目的 分析基于小规模限制性在线课程(small private online course,SPOC)教学模式在急诊护理实习教学中的应用效果,探索急诊护理实习教学的新方法。方法 以2020年7月至2021年2月在中日友好医院急诊科实习的本科护理学专业78名学生为研究对象,开展基于SPOC教学模式的实习教学,分析学生学习参与情况和质量、出科考核成绩,并进行教学满意度调查。结果 在教学过程中,学生课堂提问参与率最低[80.8%(63/78)],小组护理查房参与度最高[100%(78/78)];学生小组查房优良率最高[93.6%(73/78)],课后作业优良率最低[76.9%(60/78)];出科理论考核成绩[(92.7±4.3)分]高于上一届学生[(88.6±1.3)分],其差异具有统计学意义(P＜0.05);85.9%(67/78)的学生对基于SPOC教学模式表示满意。结论 基于SPOC教学模式应用于急诊护理实习教学有助于提高理论知识的教学效果,学生对该种教学模式满意度较高。

Objective To analyze the effect of small private online course(SPOC) curriculum in teaching of emergency for nursing undergraduate in order to develop a new teaching method.Methods From July 2020 to February 2021, 78 nursing students in Emergency Department of China-Japan Friendship Hospital enrolled in 2017 were selected as the research objects to carry out clinical teaching based on SPOC mode. The teaching quality, including nursing students' participation, learning outcomes, examination results and satisfaction were analyzed.Results The participation rate of student in classroom shown by frequency of asking question was the lowest [80.8%(63/78)], and the participation rate in nursing ward round was the highest [100%(78/78)]; about students' learning outcomes, the excellent rate of group rounds is the highest [93.6%(73/78)], and the excellent rate of the take-home self-learning was the lowest [76.9%(60/78)]; the scores of theory test had shown some improvement[(92.7±4.3))vs.(88.6±1.3)] as compared with the students enrolled in 2016 (P＜0.05).There were 85.9%(67/78)nursing students satisfied with the teaching mode.Conclusions The teaching mode based on SPOC had good effect in emergency undergraduate nursing teaching. Students were highly satisfied with this teaching model.