临床情景教学结合标准化病人在实习护生教学中的应用

The application of clinical situation teaching combined with standardized patients in the teaching of nursing students

目的以跌倒预防为例,探索临床情景教学结合标准化病人(SP)的教学模式对实习护生实践能力的应用效果。方法选取2021年9—12月到医院参加实习的2021级护理三年制大专学生,在组间基本特征匹配的原则上将护生分为观察组和对照组,观察组以3个典型临床情景为基础,采用临床情景模拟结合SP模式鼓励学生参与到教学培训中,而对照组采用常规教学法进行跌倒知识学习。干预前后分别采用理论测试及OSCE形式进行临床能力考核。结果两组护生入科时理论成绩比较差异无统计学意义(P>0.05);出科时,观察组理论成绩高于对照组,组间比较差异有统计学意义(P<0.05);两组在各站点评分及OSCE总分比较,观察组得分均高于对照组,差异均有统计学意义(P<0.05)。结论与传统教学方法相比,临床情景模拟结合SP教学模式,能够提高实习护生的理论课成绩和实际操作能力,教学效果显著。

Objective Taking fall prevention as an example,to explore the application effect of clinical situational teaching combined with standardized patient(SP)teaching model for the practice of nursing students.Methods The three-year nuring college students of Grade 2021 who participated in hospital practice from September to December 2021 were selected,and the nurses were divided into observation group and control group based on the principle of matching basic features between groups.The observation group was based on three typical clinical scenarios,and the students were encouraged to participate in the teaching and training by using clinical scenario simulation combined with SP model.The control group received the conventional teaching method to learn the knowledge of falling.Theoretical test and OSCE were used to evaluate clinical ability before and after intervention.Results Before teaching,there was no significant dif ference in theoretical scores between the two groups(P>0.05).After teaching the theoretical scores of the observation group were higher than the control group,and the difference between the two groups was statistically significant(P<0.05).The score of observation group was higher than that of control group,and the dif ferences were statistically significant(P<0.05).Conclusion Compared with traditional teaching methods,clinical scenario simulation combined with SP teaching mode can improve the academic performance and practical ability of nursing students,and the teaching ef fect is remarkable.