PBL联合情景模拟教学法在神经外科临床护理教学中的应用

Application of PBL Combined with Scenario Simulation Teaching Method in Neurosurgery Clinical Nursing Teaching

目的探讨以问题为导向教学法(PBL)联合情景模拟教学法在神经外科临床护理教学中的应用效果。方法于2022年7月至2023年2月,采用整群抽样法选取在郑州大学第一附属医院神经外科病区实习的224名学生为研究对象,在神经外科一病区、神经外科二病区实习的学生分为观察组(112名),接受PBL联合情景模拟教学法;在神经外科三病区、神经外科五病区实习的学生为对照组(112名),接受传统教学法。在入科后、出科前分别对两组学生进行成绩考核和能力测评,并对结果进行统计学分析。结果在教学后,观察组理论成绩、临床技能操作成绩、自主学习能力得分、沟通技能正性态度得分、批判性思维能力得分、对带教老师的满意度评分均高于对照组;沟通技能负性态度得分,观察组低于对照组,差异有统计学意义(P<0.05)。结论与传统临床护理教学法相比,PBL联合情景模拟教学法有利于培养学生的学习兴趣,提升理论成绩、临床技能操作水平,提高自主学习能力、沟通技能和批判性思维能力,提升带教质量。

Objective To explore the application effect of problem-based learning(PBL)combined with scenario simulation teaching method in clinical nursing teaching practice of neurosurgery.Methods From July 2022 to February 2023,224 nursing students who practiced in neurosurgery wards of the First Affiliated Hospital of Zhengzhou University were cluster sampled,112 nursing students who received PBL combined with scenario simulation teaching method were enrolled from the one and second wards of neurosurgery as observation group,112 nursing students who received traditional teaching methods enrolled from the third and five wards of neurosurgery as control group.The two groups of nursing students were assessed in theory,skills and ability test after entering the department and before leaving the department,the assessment results were statistically analyzed.Results After teaching,the scores of theory,clinical skills,self-study ability,positive attitude of communication skills and critical thinking ability,satisfaction with teachers of observation group were higher than control group,the score of negative attitude of communication skills of observation group was lower than control group,and the difference were statistically significant(P<0.05).Conclusion Compared with the traditional clinical nursing teaching method,PBL combined with scenario simulation teaching method is beneficial to cultivate the learning interest of nursing students,improve the level of theoretical learning and operation skills,improve their autonomous learning ability,communication skills and critical thinking ability,and improve the teaching quality.