基于临床判断模型的体验式教学在护理学专业学生实习教学中的应用

doi:10.3760/cma.j.cn115259-20221212-01550

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (11): 814-818.DOI: 10.3760/cma.j.cn115259-20221212-01550

基于临床判断模型的体验式教学在护理学专业学生实习教学中的应用

薛婷¹, 姜文彬², 姚松楠¹, 陈强², 刘美艳³, 周振峰³, 姜永梅²

¹青岛大学附属医院心外科监护室,青岛 266555;
²青岛大学附属医院护理与院感处,青岛 266700;
³青岛大学2021级护理学专业硕士研究生,青岛 266073

收稿日期:2022-12-12 出版日期:2023-11-01 发布日期:2023-10-31
通讯作者: 姜永梅, Email: jymqyfy@163.com
基金资助:
青岛大学教学研究与改革项目(JXGG2020027)

The application of experiential teaching based on clinical judgment model for nursing interns

Xue Ting¹, Jiang Wenbin², Yao Songnan¹, Chen Qiang², Liu Meiyan³, Zhou Zhenfeng³, Jiang Yongmei²

¹Cardiac Surgery Intensive Care Unit, The Affiliated Hospital of Qingdao University, Qingdao 266555, China;
²Department of Nursing and Hospital Infection Management, The Affiliated Hospital of Qingdao University, Qingdao 266700, China;
³Master Degree Candidate, Nursing Major, Enrolled in 2021, Qingdao University, Qingdao 266073, China

Received:2022-12-12 Online:2023-11-01 Published:2023-10-31
Contact: Jiang Yongmei, Email: jymqyfy@163.com
Supported by:
Teaching Research and Reform Project of Qingdao University(JXGG2020027)

摘要/Abstract

摘要： 目的探讨基于临床判断模型的体验式教学在护理学专业学生实习教学中的应用效果。方法于2021年7月至2022年4月,选取在青岛大学附属医院实习的150名2018级护理学专业本科生作为研究对象,按照随机数字表法将其分为试验组和对照组。试验组75名学生采用基于临床判断模型的体验式教学,对照组75名学生采用传统教学,采用问卷调查比较2组学生实习结束后学业自我效能感、临床判断能力及教学满意度。采用χ²检验和t检验比较两组间差异。结果试验组学生学业自我效能感得分为(93.43±11.26)分,高于对照组学生的(84.75±10.06)分,;试验组学生批判性思维能力得分为(280.27±32.21)分,高于对照组学生的(265.01±25.05)分;试验组学生对教学感到满意的人数为67人(89.3%),高于对照组的54人(72.0%),差异均具有统计学意义(均P<0.05)。结论基于临床判断模型的体验式教学在临床护理教学中可有效提高护生的学业自我效能感及临床判断能力,得到学生普遍认可。

关键词: 临床判断, 体验式教学, 教学改革, 临床实习, 护理

Abstract: Objective To explore the effect of experiential teaching based on clinical judgment model for nursing interns. Methods A total of 150 nursing undergraduates from the grade of 2018 who practiced in the Affiliated Hospital of Qingdao University participated in the study and were assigned randomly into two groups from July 2021 to April 2022. The experimental group adopted experiential teaching based on clinical judgment model, while the control group adopted traditional teaching. The academic self-efficacy, clinical judgment thinking and teaching satisfaction of two groups were compared after the internship. Chi-square test and t test were used to compare the differences between two groups. Results The score of academic self-efficacy of experimental group was (93.43±11.26) higher than that of control group (84.75±10.06); the critical thinking ability score of experimental group was (280.27±32.21), which was higher than that of control group (265.01±25.05); 67 (89.3%) students in the experimental group were satisfied with the teaching, higher than 54 (72.0%) students in the control group. There are statistically significant (all P<0.05). Conclusions Experiential teaching based on clinical judgment model can effectively improve students′ academic self-efficacy and critical thinking ability, and it is well accepted by the nursing undergraduates.

Key words: Clinical judgment, Experiential teaching, Teaching reform, Clinical practice, Nursing

中图分类号:

R-05

薛婷, 姜文彬, 姚松楠, 陈强, 刘美艳, 周振峰, 姜永梅. 基于临床判断模型的体验式教学在护理学专业学生实习教学中的应用[J]. 中华医学教育杂志, 2023, 43(11): 814-818.

Xue Ting, Jiang Wenbin, Yao Songnan, Chen Qiang, Liu Meiyan, Zhou Zhenfeng, Jiang Yongmei. The application of experiential teaching based on clinical judgment model for nursing interns[J]. Chinese Journal of Medical Education, 2023, 43(11): 814-818.

参考文献

[1] Chegini Z, Janati A, Babaie J, et al. Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: a qualitative study[J]. Nurs Open, 2020,7(1):457-465. DOI: 10.1002/nop2.411.
[2] Durgun H, Kaya H. The attitudes of emergency department nurses towards patient safety[J]. Int Emerg Nurs, 2018,40:29-32. DOI: 10.1016/j.ienj.2017.11.001.
[3] Klenke-Borgmann L, Cantrell MA, Mariani B. Nurse educators′ guide to clinical judgment: a review of conceptualization, measurement, and development[J]. Nurs Educ Perspect, 2020,41(4):215-221. DOI: 10.1097/01.NEP.0000000000000669.
[4] Tanner CA. Thinking like a nurse: a research-based model of clinical judgment in nursing[J]. J Nurs Educ, 2006,45(6):204-211. DOI: 10.3928/01484834-20060601-04.
[5] Hensel D, Billings DM. Strategies to teach the national council of state boards of nursing clinical judgment model[J]. Nurse Educ, 2020,45(3):128-132. DOI: 10.1097/NNE.0000000000000773.
[6] 胡细玲, 陈晓萍, 张苍, 等. 体验式教学法在内分泌科护理本科实习教学中的应用[J].中华护理教育,2021,18(9):831-835. DOI: 10.3761/j.issn.1672-9234.2021.09.013.
[7] Jang A, Park H. Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: a mixed methods study[J]. PLoS One, 2021,16(5):e0251029. DOI: 10.1371/journal.pone.0251029.
[8] 刘燕, 白阳娟, 卢玉林, 等. 多专业学生案例讨论在护理本科生临床思维能力培养中的应用[J].中华护理教育,2021,18(9):803-808. DOI: 10.3761/j.issn.1672-9234.2021.09.007.
[9] Jessee MA, Nielsen A, Monagle J, et al. A national report on clinical judgment model use in prelicensure nursing curricula[J]. Nurs Educ Perspect, 2023,44(1):4-10. DOI: 10.1097/01.NEP.0000000000001062.
[10] Hensel D, Billings DM. Strategies to teach the national council of state boards of nursing clinical judgment model[J]. Nurse Educ, 2020,45(3):128-132. DOI: 10.1097/NNE.0000000000000773.
[11] 梁宇颂. 大学生成就目标、归因方式与学业自我效能感的研究[D]. 华中师范大学, 2000.
[12] 彭美慈,汪国成,陈基乐,等. 批判性思维能力测量表的信效度测试研究[J]. 中华护理杂志, 2004(9):7-10.
[13] 谢莉, 杨海涛, 张玲玲, 等. 学业准备对大学生学业收获的影响 ——人际互动与学业自我效能感的中介作用[J].教育学报,2020(1):83-91. DOI: 10.14082/j.cnki.1673-1298.2020.01.010.
[14] 武凌芸, 董开莎, 杨艳. 学业自我效能感在大学生专业认同与学习投入间的中介作用[J].中华行为医学与脑科学杂志,2022,31(10):938-942. DOI: 10.3760/cma.j.cn371468-20220621-00342.
[15] 胡细玲, 陈晓萍, 张苍, 等. 体验式教学法在内分泌科护理本科实习教学中的应用[J].中华护理教育,2021,18(9):831-835. DOI: 10.3761/j.issn.1672-9234.2021.09.013.
[16] Manetti W. Evaluating the clinical judgment of prelicensure nursing students in the clinical setting[J]. Nurse Educ, 2018,43(5):272-276. DOI: 10.1097/NNE.0000000000000489.
[17] Jang A, Park H. Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: a mixed methods study[J]. PLoS One, 2021,16(5):e0251029. DOI: 10.1371/journal.pone.0251029.
[18] 亓伟业, 付菊芳. 本科护生学业自我效能感焦点解决思维与学业投入的关系研究[J].护理学报,2021,28(5):70-74. DOI: 10.16460/j.issn1008-9969.2021.05.070.
[19] Nielsen A, Lasater K, Stock M. A framework to support preceptors′ evaluation and development of new nurses′ clinical judgment[J]. Nurse Educ Pract, 2016,19:84-90. DOI: 10.1016/j.nepr.2016.03.012.
[20] Durgun H, Kaya H. The attitudes of emergency department nurses towards patient safety[J]. Int Emerg Nurs, 2018,40:29-32. DOI: 10.1016/j.ienj.2017.11.001.
[21] Murray M, Sundin D, Cope V. New graduate nurses′ understanding and attitudes about patient safety upon transition to practice[J]. J Clin Nurs, 2019,28(13-14):2543-2552. DOI: 10.1111/jocn.14839.
[22] 邹慧儒, 王雅南, 林欣, 等. 基于案例学习教学方法在口腔医学教学中的应用[J].中华医学教育杂志,2020,40(3):192-195. DOI: 10.3760/cma.j.issn.1673-677X.2020.03.008.
[23] 肖琼, 徐亮. 护理本科学生职业成熟度、临床实习环境评价与其职业认同的关系[J].现代预防医学,2018,45(15):2733-2736,2777.

基于临床判断模型的体验式教学在护理学专业学生实习教学中的应用

The application of experiential teaching based on clinical judgment model for nursing interns

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	刘永思, 马小琴, 蔡燕吉. 浙江省2所高校护理学专业本科生在线学习投入与心理资本的关系研究[J]. 中华医学教育杂志, 2023, 43(9): 667-670.
[2]	刘向阳, 周洁, 石敏, 周英旎, 刘涛, 李晓苗. 基于案例学习教学方法联合KWL方法在内分泌代谢科临床实习中的应用[J]. 中华医学教育杂志, 2023, 43(9): 675-678.
[3]	王慧, 周利华, 李紫夜, 延雪晴. 护理学跨专业教育研究的可视化分析[J]. 中华医学教育杂志, 2023, 43(8): 570-573.
[4]	陈苏宁, 乔逸, 关月, 张维, 曹珊珊, 赵瑾怡, 郭桂萍, 葛洁, 王聪聪, 王婧雯. 能力导向实践教学模式在药学专业本科生临床实践中的探索[J]. 中华医学教育杂志, 2023, 43(8): 600-603.
[5]	任桑桑, 葛起伟, 岑栋, 陈智. 临床医学生临床实习期间职业认同感的问卷调查[J]. 中华医学教育杂志, 2023, 43(8): 604-608.
[6]	周娜, 张静, 路潜, 许佳琪, 杨悦. 口腔护理硕士专业学位研究生置信职业行为指标的构建研究[J]. 中华医学教育杂志, 2023, 43(8): 633-637.
[7]	张丽娟, 徐海旭, 薛振毅, 肖波, 张虹, 陈小军. 医学免疫学探究性实验课程的设计与实施[J]. 中华医学教育杂志, 2023, 43(6): 433-436.
[8]	金三丽, 黄天笑, 李佳晋. 护理学专业本科生在实景教学与模拟教学环境中学习效果的比较[J]. 中华医学教育杂志, 2023, 43(6): 437-440.
[9]	牛育鸿, 张永爱, 冯昊, 王琰. 护理学专业本科生毕业论文线上管理系统的构建与应用[J]. 中华医学教育杂志, 2023, 43(6): 441-445.
[10]	汤佳俊, 申玥涵, 刘赛, 贺琳妍, 周昔红. 产科方向护理硕士专业学位研究生临床实践培养体系的构建[J]. 中华医学教育杂志, 2023, 43(6): 446-449.
[11]	高磊青, 许莉. 法国高级实践护士培养现状及启示[J]. 中华医学教育杂志, 2023, 43(6): 477-480.
[12]	刘遥, 陈冬, 杨谱, 张玉环, 梁晓宇, 刘羽齐, 牛启超, 尤琦. 高职院校护理专业学生网络学习态度与网络学习行为链式中介模型构建[J]. 中华医学教育杂志, 2023, 43(5): 351-355.
[13]	柳雨晶, 沈勤, 徐娱. 基于科学引文数据库的护理教育领域混合式教学研究的文献计量学分析[J]. 中华医学教育杂志, 2023, 43(5): 356-360.
[14]	魏玉莲, 房晓杰, 马俊杰, 王硕, 范晓华, 袁洁, 景雪冰. 多学科协作融合体验式教学在护理学专业本科生急诊科临床教学中的应用[J]. 中华医学教育杂志, 2023, 43(5): 361-365.
[15]	蒋忆遥, 唐四元, 袁世平, 何国平, 周乐山. 护理学专业课程思政建设质量评价的研究现状及思考[J]. 中华医学教育杂志, 2023, 43(4): 259-262.