基于翻转课堂与循证理念的三科查房在新护士培训中的应用

The Application of Three-department Combined Nursing Ward Round Based on Flipped Classroom and Evidence-based Concept in New Nurse Training

目的 探讨基于翻转课堂与循证理念的三科查房在新护士培训中的应用效果。方法 回顾性分析2020年1月—2021年12月南方科技大学医院138名临床新护士参加护理查房的具体情况及效果,其中2020年1—12月采用传统护理查房模式的62名临床新护士为对照组,2021年1—12月采用基于翻转课堂与循证理念的三科(从全院内科、外科系统或特殊区域中分别选择三个科室)联合护理查房模式的76名临床新护士为观察组,比较新护士不同查房模式前后的临床综合护理能力(临床护理技能、批判性思维能力和循证护理能力)和教学满意度的差异。结果 干预后观察组护士临床护理技能、批判性思维能力、循证护理能力评分[(44.50±6.17)分、(28.82±4.00)分、(26.82±4.77)分]均高于对照组[(40.08±6.87)分、(25.28±4.56)分(、23.99±4.99)分],差异有统计学意义(P<0.05)。干预后,观察组护士查房内容有针对性、具有询证意见、查房总结突出重点、查房形式科学及总分方面均高于对照组,差异有统计学意义(P <0.05)。结论基于翻转课堂与循证理念的三科查房模式能提升新护士临床护理综合能力和对查房的教学满意度。

Objective To explore the application effect of three-department combined nursing ward round based on flipped classroom and evidence-based concept in new nurse training.Methods From January 2020 to December 2021,a total of 138 new clinical nurses in Southern University of Science and Technology Hospital participated in nursing ward rounds and their effects were analyzed retrospectively,the traditional nursing ward round from January to December 2020 was adopted as the control group(n=62),from January to December 2021,the combined nursing ward round mode based on flipped classroom and evidence-based concept was adopted as the observation group(three departments were selected from the whole hospital's internal medicine,surgery system or special regions)(n=62),the clinical comprehensive nursing ability(clinical nursing competence,critical thinking ability and evidence-based nursing ability)and teaching satisfaction of new clinical nurses were compared before and after the combined nursing round mode.Results After intervention,the clinical nursing skills,critical thinking ability,and evidence-based nursing ability scores of the observation group nurses[(44.50±6.17)points,(28.82±4.00)points,(26.82±4.77)points]were higher than those of the control group[(40.08±6.87)points,(25.28±4.56)points,(23.99±4.99)points],and the differences were statistically significant(P<0.05).After intervention,the observation group showed higher levels of targeted ward rounds,inquiry opinions,highlighted key points in the summary of rounds,scientific forms of rounds,and overall scores compared to the control group,with statistically significant differences(P<0.05).Conclusion The three-department combined nursing ward round model based on flipped classroom and evidence-based concept can significantly improve the comprehensive ability of clinical nursing and teaching satisfaction on ward round of new nurses.