粤澳教师共建妇产科案例混合式教学模式的应用研究

Application of a mixed teaching mode of gynecological and obstetric cases co-built by teachers from Guangdong and Macao

目的联合粤澳两地区高校和临床实践基地,通过妇产科临床案例驱动,共建“线上+线下”混合式教学模式,探索改革模式在妇产科实习护生临床护理教学中的应用效果。方法选取2019年至2020年在广州医科大学附属第三医院妇产科实习的182名护生为研究对象。采用非同期对照,2019年6月至12月实习护生90名为对照组,其中男9名、女81名,年龄(21.77±1.14)岁,采取临床护理常规教学法;2020年6月至12月实习护生92名为观察组,其中男7名、女85名,年龄(21.74±1.05)岁,采取“线上+线下”混合式教学模式。对比两组护生的自我导向学习能力和临床决策能力。计量资料采用独立样本t检验,计数资料采用卡方检验。结果观察组护生的自我导向学习能力评分、临床决策能力评分分别为(257.92±37.70)分、(144.68±22.92)分,均高于对照组的(234.68±23.04)分、(133.21±13.35)分,差异均有统计学意义(均P<0.05)。结论粤澳共建妇产科案例混合式教学模式有助于提升实习护生的自我导向学习能力和临床决策能力。但该改革模式需要学生主动参与,对护理学生的临床敏锐度和思维活跃度有一定要求,且本研究仅选取一间医院的临床护理实习生,今后研究样本范围有待进一步扩展。

Objective To cooperate with universities and clinical practice bases in Guangdong and Macao and explore the application effect of reform mode in clinical nursing teaching of nursing students in gynecological and obstetric practice through the combination of"online+offline"teaching mode driven by clinical cases in obstetrics.Methods A total of 182 nursing students who practiced gynecology and obstetrics in The Third Affiliated Hospital of Guangzhou Medical University from 2019 to 2020 were selected as the subjects.A non-synchronous control was adopted.Ninety nursing students from June to December 2019 were selected as a control group,including 9 males and 81 females,aged(21.77±1.14)years,and conventional clinical nursing teaching method was adopted;92 nursing students from June to December 2020 were selected as an observation group,including 7 males and 85 females,aged(21.74±1.05)years,and the"online+offline"mixed teaching mode was adopted.The self-directed learning abilities and clinical decision-making abilities of the two groups were compared.Independent sample t test was used for the measurement data and Chi-square test was used for the count data.Results The scores of self-directed learning ability and clinical decision-making ability in the observation group were(257.92±37.70)points and(144.68±22.92)points,respectively,which were higher than those in the control group[(234.68±23.04)points and(133.21±13.35)points],with statistically significant differences(both P<0.05).Conclusions The mixed teaching mode of obstetric cases co-built by Guangdong and Macao nursing teachers can improve the self-directed learning ability and clinical decision-making ability in nursing students.However,this reform mode requires the students'active participation,and has certain requirements on the nursing students'clinical acuity and thinking activity.Moreover,this study only has selected clinical nursing interns from a hospital,and the sample range of future research needs to be further expanded.