基于技能大赛的评估-诊断-计划-实施-评价教学模式在"护理学基础"技能操作教学中的应用

Application of assessment-diagnosis-plan-implementation-evaluation teaching model based on skill competition in the teaching of"basic nursing"skills

目的探讨基于技能大赛的评估-诊断-计划-实施-评价(ADPIE)教学模式在高职"护理学基础"技能操作教学中的应用效果。方法本研究为类实验研究。采用便利抽样法,于2022年2—7月选取萍乡卫生职业学院2021级高职护理专业2个班的学生为研究对象,其中9班53名护生作为试验组,13班55名护生作为对照组,试验组基于技能大赛的ADPIE教学模式开展教学;对照组按照常规教学模式开展教学,比较2组护生的学习成绩、人文关怀能力。结果试验组人文关怀能力中的3个维度,认知(70.82±9.20)分、勇气(59.58±6.04)分、耐心(57.17±5.26)分及总分(187.57±20.50)分,均高于对照组的(67.40±8.83)、(55.98±9.03)、(54.37±5.96)、(177.75±20.82)分,组间比较差异均有统计学意义(t值为2.61~3.42,均P<0.05);学习成绩中的3个维度,平时成绩(6.10±1.22)分、课程成绩(57.10±6.27)分、客观结构化临床考试成绩(27.09±2.13)分及总成绩(90.29±9.69)分,均高于对照组的(5.06±1.33)、(52.73±5.44)、(25.35±3.29)、(83.14±10.06)分,组间比较差异均有统计学意义(t值为2.52~3.34,均P<0.05)。结论基于技能大赛的ADPIE教学模式能提高护生的课程成绩及人文关怀能力,教学效果显著。

Objective To explore the application effect of Assessmen-Diagnosis-Plan-Implementation-Evaluation(ADPIE)teaching model based on skill competition in the teaching of"basic nursing"skills in higher vocational colleges.Methods This was a quasi experimental study.Convenience sampling method was adopted to select students from two classes of 2021 vocational nursing major of Pingxiang Health Vocational College from February to July 2022 as the research objects,among which 53 nursing students from Class 9 were selected as the experimental group and 55 nursing students from Class 13 were selected as the control group.The experimental group was taught based on the ADPIE teaching mode of skill competition.The control group was taught according to the conventional teaching mode,and the academic record and humanistic care ability of the nursing students in the two groups were compared.Results The three dimensions of humanistic care ability in experimental group were cognition(70.82±9.20)points,courage(59.58±6.04)points,patience(57.17±5.26)points,total score(187.57±20.50)points.They were higher than those in the control group,which were(67.40±8.83),(55.98±9.03),(54.37±5.96)and(177.75±20.82)points,and there were statistical differences between the groups(t values were 2.61 to 3.42,all P<0.05).In addition,the three dimensions of academic performance:ordinary score(6.10±1.22)points,course score(57.10±6.27)points,objective structured clinical examination(OSCE)score(27.09±2.13)points,total score(90.29±9.69)points,they were also higher than those of the control group(5.06±1.33),(52.73±5.44),(25.35±3.29),and(83.14±10.06),and the differences between groups were statistically significant(t values were 2.52-3.34,All P<0.05).Conclusions ADPIE teaching model based on skills competition can improve the course scores and humanistic care ability of nursing students,and the teaching effect is significant.