急腹症案例视频剧在护理本科生普外科见习中的实践

Effect of video of acute abdomen cases in general surgery internship of nursing undergraduates

目的探讨急腹症案例视频剧结合病房见习,小组案例讨论的实践效果。方法采用便利抽样法选取河北某高校护理系2020级129名护生为研究对象,设计急腹症案例视频剧编写、拍摄、实施计划,护生分组拍摄5个病种,10个视频剧。采用视频剧临床见习调查问卷及书写见习日志的量性与质性研究方法,对学生进行评价。结果见习教学方式:改变了传统填鸭式教学(92.2%)、感受到了临床气氛(93.8%)、培养了护生的职业情感(93.0%)等;能力培养方面:开发了学生创造性思维能力(94.6%)、激发了学习兴趣(93.0%);案例分析过程方面:可以帮助掌握急腹症相关知识(96.1%)、案例反馈使努力得到肯定(96.1%)等。见习日志主题,共4个主题。分别是:掌握了急腹症护理要点;场景逼真,贴近临床;增强了团队合作意识;视频剧让学习生活变得有趣。结论急腹症视频剧结合小组讨论见习模式,改变了单向灌输知识的方法,培养了护生综合运用知识的能力,特别在病源不足或突发公共卫生事件发生时是线下见习的有益补充。

Objective To explore the practical effect of video of acute abdomen cases combined with ward internship and group case study in nursing practice.Methods Convenience sampling was used to select 129 nursing students in the nursing department of a university in Hebei Province as the research object.Quantitative and qualitative method including video watching,ward internship questionnaire survey and writing internship log were used to evaluate the teaching effect.Results In terms of teaching method,traditional cramming teaching was changed(92.2%),and students enjoyed the clinical atmosphere(93.8%),which cultivated nursing students’professional emotion(93.0%).In terms of ability promotion,students’creative thinking ability(94.6%)was promoted,and their learning interest(93.0%)was stimulated.Video of acute abdomen cases was helpful to acquire knowledge related to acute abdomen(96.1%)and case feedback affirmed students’efforts(96.1%),etc.Moreover,four themes were extracted from internship log,including mastering the key points of acute abdomen care;simulating clinically realistic scenarios;enhancing the sense of teamwork;making learning and life interesting.Conclusion The internship mode of video of acute abdomen cases combined with group discussion changes traditional method of one-way knowledge transmission.It has fostered nursing students’integrated application of knowledge,especially providing a valuable offline supplement for times when clinical exposure is insufficient or during public health emergencies.