基于“互联网+”案例教学对护理实习生评判性思维影响的研究

Study on the influence of"Internet+"case teaching model on critical thinking of nursing interns

目的探讨分析两种不同案例教学法对护理实习生评判性思维的干预效果.方法选择2016年7月到2018年7月在重庆市大足区人民医院的实习护生共62名,根据实习年限分为对照组(29名)和干预组(33名),对照组护生采用常规案例教学法进行临床教学,干预组护生采用基于"互联网+"案例教学进行临床带教.对2组护生的评判性思维能力进行评价并比较.结果干预组护生寻找真相、开放思想、系统化能力、分析能力、自信心、求知欲、成熟度均明显优于对照组(t=3.978~6.875,P<0.05),评判性思维等级分布干预组护生高于对照组(χ^2=7.922,P<0.05);临床决策能力中发现问题能力、确定目标能力、决断方案能力、实施决策能力、评价反馈能力均高于对照组(t=-6.522^-2.202,P<0.05).结论基于"互联网+"案例教学能够更好地改善护生临床思维方法,提升护生评判性思维水平和临床决策能力,提升临床带教质量,值得在临床实践中进行推广和应用.

Objective To explore and analyze the intervention effect of two different case teaching methods on critical thinking of nursing interns.Methods from July 2016 to July 2018,a total of 62 nursing students in a three grade hospital in Chongqing were selected.They were divided into control group(29)and intervention group(33)according to their internship years.The control group received routine case teaching method,while the intervention group adopted the"Internet+"case teaching method to carry out clinical teaching.Results Nursing students in the intervention group were significantly better than those in the control group in seeking truth,open thinking,systematization ability,analytical ability,self-confidence,thirst for knowledge and maturity(t=3.978-6.875,P<0.05).Nursing students in the critical thinking grade distribution intervention group were higher than those in the control group(t=-6.522--2.202,P<0.05).In clinical decision-making ability,problem-finding ability,goal-setting ability,decision-making ability,implementation decision-making ability and evaluation feedback were also higher than those in the control group(P<0.05).The ability was higher than that of the control group(χ^2=7.922,P<0.05).Conclusion case teaching based on"Internet+"can better improve the clinical thinking method of nursing students,enhance the critical thinking level and clinical decision-making ability of nursing students,and improve the quality of clinical teaching.It is worthy of popularization and application in clinical practice.