教师在场的开放式护理技能共学社区的构建及效果评价

Construction and evaluation of the effects of open learning community for training of nursing skills with presence of advisor

目的:探讨教师在场的开放式护理技能共学社区对提高护理实践教学效果的作用。方法:采用整群抽样选取皖南医学院2019、2020级护理学专业1177名本科生为研究对象,按年级分为对照组和实验组,对照组(2019级)采用传统的开放式护理技能共学模式,实验组(2020级)采用教师在场的开放式护理技能共学模式。运用护理实验学形成性评价成绩评价练习效果的差异性。结果:2020级护理学专业学生的综合性实验2、期末操作考、护理实验成绩均高于2019级护理学专业学生(P<0.001);而2019级护理学专业学生的综合性实验1成绩高于2020级护理学专业学生(P<0.001)。2020级护理学专业学生的护理实验成绩80分及以上的学生占比[69.4%(372/536)]高于2019级护理学专业学生[45.7%(293/641)](χ^(2)=66.674,P<0.001)。结论:教师在场的开放式护理技能共学社区是护理实践教学的有益补充,对护理实践教学效果的提高具有促进作用。

Objective:To assess the effects of open learning community for improving the training of nursing skills with presence of advisors.Methods:By cluster sampling,1177 undergraduates majoring in nursing,enrolled in Wannan Medical College in 2019 and 2020,were included,and divided into observational group and control group.Students in the control group were given conventional open learning mode,and those in the observational group were instructed by open learning community with presence of an advisor.The training outcomes in nursing skills were formatively assessed based on the curriculum Nursing Experiment for comparison of the difference between groups.Results:The scores on Comprehensive Experiment 2,real performance of nursing skills in the final term examination and nursing experiment were higher in students enrolled in 2020 than those enrolled in 2019(P<0.001),yet students enrolled in 2019 had higher scores on Comprehensive Experiment 1 than those enrolled in 2020(<0.001).The proportion of scoring on nursing experiment by 80 or above was significantly higher in students enrolled in 2020 than those enrolled in 2019[69.4%(372/536)vs.45.7%(293/641),χ^(2)=66.674,(P<0.001)].Conclusion:The open learning community for training of nursing skills with presence of advisors can be beneficial supplement to nursing practice,and conductive to improvement of nursing skills for nursing students in nursing practice.