综合教学模式在介入护理规范化培训中的构建与应用

The construction of comprehensive teaching mode and its application in standardized training of interventional nursing

目的探讨并分析综合教学模式即临床路径(clinical pathway,CP)联合基于问题式学习(problem-based learning,PBL)教学模式在介入病房护理规范化培训中的应用。方法选取2016年7月至2019年7月介入病房接受规范化培训的40名新入职护士,分为对照组(n=20)和实验组(n=20)。对照组接受传统临床教学方法,实验组运用CP联合PBL的新型临床教学方法。规培结束后比较两组护士的理论知识、操作能力、综合应变能力、批判性思维能力及对教学模式的满意度。结果实验组规培人员的理论知识、操作能力、综合应变能力考试分数分别为93.85±3.83、94.05±2.68、92.45±3.10;而对照组相应考试分数分别为86.55±4.52、90.10±5.23、86.45±4.79,实验组各项成绩均优于对照组(P<0.05)。相较于对照组,实验组不仅拥有更好的批判性思维能力,且教学满意度更高(P<0.05)。结论在介入科病房规范化培训护士临床护理带教中运用CP联合PBL教学模式有利于学员更好地掌握专科理论知识和临床操作技能,改善了综合应变能力,并促进其培养批判性思维。此外,该新型教学方法提升了介入科病房的教学满意度。

Objective To investigate the construction of a comprehensive teaching mode,i.e.clinical pathway(CP)combined with problem-based learning(PBL)teaching method,and to discuss its application in standardized training of interventional nursing.Methods Forty newly-recruited nurses,who received standardized training in the intervention ward from July 2016 to July 2019,were enrolled in this study,the nurses were randomly and equally divided into control group(n=20)and study group(n=20).The nurses in the control group received traditional clinical teaching method,while the nurses in the study group received CP combined with PBL teaching method.After the training course was completed,the theoretical knowledge,operational ability,clinical comprehensive management ability,critical thinking ability and satisfaction with the teaching mode were compared between the two groups and the results were analyzed.Results The testing scores of theoretical knowledge,operational ability and clinical comprehensive management ability in the study group were(93.85±3.83)points,(94.05±2.68)points and(92.45±3.10)points respectively,which in the control group were(86.55±4.52)points,(90.10±5.23)points and(86.45±4.79)points respectively.The scores of all the above achievements in the study group were significantly better than those in the control group(P<0.05).Compared with the control group,the nurses in the study group have more enhanced critical thinking skills and show higher satisfaction to teaching method(P<0.05).Conclusion The use of a comprehensive teaching mode,namely CP combined with PBL teaching method,in the clinical standardized training of nurses in the intervention ward is beneficial for the trainees to better master their specialized theoretical knowledge and clinical operation skills,to remarkably improve their clinical comprehensive management ability,and to enhance their critical thinking skills.Besides,this novel teaching mode can improve their satisfaction with teaching method.