微课教学联合TSP/OSCE模式在儿科护理临床实践教学中的应用

Application of micro-course teaching combined with TSP/OSCE mode in clinical practice teaching of pediatric nursing

目的微课教学联合教师标准化病人(teacher standardized patient,TSP)、结合客观结构化临床考试(objective structured clinical examination,OSCE)在儿科护理临床实践教学中的效果。方法选择2019年2月至2019年7月在儿科进行临床实习的护士40人作为对照组,采用传统带教。另选取2019年8月至2020年1月在儿科进行临床实习的护士42人作为研究组,采用微课教学联合TSP/OSCE模式教学。分析两组护士理论和实践技能考核成绩,采用问卷调查评估护士对儿科护理临床实践培训模式教学的满意度。采用SPSS 22.0进行t检验和卡方检验。结果研究组护士理论和实践技能考核成绩均优于对照组,差异有统计学意义(P<0.001);研究组护士在提高实践技能、提高应急处理能力、提高人文关怀和服务能力、提高沟通能力、激发护理学习的兴趣等八个方面教学满意度均优于对照组,差异有统计学意义(P<0.05)。结论在儿科护理临床实践教学中采用微课教学联合TSP/OSCE模式能提高护士临床实践能力,提升护士在儿科培训中的满意度。

Objective To study the effect of micro-course teaching combined with teacher standardized patient combined with objective structured clinical examination(TSP/OSCE)on clinical practice teaching of pediatric nursing.Methods Forty nurses who performed clinical practice in Pediatrics Department from February 2019 to July 2019 were selected as the control group,and traditional teaching was adopted in the group.In addition,42 nurses who performed clinical practice in Pediatrics Department from August 2019 to January 2020 were selected as the research group,and the micro-course teaching combined with TSP/OSCE mode teaching was adopted in the group.Two groups of nurses'theoretical and practical skills assessment results were analyzed,and a questionnaire survey was conducted to assess nurses'satisfaction with the teaching of pediatric nursing clinical practice training mode.SPSS 22.0 was used for t test and chi-square test.Results The research group nurses'theoretical and practical skills assessment scores were better than those of the control group,and the difference was statistically significant(P=0.000).The nurses in the research group were more satisfied than those in the control group with such eight aspects as improving practical skills,emergency response capabilities,humanistic care and service capabilities,communication skills,and stimulating their interest in nursing learning.There were statistically significant differences(P<0.05).Conclusion The use of micro-teaching combined with TSP/OSCE mode in the clinical practice teaching of pediatric nursing can improve nurses'clinical practice ability and increase nurses'satisfaction in pediatric training.