提高手术室护理大专生的临床评判性思维能力的实践与体会

The Practice and Experience of Improving the Ability of Clinical Critical Thinking in Associated Nursing Students

目的:提高手术室护理大专生临床评判性思维能力。方法:以手术室常用消毒、无菌物品灭菌方法和带教情况等为主要内容设计问卷,对30名临床实习大专护生进行调查,了解"教"与"学"情况;加强对带教老师的管理和教学相关知识培训,选择启发式和参与式教学进行手术室的临床带教;通过教学查房、术中配合,术中护理记录书写和考试评价带教效果。结果:对带教老师教学态度满意度由83.6%上升到97.1%,护生考试和临床综合能力考核优秀率达95.3%。结论:培训优秀的临床带教老师,选择启发式和参与式教学法是提高手术室护生综合能力的有效方法。

Objective: To improve the ability of clinical critical thinking in associated degree nursing students of operation room. Methods: The following measures were carried out,including investigating the situation of teaching and learning through an investigation on 30 nursing students with the self-designed questionnaire about the teaching contents of common disinfector,means of sterilization and teaching-quality of clinical teachers,enhancing the management and training of clinical teachers with heuristic and participant teaching model,evaluating the effect of teaching through teaching round,practice of periopeative nursing records and examination. Results: As a result,the students' satisfaction with clinical teachers increased from83.6% to 97.1%,the excellent rate of observing and thinking ability exams achieved to 95.3%. Conclusion: It was an effective method to train excellent clinical teachers and apply heuristic and participant teaching mode for the improvement of nursing students'ability of clinical comprehensive competencies.