不同种教育模式对我国护理专业学生创新能力影响的网状Meta分析

The influence of different teaching modes in the creativity of nursing students in China:a network Meta-analysis

目的采用网状Meta分析方法探讨不同教育模式对我国护理专业学生(简称护生)创新能力的影响。方法计算机检索PubMed、Web of Science、Cochrane Library、中国学术期刊网络出版总库、万方数据期刊论文资源数据库、中国生物医学文献数据库、维普中文科技期刊数据库平台中关于不同教育模式对护生创新能力影响的随机对照研究,检索时限均为建库至2023年3月5日。由2名研究者独立筛选文献、收集资料并使用Cochrane风险评估工具和临床试验证据等级标准(GRADE)进行质量评价后,采用WinBugs 1.4.3和Stata 17.0软件在随机效应模型下进行网状Meta分析。结果共纳入63个研究,涉及22种教育模式。网状Meta分析结果显示,案例讨论教育模式、循证护理教育模式、3D打印模型教育模式、探究式学习法教育模式、品管圈教育模式、六顶思考帽教育模式、TDPC教育模式(T:理论;D:演练;P:实践;C:结合)对比传统教育模式,在影响护生创新能力方面差异具有统计学意义(SMD值为4.61~22.51,均P<0.05)。敏感性分析表明,理论教学中,TDPC教育模式对提高护生创新能力的效果最好[累计排序概率图下面积(SUCRA)=98.08%],品管圈教育模式次之(SUCRA=83.13%);实践教学中,六顶思考帽教育模式对提高护生创新能力的效果最好(SUCRA=95.73%),3D打印模型教育模式次之(SUCRA=86.97%)。结论TDPC教育模式、六顶思考帽教育模式、3D打印模型教育模式和品管圈教育模式对提高护生创新能力的效果优于其他教育模式。

ObjectiveTo evaluate the influence of different teaching modes in the creativity of nursing students in China.MethodsA systematic search of PubMed,Web of Science,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,Chinese Biomedical Literature Database and VIP Database were carried out.Randomized control trials(RCTs)examining the influence of different teaching modes in the creativity of nursing students were included from inception to March 5,2023.Two reviewers independently screened literature,extracted data and assessed the risk of bias of included studies according to the Cochrane Handbook for Systematic Reviews of Interventions and combined with the Grading of Recommendation,Assessment,Development,and Evaluation(GRADE),then network Meta-analysis with random effects was performed by using WinBugs 1.4.3 and Stata 17.0 software.ResultsA total of 63 studies involving 22 teaching modes were included.The network Meta-analysis showed that Case-based Learning Mode,Evidence-based Nursing Teaching Mode,3D Printing Model Teaching Mode,Hands-on Inquiry Based Learning,Quality Control Circle Teaching Mode,Six Thinking Hats Teaching Mode,Theory,Drill,Practice,Combine(TDPC,T:theory;D:drill;P:practice;C:combine)Teaching Mode were more effective than Lecture-based Learning Mode(SMD values were 4.61-22.51,all P<0.05).Sensitivity analysis showed the effectiveness of TDPC Teaching Mode was the greatest in nursing theoretical teaching[surface under the cumulative ranking(SUCRA)=98.08%],the Quality Control Circle Teching Mode was the second most effective(SUCRA=83.13%).The effectiveness of Six Thinking Hats Teaching Mode was the greatest in nursing practical teaching(SUCRA=95.73%),followed by the 3D Printing Model Teching Mode(SUCRA=86.97%).ConclusionsTDPC Teaching Mode,Six Thinking Hats Teaching Mode,3D Printing Model,Quality Control Circle Teaching Mode were superior to other teaching modes in improving creativity of nursing students.