中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (6): 437-440.DOI: 10.3760/cma.j.cn115259-20221018-01316

• 护理教育 • 上一篇    下一篇

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

金三丽1, 黄天笑2, 李佳晋2   

  1. 1北京大学护理学院内外科护理学教研室, 北京 100191;
    2北京大学医学部2018级四年制护理学专业, 北京 100191
  • 收稿日期:2022-10-18 发布日期:2023-05-31
  • 通讯作者: 金三丽, Email:jinsanli@bjmu.edu.cn

Comparison of undergraduate nursing students′ learning outcomes in actual versus simulated learning environment

Jin Sanli1, Huang Tianxiao2, Li Jiajin2   

  1. 1Division of Medical & Surgical Nursing, School of Nursing, Peking University, Beijing 100191, China;
    2Four-year Program of Nursing, Enrolled in 2018, Peking University Health Science Center, Beijing 100191, China
  • Received:2022-10-18 Published:2023-05-31
  • About author:Jin Sanli, Email: jinsanli@bjmu.edu.cn

摘要: 目的 探究护理学专业本科生在实景教学与模拟教学环境中的学习效果,并进行比较。方法 通过方便抽样法,选取北京市4所高校的193名护理学专业本科生为研究对象,采用临床学习环境比较调查表(clinical learning environment comparison survey,CLECS)对其进行问卷调查。采用Wilcoxon符号秩检验比较差异。结果 学生在实景教学环境下的CLECS总分为(80.5±15.3)分,高于模拟教学环境的(76.6±14.1)分,其差异具有统计学意义(Z=-3.03,P=0.002)。实景教学环境在沟通、整体观、评判性思维和教与学4个维度得分高于模拟教学环境,分别为(9.1±2.0)分比(7.5±2.3)分、(11.4±3.2)分比(10.3±3.4)分、(6.2±1.5)分比(5.5±1.6)分和(15.5±3.4)分比(15.1±3.1)分,其差异均具有统计学意义(均P<0.05);实景教学环境在自我效能维度得分为(10.9±2.5)分,低于模拟教学环境的(11.4±2.6)分,其差异具有统计学意义(Z=-2.64,P=0.008)。结论 建议护理教师建立临床教学指导原则,将实景教学与模拟教学有机结合以达到最佳教学效果。

关键词: 护理学, 本科生, 实景教学环境, 模拟教学环境, 学习需求

Abstract: Objective To explore undergraduate nursing students′ learning outcomes in actualand simulated learning environment and to compare them. Methods A convenient sample of 193 undergraduate nursing students from 4 universities in Beijing completed clinical learning environment comparison survey (CLECS). Wilcoxon signed rank test was used to compare the differences. Results The total CLECS score in actual learning environment (80.5±15.3) was higher than that in the simulated learning environment (76.6±14.1), and the difference was statistically significant (Z=-3.03, P=0.002). The scores of the four dimensions including communication, holistic, critical thinking, and teaching-learning dyad in actual learning environment were higher than those in the simulated learning environment, with the scores being (9.1±2.0) vs. (7.5±2.3), (11.4±3.2) vs. (10.3±3.4), (6.2±1.5) vs. (5.5±1.6), and (15.5±3.4) vs. (15.1±3.1), respectively, and the differences were all statistically significant (P<0.05). The score of the self-efficacy dimension in the actual learning environment (10.9±2.5) was lower than that in the simulated learning environment (11.4±2.6), and the difference was statistically significant (Z=-2.64, P=0.008). Conclusions It is recommended that nursing faculty establish clinical teaching guidelines that combine actual clinical practice with simulated clinical practice to achieve optimal results.

Key words: Nursing, Undergraduate, Actual learning environment, Simulated learning environment, Learning needs

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