基于"理-虚-实"一体化的高职《护理学基础》课程教学改革与实证研究

Teaching reform and empirical research on the course of Fundamentals of Nursing in higher vocational education based on the integration of"theory virtual reality"

目的探讨基于"理-虚-实"一体化的高职《护理学基础》课程教学改革效果,为其他课程开展相关研究提供借鉴。方法2023年1—6月,采用便利抽样方法选取广西卫生职业技术学院护理学院2022级6个高职护理班护生为研究对象,通过类实验研究方法利用智慧仿真虚拟教室开展"理-虚-实"一体化的《护理学基础》课程教学,利用超星学习通教学平台发布教学资源及课前、课中、课后的任务,在智慧仿真虚拟教室进行理论-实训教学,借助在线虚拟仿真实训系统完成在线虚拟操作训练,进一步熟悉流程,掌握操作重、难点,构建实训虚拟场景,通过组建小组运用实体模具完成评估、计划、实施、评价,课中利用直播投屏来展示护生操作细节,利用超星学习通教学平台开展小组讨论、答题、测试等互动,完成"理-虚-实"一体化教学。干预前后选取中文版批判性思维能力测量表及护士胜任力量表对护生的批判性思维能力及护士胜任力进行评价,采用模拟教学设计量表调查护生对教学的赞同率。结果本研究共纳入650名护生,其中男89名,女561名,年龄(18.00±1.20)岁。干预前批判性思维能力总分(247.17±33.63)分,与干预后(294.16±33.63)分比较,差异有统计学意义(t=-10182.33,P<0.05);干预前护理胜任力总分(485.09±147.68)分,与干预后(507.09±147.68)分比较,差异有统计学意义(t=-7154.72,P<0.05)。模拟教学设计量表各条目赞同率在87%以上,每个维度总赞同率在95%以上。结论基于"理-虚-实"一体化的高职《护理学基础》课程教学改革有助于提高护生体验感和互动性,提高护生批判性思维能力和护理胜任力,满意度较高,值得推广。

Objective To explore the teaching reform effect of the integrated"theory virtual reality"course in Fundamentals of Nursing in vocational colleges,providing reference for related research in other courses.Methods From January to June 2023,a convenience sampling method was used to select vocational nursing students from 11 classes of the Nursing College of Guangxi Health Vocational and Technical College in 2022 as the research objects.Through class experimental research methods,a smart simulation virtual classroom was used to carry out the integrated teaching of Fundamentals of Nursing(referred to as"theory virtual reality")in theory virtual practice.The teaching resources and pre class,in class,and post class tasks were published on the Chaoxing Learning Platform.Theory practical teaching was conducted in the simulated virtual smart classroom,and virtual training scenes were constructed using virtual simulation software.Operations evaluation,planning,implementation,and evaluation were completed by forming groups and using training related molds.In class,live broadcasting was used to display the details of student operations,and Chaoxing Learning Platform was used for teaching.The platform conducts interactive activities such as group discussions,answering questions,and testing to achieve integrated teaching of"theory virtual reality".Before and after intervention,the Chinese version of the Critical Thinking Ability Scale and Nurse Competency Scale were selected to evaluate the critical thinking ability and nursing competency of nursing students.The Simulated Teaching Design Scale(SDS)was used to evaluate student satisfaction with teaching.Results A total of 650 nursing students were included in this study,including 89 males and 561 females,aged(18.00±1.20)years old.The total score of critical thinking before intervention was(247.17±33.63)points,and compared with the score after intervention(294.16±33.63)points,the difference was statistically significant(t=-10182.33,P<0.05).The total score of nursing competence before intervention was(485.09±147.68)points,and compared with the score after intervention(507.09±147.68)points,the difference was statistically significant(t=-7154.72,P<0.05)points.The approval rate of SDS was over 87%,and the total approval rate of the five dimensions was over 95%.Conclusions The teaching reform of the Fundamentals of Nursing course in vocational colleges based on the integration of"theory virtual reality"can help improve students′experience and interactivity,enhance their critical thinking and nursing competence,and achieve high satisfaction.It is worth promoting.