WPBL+CBL教学结合临床路径在皮肤科护理教学中的应用

Application of WPBL+CBL teaching combined with clinical pathways in dermatological nursing teaching

目的探讨网络环境下以问题为基础的学习(web problem-based learning,WPBL)+以案例为基础的学习(case-based learning,CBL)结合临床路径在皮肤科护理教学中的应用。方法选择2018年7月至2020年6月在空军军医大学第一附属医院皮肤科实习的护士120人作为研究对象;按护士实习时间段分为对照组和研究组,每组60人;对照组采用传统带教,研究组采用WPBL+CBL结合临床路径进行教学。教学后对两组实习护士进行理论和临床操作能力考核;通过问卷调查评估两组实习护士的综合能力和对教学的满意率。采用SPSS 22.0进行t检验和卡方检验。结果研究组理论和临床操作能力考核成绩均优于对照组,差异有统计学意义(P<0.001)。研究组在提升临床操作能力、独立解决问题能力、培养团队协作能力、提升自主学习能力、提出和分析问题能力、提升综合分析能力、培养临床思维能力及综合能力等方面评分均优于对照组,差异有统计学意义(P<0.001)。研究组实习护士对WPBL+CBL结合临床路径教学的满意率为93.33%,对照组实习护士对传统带教的满意率为31.67%,差异有统计学意义。结论WPBL+CBL结合临床路径带教可提高皮肤科实习护士的理论和临床操作能力,提升其综合能力和临床教学满意率,值得在临床护理教学中应用推广。

Objective To explore the application of web problem-based learning(WPBL)+case-based learning(CBL)combined with clinical pathways in dermatological nursing teaching.Methods A total of 120 nurses who practiced in the dermatology department of The First Affiliated Hospital of Air Force Medical University from July 2018 to June 2020 were selected as the research objects.According to the nurse practice period,they were divided into a control group and a study group,with 60 people in each group.The control group used traditional teaching,and the study group used WPBL+CBL combined with clinical pathways for teaching.After the teaching,the two groups of practical nurses were assessed for their theoretical and clinical operational abilities,and the comprehensive abilities of the two groups of practical nurses and their satisfaction with teaching were assessed through questionnaire surveys.SPSS 22.0 was used for t test andχ2 test.Results The theoretical and clinical performance assessment results of the study group were better than those of the control group,and the difference was statistically significant(P<0.001).The research group was better than the control group in assessment of improving clinical operation ability,independent problem-solving ability,cultivating teamwork ability,improving self-learning ability,improving ability of presenting and analyzing problems,improving comprehensive analysis ability,cultivating clinical thinking ability and comprehensive ability,with statistical significance(P<0.001).The satisfaction rate of the trainee nurses in the study group was 93.33%,and the satisfaction rate of the trainee nurses in the control group was 31.67%,with statistically significant differences.Conclusion WPBL+CBL combined with clinical pathways teaching can significantly improve the theoretical and clinical operation ability of dermatology practice nurses,and improve their comprehensive ability and clinical teaching satisfaction rate,which is worthy of application and promotion in clinical nursing teaching.