基于Omaha系统的案例教学法在护生综合能力培养中的效果观察

Observation of the effect of case teaching method based on Omaha system in clinical training of nursing students

目的 探讨基于奥马哈(Omaha)系统的真实案例教学在护理专业学生临床综合能力培养中的应用效果。方法 选取2021年7月—2022年12月在医院风湿免疫科实习的护生108名为研究对象,其中奇数月实习的护生54名设为观察组,偶数月实习的护生54名设为对照组。对照组采用传统的护理临床带教方式,观察组在常规教学的基础上进行基于Omaha系统的真实案例教学。培训结束后对护生进行临床综合能力评价、理论和整体护理能力考核,同时护生对教学质量进行满意度测评。结果 培训前,两组护生临床综合能力差异比较无统计学意义(P>0.05)。培训后,观察组护生临床综合能力各维度得分高于对照组,差异有统计学意义(P<0.05);观察组护生理论成绩和整体护理能力中4个维度得分均高于对照组,差异有统计学意义(P<0.05);观察组护生对教学效果的满意程度高于对照组,差异有统计学意义(P<0.05)。结论 基于Omaha系统的案例教学法能够提高护生的临床综合能力、实习期间理论成绩及整体护理能力,同时能提高护生对教学质量的满意程度。

Objective To explore the application effect of real case teaching based on the Omaha system in cultivating clinical comprehensive abilities of nursing students.Methods A total of 108 nursing students who interned in the rheumatology and immunology department of the hospital from July 2021 to December 2022 were selected as research subjects.Among them,54 students who interned in odd-numbered months were designated as the observation group,while 54 students who interned in even-numbered months were designated as the control group.The control group received traditional clinical nursing teaching methods,while the observation group received real case teaching based on the Omaha system in addition to routine teaching.After the training,the nursing students were assessed for their clinical comprehensive abilities,theoretical and overall nursing skills,and their satisfaction with the teaching quality was also evaluated.Results Before the training,there was no statistically significant difference in clinical comprehensive abilities between the two groups(P>0.05).After the training,the each dimension scores of clinical comprehensive abilities in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the theoretical scores and the scores in the four dimensions of overall nursing skills for the nursing students in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the nursing students in the observation group had a higher level of satisfaction with the teaching effects compared to the control group,the difference was statistically significant(P<0.05).Conclusion The case teaching method based on the Omaha system can improve nursing students'clinical comprehensive abilities,theoretical scores during their internship,and overall nursing skills,as well as improve their satisfaction with the teaching quality.