目的 探讨微课结合客观结构化临床考核(objective structured clinical examination,0SCE)方法在护理综合实训课程中的教学效果。方法 采用整群抽样法,选取新疆医科大学护理学院2015级护理学专业2个班127名学生为研究对象。1个班64名学生为实验组,另一个班63名学生为对照组。对照组采用传统操作演练方式进行教学,实验组采用传统教学加微课的教学方法。教学结束后,两组均采用OSCE方法进行考评,比较两组期末考试综合成绩,以测评教学效果及学生的自主学习能力。结果 实验组学生与对照组学生的期末考试综合成绩分别为(89.7±3.7)分和(78.9±5.8)分;实验组学生与对照组学生对教学效果评价总优良率分别为89.1%和76.2%;实验组与对照组学生自我导向学习能力总分分别为(257.7±2.6)分和(219.0±3.0)分,两组比较差异均有统计学意义(均P＜0.05)。结论 综合实训中,微课结合OSEC考核方法优于传统教学方法,有助于提高教学效果及学生的综合素质。
Objective To explore the teaching effect of microlecture teaching method combined with OSCE assessment method in comprehensive nursing practice training.Methods A total of 127 students from 2 classes of the class of nursing in Xinjiang medical university ,were randomly selected as subjects. Class 2 was experimental group (n=64) and control group (n=63). The control group took the traditional operation training model, the experimental group adopted the traditional teaching method and the teaching method introduced by microlecture. After the teaching practice, the two groups of final examination results were assessed by OSCE method, the teaching effect and autonomous learning ability.Results The comprehensive scores of the experimental group and control group were (89.7±3.7) and (78.9±5.8) respectively. The total excellent rate of the experimental group and control group were 89.1 % and 76.2 %. The total score of self-directed learning ability of the experimental group and the control group were (257.7±2.6) and (219.0±2.0), which were statistically significant (P<0.05).Conclusions In comprehensive nursing training, the combination of microlectures model and OSEC evaluation method is better than traditional teaching method, microlectures teaching method combined with the OSCE evaluation method is better than the traditional teaching method, which helps to improve the teaching effect and the students’ comprehensive quality.
[1] 曾建平.护理专业技术实训[M]. 北京:人民军医出版社,2007:1.
[2] 余胜泉, 陈敏.基于学习元平台的微课设计[J]. 开放教育研究,2014(1):100-110. DOI:10.3969/j.issn.1007-2179.2014.01.013.
Yu SQ, Chen M.Design of micro-lecture based on learning cell system[J]. Education Research,2014(1):100-110. DOI: 10.3969/j.issn.1007-2179.2014.01.013.
[3] 胡铁生.微课: 区域教育信息资源发展新趋势[J]. 电化教育研究,2011(10):61-65.
[4] 肖东玲.浅析微课在护理实训教学中的应用[J]. 卫生职业教育,2015(5):97-98.
[5] 洪霞.OSCE模式情景模拟教学法在内科护理实训教学中的应用[J]. 广西中医药大学学报,2016,19(1):143-146.
[6] 许菊芳,丁莉,占小春.微课在心胸外科护理教学中的应用[J]. 护理研究,2016,30(23):2911-2913. DOI: 10.3969/j.issn.1009-6493.2016.23.032.
Xu JF, Li D, Zhan XC.Application of micro class in cardiothoracic surgical nursing teaching[J]. 2016,30(23):2911-2913. DOI: 10.3969/j.issn.1009-6493.2016.23.032.
[7] Williamson SN.Development of a self-rating scale of self-directed learning[J]. Nurse Res, 2007,14(2):66-83. DOI: 10.7748/nr2007.01.14.2.66.c6022.
[8] 沈王琴, 胡雁.中文版自我导向学习评定量表的信度与效度[J]. 中华护理杂志,2011,46(12):1211-1213. DOI: 10.3761/j.issn.0254-1769.2011.12.024.
[9] 温萌,鲁兴梅,张娅妮,等.基于微课的翻转课堂教学模式在护理教学中的应用探索[J]. 卫生职业教育,2015,33(13):76-78.
[10] 周贤波.基于学习者角度的微课建设策略研究[J]. 中国电化教育,2015(4):81-84,90. DOI: 10.3969/j.issn.1006-9860.2015.04.014.
Zhou XB.The study on the construction strategies of micro-lectures based on the learners’perspective[J]. China Educational Technology,2015(4):81-84,90. DOI: 10.3969/j.issn.1006-9860.2015.04.014.
[11] 庄淑梅.微课在护理本科实验教学中的应用「J]. 中华护理教育,2016,13(1):30-33.
Zhuang SM.Application of microlectures in the experimental teaching among undergraduate nursing students[J]. Chin J Nurs Educ, 2016,13(1):30-33.
[12] 常海霞,不同民族实习护生对医疗风险认知情况比较及其影响因素研究「J]. 护理学报,2015,22(2):25-28. DOI:10.16460/j.issn1008-9969.2015.02.025.
Chang HX,Wu LH, Yue XX, et al.Cognition of medical risk of nursing students with different nationalities and its influencing factors[J]. Journal of Nursing(China),2015,22(2): 25-28. DOI:10.16460/j.issn1008-9969.2015.02.025.
[13] 张慧丽,李新刚,孙万麟.操作型微课教学设计的思考「J]. 中国医学教育技术,2015,29(5):514-517. DOI:10.13566／j.cnki.cmet.cn61-1317/g4.201505010.
Zhang HL, Li XG,Sun WL.Thought on the teaching design of operation-based micro-lectures[J]. China Medical Education Technology,2015,29(5):514-517. DOI:10.13566／j.cnki.cmet.cn61-1317／g4.201505010.
[14] 蒋慧玥,刘海燕,刘桂瑛,等.微课在临床护理专业课程中的开发与应用「J]. 中国实用护理杂志,2015,31(23):1717-1719.
Jiang HY,Liu HY, Liu GY, et al.Empolder and application of micro-lecture in the clinical nursing speciality courses[J]. Chin J Prac Nurs, 2015,31(23):1717-1719.
