突出中医护理核心能力培养临床护生带教模式的探索与实践

Exploration and practice of clinical nursing student teaching model that highlights the cultivation of core competence of traditional Chinese medicine nursing

目的探讨“双导制”、突出中医护理核心能力培养的临床教学新模式在提高中医护理教学质量中的应用。方法选择广州中医药大学第五临床医学院黄埔院区2021年7月至2022年6月实习护生共47人为对照组,其中女生35人,男生12人,年龄19~22(20.34±1.07)岁;2022年7月至2023年6月实习护生共50人为研究组,其中女生36人,男生14人,年龄19~23(20.92±1.34)岁。对照组采用常规带教模式;研究组在传统临床带教模式基础上,以“双导制”为基础,增加线上慕课、线下翻转课堂、以问题为导向的教学法(PBL),在原有的考核方式上增加专科优势病种中医护理方案考核、客观结构化临床考试(OSCE)。比较两组教学满意度评分、理论考核成绩、操作考核成绩、中医护理实习质量评分。采用χ^(2)检验、秩和检验、t检验。结果研究组临床带教老师满意度高于对照组,差异有统计学意义(Z=-2.884,P=0.004)。研究组理论考核成绩、操作考核成绩分别为(88.27±3.70)分、(90.17±3.79)分,对照组为(83.72±5.51)分、(85.75±5.77)分,差异均有统计学意义(t=4.80、4.38,均P<0.001)。研究组的中医护理实习质量自评量表的9个维度评分均优于对照组(均P<0.05)。结论基于“双导制”、突出中医护理核心能力培养的临床带教模式,能有效提升护生的自主学习能力和积极性,提高专业技能及临床辨证思维能力,为培养高素质的中医护理人才提供新的途径。

Objective To explore the application of the new clinical teaching mode of"dual guidance system"and highlighting the cultivation of core competence of traditional Chinese medicine nursing in improving the teaching quality of traditional Chinese medicine nursing.Methods A total of 47 nursing interns from Huangpu Branch,The Fifth Clinical Medical College of Guangzhou University of Chinese Medicine from July 2021 to June 2022 were selected as the control group,including 35 females and 12 males,aged 19-22(20.34±1.07)years.A total of 50 nursing interns from July 2022 to June 2023 were selected as the research group,including 36 females and 14 males,aged 19-23(20.92±1.34)years.The control group adopted the conventional teaching mode;on the basis of the traditional clinical teaching mode,the research group added online MOOCs,offline flipped classrooms,and problem-based teaching methods(PBL)based on the"dual guidance system".In addition to the original assessment methods,the assessment of traditional Chinese medicine nursing programs for specialized dominant diseases and Objective Structured Clinical Examination(OSCE)were added.The teaching satisfaction scores,results of theoretical assessment and operation assessment,and traditional Chinese medicine nursing practice quality scores of the two groups were compared.χ^(2) test,rank sum test,and t test were used.Results The satisfaction of clinical teachers in the research group was higher than that in the control group,with a statistically significant difference(Z=-2.884,P=0.004).The results of theoretical assessment and operation assessment of the study group were(88.27±3.70)points and(90.17±3.79)points,respectively,while those of the control group were(83.72±5.51)points and(85.75±5.77)points,with statistically significant differences(t=4.80 and 4.38,both P<0.001).The scores of 9 dimensions of the Self-rating Scale of Traditional Chinese Medicine Nursing Practice Quality in the study group were better than those in the control group(all P<0.05).Conclusion The clinical teaching mode based on the"dual guidance system"and highlighting the cultivation of core competence of traditional Chinese medicine nursing can effectively improve the independent learning ability and enthusiasm of nursing students,and improve their professional skills and clinical dialectical thinking ability,which provides a new way to cultivate high-quality traditional Chinese medicine nursing talents.