模拟教学在《基础护理学》实验教学中的应用

Application of simulation teaching on experimental teaching of Basic Nursing

目的 探讨医学模拟教学(simulation based medical education,SBME)在《基础护理学》实验教学中的效果。方法,选择本校2015级四年制本科护理61名学生(传统教学组)和2016级四年制本科护理66名学生(模拟教学组)为研究对象。SBME组选取6项实验(无菌技术、生命体征测量、鼻饲法、导尿术、肌内注射技术和静脉输液技术)作为情景模拟教学的载体实验。教学结束后,采用问卷调查、理论知识考核、实验操作考核和直接观察操作技能(direct observation of procedural skills,DOPS)等对教学效果进行评估。采用SPSS 19.0进行t检验。结果,①考核成绩显示:期末综合成绩2016级学生良好率和优秀率分别为71.21%和16.67%;2015级学生良好率和优秀率分别为55.71%和1.43%;2016级学生理论与操作成绩均明显优于2015级学生(P<0.05)。②问卷调查显示:模拟教学组中,91.0%的学生认为有利于辅助学习,有75.8%的学生喜欢模拟教学,83.3%的学生认为可以激发学习兴趣;有78.94%的教师认为可以提高学生分析、解决问题的能力,84.21%的教师认为可以激发学生学习的兴趣,89.48%的教师认为可以使学生听课认真。结论,模拟教学应用于基础护理实验教学中,可有效提高教学质量和教学效果。

Objective To investigate the effect of simulation based medical education(SBME)on the experimental teaching of Basic Nursing.Methods,A total of 61 four-year undergraduate nursing students in 2015 batch(classic teaching group)and 66 four-year undergraduate nursing students in 2016 batch(simulation teaching group)were selected.Six experiments(aseptic technique,vital sign measurement,nasal feeding,catheterization,intramuscular injection and intravenous infusion)were selected in the SBME group as carrier experiment for scenario simulation teaching.After the end of the teaching,the teaching results were evaluated by questionnaire survey,theoretical knowledge assessment,experimental operation assessment and direct observation of procedural skills.SPSS 19.0 was used to perform the t-test.Results,Examination results showed that the good rate and excellent rate in students of 2016 batch were 71.21%and 16.67%,respectively;the good and excellent rate in students of 2015 batch were 55.71%and 1.43%,respectively;theoretical and operational scores in students of 2016 batch were significantly higher than those in students of 2015 batch(P<0.05).According to the questionnaire,91.0%students in the simulation teaching group believed that the simulation teaching was beneficial to auxiliary learning,75.8%liked simulation teaching,and 83.3%thought that simulation teaching was able to stimulate their interest in learning;among teachers,78.94%believed that this method could improve students'ability to analyze and solve problems,84.21%thought that this method could stimulate students'interest in learning,and 89.48%considered that this method could make students listen carefully.Conclusion,Applying the simulation teaching to the experiment teaching of Basic Nursing can effectively improve the teaching quality and teaching effect.