以需求为导向的医学生早期接触护理课程应用研究

doi:10.3760/cma.j.cn115259-20220105-00014

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (10): 888-892.DOI: 10.3760/cma.j.cn115259-20220105-00014

以需求为导向的医学生早期接触护理课程应用研究

李莉¹, 谢铃莉², 焦静³, 郭娜⁴, 李玥⁵, 王巍⁴, 潘新伟⁴, 赵霞⁶, 佟冰渡⁷, 刘芳⁸, 史冬雷⁴

¹北京协和医院门诊办公室,北京 100730;
²北京协和医院重症医学科,北京 100730;
³北京协和医院党委办公室,北京 100730;
⁴北京协和医院护理部,北京 100730;
⁵北京协和医院教育处,北京 100730;
⁶北京协和医院普通内科,北京 100730;
⁷北京协和医院骨科,北京 100730;
⁸北京协和医院肝脏外科,北京 100730

收稿日期:2022-01-05 出版日期:2022-10-01 发布日期:2022-09-29
通讯作者: 史冬雷, Email: shidonglei3706@sina.com
基金资助:
北京协和医学院2019年本科教学改革项目(2019zlgc0103)

The application of the demand-oriented interprofessional education curriculum in the early clinical contact of nursing for medical students

Li Li¹, Xie Lingli², Jiao Jing³, Guo Na⁴, Li Yue⁵, Wang Wei⁴, Pan Xinwei⁴, Zhao Xia⁶, Tong Bingdu⁷, Liu Fang⁸, Shi Donglei⁴

¹Out-patient Office, Peking Union Medical College Hospital, Beijing 100730, China;
²Department of Critical Care Medicine, Peking Union Medical College Hospital, Beijing 100730, China;
³Committe of Communist Party of China, Peking Union Medical College Hospital, Beijing 100730, China;
⁴Nursing Department, Peking Union Medical College Hospital, Beijing 100730, China;
⁵Department of Education Administration, Peking Union Medical College Hospital, Beijing 100730, China;
⁶Department of General Internal, Peking Union Medical College Hospital, Beijing 100730, China;
⁷Department of Orthopedics, Peking Union Medical College Hospital, Beijing 100730, China;
⁸Department of Hepatic Surgery, Peking Union Medical College Hospital, Beijing 100730, China

Received:2022-01-05 Online:2022-10-01 Published:2022-09-29
Contact: Shi Donglei, Email: shidonglei3706@sina.com
Supported by:
Undergraduate Teaching Reform Project of Peking Union Medical College in 2019 (2019zlgc0103)

摘要/Abstract

摘要： 目的探索以需求为导向的医学生早期接触护理课程应用效果。方法采用整群抽样方法,选取首次进入北京协和医院参加临床早接触课程的2017级及2018级八年制临床医学专业115名学生为研究对象,其中2018级为70名学生设为试验组,2017级45名学生设为对照组。试验组以需求为导向进行早期接触护理课程内容、授课方式的设计并应用,对照组学生采用常规授课方式,课程结束后以学生对课程的了解程度、认可程度、满意程度以及跨专业学习准备度为课程效果考核指标。通过t检验和卡方检验进行数据分析。结果试验组学生比对照组学生在对课程的认可程度[(3.63±0.78)分比(3.11±0.83)分]及满意度评分[(13.59±1.48)分比(11.29±2.36)分]高,其差异均具有统计学意义(均P<0.05);试验组学生团队协作、以患者为中心及跨专业学习准备度总分分别为(53.49±5.30)分、(22.90±2.11)分、(93.31±7.58)分,均高于对照组学生(50.78±4.98)分、(22.07±2.11)分、(88.62±4.83)分,其差异均具有统计学意义(均P<0.05)。结论在医学生早期接触临床阶段推进以需求为导向的早期接触护理课程有助于提高学生对课程的认可度和满意度,提高医学生团队合作与共情能力,提高早期接触临床实施效果。

关键词: 医学生, 以需求为导向, 早期接触临床, 跨专业教育

Abstract: Objective To explore the effect of the demand-oriented interprofessional nursing education curriculum in the early clinical contact for medical students. Methods Cluster sampling method was used in the study. A total of 115 eight-year program clinical medicine students enrolled in 2017 and 2018 who entered Peking Union Medical College Hospital for the first time to participate in the clinical early contact course were selected as the research objects. Among them, 70 students in the class of 2018 were set as the experimental group, and 45 students in the class of 2017 were set as the control group. The experimental group was demand-oriented to design and apply the curriculum content and teaching method of early contact nursing course, while the control group adopted the conventional teaching method. At the end of the course, students' understanding of the course, degree of recognition, degree of satisfaction and readiness for cross-major learning were taken as the assessment indicators. Data were analyzed by t-test and chi-square test. Results Compared with the control group, the students in the experimental group had higher degree of recognition for the course [(3.63±0.78) vs. (3.11±0.83)] and satisfaction [(13.59±1.48) vs. (11.29±2.36)], and the differences were statistically significant (all P<0.05). The total scores of team collaboration [(53.49±5.30) vs. (50.78±4.98)], patient-centered [(22.90±2.11) vs. (22.07±2.11)] and interprofessional learning readiness [(93.31±7.58) vs. (88.62±4.83)] in the experimental group were higher than those in the control group, all with statistical significance (all P <0.05). Conclusions Promoting demand-oriented early contact nursing course in the early clinical contact stage of medical students can fully improve students' recognition and satisfaction of the course, improve medical students' teamwork and empathy ability, and facilitate the clinical application of early contact for medical students.

Key words: Students, medical, Demand-orientation, Early clinical contact, Interprofessional education

中图分类号:

李莉, 谢铃莉, 焦静, 郭娜, 李玥, 王巍, 潘新伟, 赵霞, 佟冰渡, 刘芳, 史冬雷. 以需求为导向的医学生早期接触护理课程应用研究[J]. 中华医学教育杂志, 2022, 42(10): 888-892.

Li Li, Xie Lingli, Jiao Jing, Guo Na, Li Yue, Wang Wei, Pan Xinwei, Zhao Xia, Tong Bingdu, Liu Fang, Shi Donglei. The application of the demand-oriented interprofessional education curriculum in the early clinical contact of nursing for medical students[J]. Chinese Journal of Medical Education, 2022, 42(10): 888-892.

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以需求为导向的医学生早期接触护理课程应用研究

The application of the demand-oriented interprofessional education curriculum in the early clinical contact of nursing for medical students

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