传染病危重症护理临床实践教学方法研究

Research on Teaching Methods of Clinical Practice in Critical Care of Infectious Diseases

目的:观察Mini-CEX联合情景模拟在传染病危重症护理临床实践教学中的应用效果。方法:将160名护生应用随机数字表分为对照组和实验组,每组各80名,对照组采用传统教学法,实验组在对照组基础上采用Mini-CEX联合情景模拟教学法。实习结束对比两组护生传染病危重症护理的临床综合能力测评成绩,以及医生、护士、患者和护生4个维度的满意度。结果:临床综合能力测评成绩显示,实验组的沟通能力、应对问题能力、临床操作能力、理论知识灵活运用能力、临床协作能力、人文关怀能力的得分及总评分均高于对照组,差异有统计学意义(P<0.05)。满意度评价结果显示,实验组患者和护士对护生的满意度以及护生对教学满意度的得分均高于对照组,差异有统计学意义(P<0.05)。结论:Mini-CEX联合情景模拟教学能有效提高护生的临床综合能力,改善满意度,在传染病危重症护理临床实践教学中可以推广。

Objective:To observe the effects of mini-clinical evaluation exercise(Mini-CEX)combined with scenario simulation in clinical practice teaching of critical care of infectious diseases.Methods:160 nursing students were randomly divided into a control group and an experimental group by using random number table,with 80 students in each group.The control group adopted traditional teaching method,while the experimental group adopted Mini-CEX combined with scenario simulation teaching method on the basis of the control group.At the end of the internship,the evaluation results of clinical comprehensive ability of critical care of infectious diseases were compared between the two groups of nursing students,as well as the four dimensions satisfaction of doctors,nurses,patients and nursing students.Results:The evaluation results of clinical comprehensive ability showed that the experimental group had higher scores in communication ability,problem solving ability,clinical operation ability,flexible application of theoretical knowledge,clinical cooperation ability and humanistic care ability than the control group,the total score of the experimental group was also higher than that of the control group,and the differences were statistically significant(P<0.05).The satisfaction evaluation results showed that in the experimental group,the scores of nurses'satisfaction with nursing students and nursing students'satisfaction with teaching were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Mini-CEX combined with scenario simulation teaching can effectively improve the clinical comprehensive ability of the nursing students and improve satisfaction degree,and can be popularized in the clinical practice teaching of the critical care of the infectious diseases.