以实习生为主导的护理查房在护理教学中的应用
|
摘要
目的:研究并探讨以实习生为主导的护理查房在护理教学中的应用效果。方法:选取2015年7月1日-2016年6月30日在笔者所在医院实习的护理实习生109名作为对照组,护理查房以教学秘书为主导,实习护生仅参与查房过程。另选择2016年7月1日-2017年6月30日护理实习生110名作为观察组,护理查房以护理实习生为主导,教学秘书仅作为指导者参与查房。比较两组的综合能力考核成绩、自我评定结果、教学满意度。结果:观察组护理实习生在护理操作技能(83.45±8.27)分、护理沟通能力(83.96±9.21)分、临床思维能力(84.59±8.43)分等综合能力考核成绩均高于对照组的(75.24±7.13)、(74.81±7.92)、(76.18±7.29)分,差异均有统计学意义(t=7.865、7.880、7.893,P<0.05);观察组护理实习生在提高学习积极性、提高自主学习能力、提高护理综合能力、提高发现问题能力、提高解决问题能力等方面的自我评定结果 (96.36%、97.27%、98.18%、98.18%、96.36%)均明显优于对照组的88.99%、89.91%、89.91%、90.83%、88.07%,差异均有统计学意义(X~2=4.395、4.962、6.712、5.720、5.255,P<0.05);观察组护理实习生对护理查房教学的总满意率为98.18%,优于对照组的89.91%,差异有统计学意义(X~2=6.712,P<0.05)。结论:以实习生为主导的护理查房在护理教学中具有显著的应用价值,可提高护理实习生的综合能力,获得更加满意的教学效果。
Objective:To study and explore the application effect of intern oriented nursing rounds in nursing teaching.Method:A total of 109 nursing interns in our hospital from July 1 st 2015 to June 30 th 2016 were selected as control group.The nursing rounds were dominated by teaching secretaries,and nursing students were only involved in the course of ward rounds.In addition,110 nursing interns were selected as observation group from July 1 st 2016 to June 30 th 2017,and nursing wards were dominated by nursing interns and the teaching secretary participated in the round only as the guide.Compared the comprehensive ability assessment results,self-evaluation results and teaching satisfaction of the two groups.Result:Observation group nursing interns in nursing skills score of(83.45±8.27)points,nursing communication score of(83.96±9.21)points,clinical thinking ability score of(84.59±8.43)points,all the comprehensive ability evaluation scores were higher than(75.24±7.13),(74.81±7.92),(76.18±7.29)points in the control group,the differences were statistically significant(t=7.865,7.880,7.893,P<0.05);Observation group nursing interns in improvement of study enthusiasm,the ability of autonomous learning,the comprehensive ability,the ability of problem found,the ability to solve the problem of self assessment results were 96.36%,97.27%,98.18%,98.18%,96.36%,significantly better than 88.99%,89.91%,89.91%,90.83%,88.07% of control group,the differences were statistically significant( X~2=4.395,4.962,6.712,5.720,5.255,P<0.05);The total satisfaction rate of nursing interns in observation group was 98.18%,better than 89.91% in control group,the difference was statistically significant( X~2=6.712,P<0.05).Conclusion:The intern oriented nursing rounds have significant application value in nursing teaching,which can improve the comprehensive ability of nursing interns and obtain more satisfactory teaching results.
Objective:To study and explore the application effect of intern oriented nursing rounds in nursing teaching.Method:A total of 109 nursing interns in our hospital from July 1 st 2015 to June 30 th 2016 were selected as control group.The nursing rounds were dominated by teaching secretaries,and nursing students were only involved in the course of ward rounds.In addition,110 nursing interns were selected as observation group from July 1 st 2016 to June 30 th 2017,and nursing wards were dominated by nursing interns and the teaching secretary participated in the round only as the guide.Compared the comprehensive ability assessment results,self-evaluation results and teaching satisfaction of the two groups.Result:Observation group nursing interns in nursing skills score of(83.45±8.27)points,nursing communication score of(83.96±9.21)points,clinical thinking ability score of(84.59±8.43)points,all the comprehensive ability evaluation scores were higher than(75.24±7.13),(74.81±7.92),(76.18±7.29)points in the control group,the differences were statistically significant(t=7.865,7.880,7.893,P<0.05);Observation group nursing interns in improvement of study enthusiasm,the ability of autonomous learning,the comprehensive ability,the ability of problem found,the ability to solve the problem of self assessment results were 96.36%,97.27%,98.18%,98.18%,96.36%,significantly better than 88.99%,89.91%,89.91%,90.83%,88.07% of control group,the differences were statistically significant( X~2=4.395,4.962,6.712,5.720,5.255,P<0.05);The total satisfaction rate of nursing interns in observation group was 98.18%,better than 89.91% in control group,the difference was statistically significant( X~2=6.712,P<0.05).Conclusion:The intern oriented nursing rounds have significant application value in nursing teaching,which can improve the comprehensive ability of nursing interns and obtain more satisfactory teaching results.
引文
[1]Holland A,Smith F,Mccrossan G,et al.Online video in clinical skills education of oral medication administration for undergraduate student nurses:a mixed methods,prospective cohort study[J].Nurse Educ Today,2013,33(6):663-670.
[2]Ramm D,Thomson A,Jackson A.Learning clinical skills in the simulation suite:the lived experiences of student nurses involved in peer teaching and peer assessment[J].Nurse Educ Today,2015,35(6):823-827.
[3]邱志琛,王晓艳.目标教学法在护理教学查房中的应用[J].赣南医学院学报,2016,36(5):795-797.
[4]卢林芳.三级护理查房在护理本科临床教学中的效果研究[J].微创医学,2015,10(5):708-709,712.
[5]Coyne E,Needham J,Rands H.Enhancing student nurses’medication calculation knowledge;integrating theoretical knowledge into practice[J].Nurse Educ Today,2013,33(9):1014-1019.
[6]谢敏仪,谢蓉枝.PBL教学方法结合对比型查房模式在外科护理本科教学中的应用[J].当代护士(下旬刊),2016,23(3):141-143.
[7]Fernandez R S,Tran D T,Ramjan L,et al.Comparison of four teaching methods on Evidence-based Practice skills of postgraduate nursing students[J].Nurse Educ Today,2014,34(1):61-66.
[8]Henderson A,Eaton E.Assisting nurses to facilitate student and new graduate learning in practice settings:what‘support’do nurses at the bedside need?[J].Nurse Educ Pract,2013,13(3):197-201.
[9]陆惠霞.互动式护理查房在临床护生教学查房中的应用研究[J].齐齐哈尔医学院学报,2015,32(29):4467-4468.
[10]蒋争艳,杨小凤,黄沂,等.医疗查房与护理教学查房相结合在ICU护理教学中的应用[J].国际护理学杂志,2016,35(13):1839-1841.
[11]张媛媛.以学生为主体的护理教学查房模式在产科护生带教中提升教学质量的管理体会[J].江苏卫生事业管理,2016,27(4):131-132.
[12]张晶,梁泽平.以护生为主导进行PBL护理查房在重症监护病房教学中的应用[J].现代医药卫生,2013,29(24):3817-3818.
[13]梁莉,邓俊娜,梁艳,等.以问题为基础教学法联合以护生为主体的护理教学查房的应用[J/OL].中华肺部疾病杂志(电子版),2014,7(5):102-103.
[14]朱迎霞,付莉霞.自主学习和能力导向教学模式在急诊护理查房中的应用[J].蚌埠医学院学报,2016,41(10):1386-1388.
[15]林白浪,符小玲,安学芳,等.目标教学法在护理教学查房中的应用价值分析[J].现代生物医学进展,2015,15(33):6569-6571.
[2]Ramm D,Thomson A,Jackson A.Learning clinical skills in the simulation suite:the lived experiences of student nurses involved in peer teaching and peer assessment[J].Nurse Educ Today,2015,35(6):823-827.
[3]邱志琛,王晓艳.目标教学法在护理教学查房中的应用[J].赣南医学院学报,2016,36(5):795-797.
[4]卢林芳.三级护理查房在护理本科临床教学中的效果研究[J].微创医学,2015,10(5):708-709,712.
[5]Coyne E,Needham J,Rands H.Enhancing student nurses’medication calculation knowledge;integrating theoretical knowledge into practice[J].Nurse Educ Today,2013,33(9):1014-1019.
[6]谢敏仪,谢蓉枝.PBL教学方法结合对比型查房模式在外科护理本科教学中的应用[J].当代护士(下旬刊),2016,23(3):141-143.
[7]Fernandez R S,Tran D T,Ramjan L,et al.Comparison of four teaching methods on Evidence-based Practice skills of postgraduate nursing students[J].Nurse Educ Today,2014,34(1):61-66.
[8]Henderson A,Eaton E.Assisting nurses to facilitate student and new graduate learning in practice settings:what‘support’do nurses at the bedside need?[J].Nurse Educ Pract,2013,13(3):197-201.
[9]陆惠霞.互动式护理查房在临床护生教学查房中的应用研究[J].齐齐哈尔医学院学报,2015,32(29):4467-4468.
[10]蒋争艳,杨小凤,黄沂,等.医疗查房与护理教学查房相结合在ICU护理教学中的应用[J].国际护理学杂志,2016,35(13):1839-1841.
[11]张媛媛.以学生为主体的护理教学查房模式在产科护生带教中提升教学质量的管理体会[J].江苏卫生事业管理,2016,27(4):131-132.
[12]张晶,梁泽平.以护生为主导进行PBL护理查房在重症监护病房教学中的应用[J].现代医药卫生,2013,29(24):3817-3818.
[13]梁莉,邓俊娜,梁艳,等.以问题为基础教学法联合以护生为主体的护理教学查房的应用[J/OL].中华肺部疾病杂志(电子版),2014,7(5):102-103.
[14]朱迎霞,付莉霞.自主学习和能力导向教学模式在急诊护理查房中的应用[J].蚌埠医学院学报,2016,41(10):1386-1388.
[15]林白浪,符小玲,安学芳,等.目标教学法在护理教学查房中的应用价值分析[J].现代生物医学进展,2015,15(33):6569-6571.