助产专业本科生对助产综合实验课程情境模拟教学体验的研究

The learning experience of undergraduates participating in the Midwifery Comprehensive Experiment course based on situational simulation teaching

目的了解助产专业本科生对助产综合实验课程情境模拟教学的学习体验,为助产综合实验课程教学改革提供依据。方法于2022年2月—6月面向52名2019级助产专业本科生实施45学时的助产综合实验课程情境模拟教学,并于2023年6月在学生完成44周临床实习后开展焦点小组访谈,运用主题分析法对资料进行整理分析,提炼主题。结果共提炼出学生参与助产综合实验课程情境模拟学习体验的2个主题。(1)收获专业成长的成就感:学生通过该课程的学习,建立了系统的临床与科研思维,提升了团队协作、应变与沟通能力,增强了专业自信,收获了专业成长。(2)面对学习困境的无助感:在学习过程中学生对统一流程、操作标准等“约束”产生依赖,同时感受到理论与实践之间存在不可跨越的“鸿沟”,以及对专科知识“学而不全”等学习困境的无奈。结论基于情境模拟的助产综合实验课程教学增强学生自信心,促进其专业成长,学生的认可度高,但同时也存在亟待解决的困境,对助产专业本科生、教师团队水平等方面提出了更高的要求。

Objective To understand the learning experience of undergraduates participating in the Midwifery Comprehensive Experiment course based on situational simulation teaching,and to provide reference for teaching reform of the course.Methods The situational simulation teaching activity of Midwifery Comprehensive Experiment course with 45 credit hours was implemented from February 2022 to June 2022 for 52 undergraduate students majoring in midwifery of grade 2019.In June 2023,focus group interviews were conducted after students completing the 44-week clinical internship.Thematic analysis method was conducted to analyze the data.Results Two themes about students'learning experience were extracted.①The sense of achievement from professional growth:through learning the course,students had established systematic clinical and scientific research thinking,improved team cooperation,strain and communication skills,enhanced professional confidence,and gained professional growth.②Helplessness in the face of learning difficulties:facing the lack of unified procedures,operating standards,learning summary materials,etc.,students inclined to depend on"authority and constraints",observed that there was an unbridled"gap"between theory and practice,and felt the helpless of learning difficulties such as"incomplete learning"of specialized knowledge.Conclusion The Midwifery Comprehensive Experiment course based on situational simulation teaching can enhance the self-confidence of students,promote their professional growth,therefore highly recognized by the sutdents.However,there are also difficulties to be solved,which put forward higher requirements for the teaching team of midwifery.