体验式教学结合CBL在重症医学科实习护生带教中的作用

The role of experiential teaching combined with CBL in the teaching of nursing students in intensive care unit

目的探讨在重症医学科实习护生带教中应用体验式教学结合案例教学的作用。方法将2016年4月至2017年3月在新疆医科大学第三附属肿瘤医院重症医学科实习的63名护士设为A组, 将2017年4月至2018年3月在本院重症医学科实习的63名护士设为B组, 将2018年4月至2019年3月在本院重症医学科实习的63名护士设为C组, 将2019年4月至2020年3月在本院重症医学科实习的63名护士设为D组;A组采用常规教学, B组采用常规教学+CBL, C组采用常规教学+体验式教学, D组采用常规教学+CBL+体验式教学;均带教3个月。比较4个组理论和技能出科考核成绩, 带教前后人文关怀、支持性沟通和批判性思维能力评分, 以及对带教模式的满意度。采用SPSS 26.0进行单因素方差分析, 以及SNK-q检验和卡方检验。结果 D组理论和技能出科考核成绩高于其余3个组, B组和C组均高于A组(P<0.05);带教后4个组人文关怀、支持性沟通和批判性思维能力评分均高于带教前(P<0.05), 且带教后D组人文关怀、支持性沟通和批判性思维能力评分均高于其余3个组(P<0.05), B组和C组均高于A组(P<0.05);D组对教学技巧、教学内容、教学效果的满意度评分均高于其余3个组(P<0.05), B组和C组均高于A组(P<0.05)。结论在重症医学科实习中, 对护生在采用常规教学的基础上辅以体验式教学、CBL, 均可提高出科成绩, 提升人文关怀、支持性沟通和批判性思维能力, 且有利于提高满意度, 二者结合使用的效果与作用更佳。

Objective:To explore the application of experiential teaching combined with case-based learning(CBL)in the teaching of nursing students in intensive care unit(ICU).Methods:A total of 63 nurses who had internship in the ICU of our hospital from April 2016 to March 2017 were selected as group A,63 nurses from April 2017 to March 2018 were selected as group B,63 nurses from April 2018 to March 2019 were selected as group C,and 63 nurses from April 2019 to March 2020 were selected as group D.Group A adopted conventional teaching method,group B adopted conventional teaching method+CBL,group C adopted conventional teaching method+experiential teaching method,and group D adopted conventional teaching method+CBL+experiential teaching method.All of them had been taught for 3 months.The scores of theory and skills examination,humanistic care,supportive communication and critical thinking ability before and after teaching,and satisfaction with teaching mode were compared among the four groups.SPSS 26.0 was used for one-way variance analysis,SNK-q test andχ2 test.Results:The scores of theory and skill examination in group D were higher than those in the other three groups,and those in group B and C were higher than those in group A(P<0.05).After teaching,the scores of humanistic care,supportive communication and critical thinking ability of the four groups were higher than those before teaching(P<0.05).After teaching,the scores of humanistic care,supportive communication and critical thinking ability of group D were higher than those of the other three groups(P<0.05),and those of group B and group C were higher than those of group A(P<0.05).The satisfaction scores of teaching skills,teaching content and teaching effect in group D were higher than those in the other three groups(P<0.05),and those in group B and C were higher than those in group A(P<0.05).Conclusion:On the basis of conventional teaching method,experiential teaching and CBL can improve the performance of nursing students,improve the ability of humanistic care,supportive communication and critical thinking,and improve the satisfaction of nursing students.The combination of the two has a better effect.