游戏化教学结合Jeffries模拟教学在骨科创伤护理实习带教中的应用

Application of game-based teaching combined with Jeffries simulation teaching in training orthopedic trauma nursing interns

目的探究游戏化教学结合Jeffries模拟教学在骨科创伤护理实习带教中的应用效果。方法选取2021年至2023年实习的120名护士,按照入科先后顺序分为两组(2022年12月前为对照组),每组60例,对照组进行常规带教,观察组实施游戏化教学结合Jeffries模拟教学。比较两组护生实习前后考核成绩、核心能力[注册护士核心能力量表(competency inventory for registered nurse,CIRN)]、学习积极性[学习积极主动性量表(active learning state,ALS)];记录护生课程体验感[课程体验问卷(course experience questionnaire,CEQ)]。结果实习后,两组护生理论考试([89.64±6.73)vs.(83.71±6.20)]及实践操作成绩([80.82±5.94)vs.(75.61±5.73)]、CIRN评分([180.69±7.61)vs.(157.33±6.83)]、ALS评分[(89.48±6.83)vs.(73.22±6.25)]均较实习前升高,且观察组高于对照组(P<0.05);实习后,观察组护生CEQ评分高于对照组([49.65±2.58)vs.(36.57±1.94)]。结论在骨科创伤护理带教中,游戏化教学结合Jeffries模拟教学不仅能够让护生获得较高的课程体验感,促进学习积极性,还能提高护生的考核成绩、核心能力和评判性思维。

Objective To explore the application of game-based teaching combined with Jeffries simulation teaching in training orthopedic trauma nursing interns.Methods Totally 120 intern nurses who received orthopedic trauma nursing training from 2021 to 2023 were selected.They were divided into two groups according to their start dates,with 60 nurses in each group.The control group(started before December 2022)adopted routine teaching,whereas the observation group received game-based teaching combined with Jeffries simulation teaching.The assessment results,core competence[Competency Inventory for Registered Nurse(CIRN)],and learning enthusiasm[Active Learning Scale(ALS)]were compared both between the groups and within each group before and after the training.The course experience[Course Experience Questionnaire(CEQ)]of the trainees after training was recorded.Results After the internship,the theoretical exam scores[(89.64±6.73)vs.(83.71±6.20)],practical operation scores[(80.82±5.94)vs.(75.61±5.73)],CIRN scores[(180.69±7.61)vs.(157.33±6.83)],and ALS scores[(89.48±6.83)vs.(73.22±6.25)]of two groups of nursing students increased compared to their scores before the internship,and the observation group showed significantly higher scores than the control group(P<0.05).After the internship,the CEQ score was higher in the observation group than in the control group[(49.65±2.58)vs.(36.57±1.94)].Conclusions In the training of orthopedic trauma nursing interns,game-based teaching combined with Jeffries simulation teaching can not only improve course experience and learning enthusiasm,but also enhance the assessment results,core competence,and critical thinking.