric nursing teaching in traditional Chinese medicine

目的探讨以提升辨证施护能力为导向的混合式教学模式在中医儿科护理教学中的应用效果。方法采用便利抽样法,选取南京中医药大学护理学院2015 级护理学(助产方向)2 个班级护生为研究对象,共113 名,均为女生。采用抛硬币法将2 个班级分为观察组和对照组。观察组护生58 名,对照组护生55 名。对照组护生采用传统教学方法,观察组护生采用以提升辨证施护能力为导向的混合式教学模式。课程结束后,采用客观结构化临床考试(OSCE)评估护生辨证施护能力;采用中文版自我导向学习评定量表评价护生自我导向学习能力。结果课程结束后,观察组护生辨证施护能力总分及各维度得分均高于对照组,差异有统计学意义(P>0.05)。课程结束后,观察组护生自我导向学习能力量表总分,学习意识、学习行为、学习策略、人际关系技能维度得分高于对照组,差异有统计学意义(P<0.05)。结论高等中医院校中医儿科护理教学中运用混合式教学模式可提升护生儿科辨证施护能力,有利于培养护生自我导向学习能力,达到更佳教学效果。

Objective To explore the effects of dialectic nursing-oriented hybrid teaching model in pediatric nursing teaching in traditional Chinese medicine( TCM). Methods Totally 113 nursing students from 2 classes( midwifery) admitted in 2015 in the School of Nursing, Nanjing University of Chinese Medicine were selected by convenient sampling. All the subjects were female. The 2 classes were divided into the observation group( n=58) or the control group( n=55) by coin tossing. Nursing students in the control group received traditional teaching, while nursing students in the observation group were taught with the dialectic nursingoriented hybrid teaching model. At the end of the course, the objective structured clinical examination( OSCE) was used to evaluate their dialectic nursing ability;and the Self-Rating Scale of Self-Directed Learning( SRSSDL) was used to evaluate their self-directed learning ability. Results At the end of the course, the total score of dialectic nursing and scores of various dimensions of the observation group were higher than those of the control group( P>0.05). The total score of self-directed learning ability and scores of learning awareness, learning behavior, learning strategy and interpersonal skills of the observation group were higher than those of the control group(P<0.05). Conclusions The hybrid teaching model in TCM pediatric nursing teaching in universities of Chinese medicine can enhance nursing students' dialectic nursing ability, help to cultivate their self-directed learning ability and achieve the best teaching results.