1.首都医科大学附属北京佑安医院 重症医学科;2.首都医科大学附属北京佑安医院 护理部;3.首都医科大学附属北京佑安医院 泌尿外科
1.Department of Critical Care Medicine,Beijing Youan Hospital Capital Medicinal University,Beijing;2.Department of Nursing,Beijing Youan Hospital Capital Medicinal University,Beijing;3.Department of Urology Surgery,Beijing Youan Hospital Capital Medicinal University,Beijing
探讨在重症医学科护理实习生带教工作中应用基于循证的情景模拟结合以问题为基础（PBL）教学法的效果。方法 选取2020年9月－2021年8月到医院重症医学科实习的65名护理实习生为研究对象，采用随机数字表法将实习生分为试验组（n=33）和对照组（n=32）。对照组采用传统临床带教方法，试验组采用基于循证的情景模拟结合PBL教学法，对比两组护理实习生理论考核成绩、临床工作能力评分和对临床教学的满意度。结果 试验组理论考核成绩评分床工作能力评分和教学满意度评分均高于对照组，差异有统计学意义(P＜0.05)。结论 以循证为基础的情景模拟与PBL教学法相结合，能够调动护理实习生学习的积极性和主动性，加深对理论知识的理解，提升自主解决实际临床问题的能力，提高实际临床工作能力。
Objective To investigate the effect of evidence-based scene simulation combined with problem-based learning in clinical teaching of critical care for nursing students. Methods Totally 65 nursing students were randomly divided into the study group （n=33）and the control group（n=32）. Conventional teaching model were adopted in clinical teaching of critical care for nursing students in the control group, and evidence-based scene simulation combined with problem-based learning were used in clinical teaching of critical care for nursing students in the study group. The theoretical examination, clinical practice skills and student satisfaction with clinical teaching were measured and compared between two groups. Results Scores of theoretical examination, clinical practice assessment and satisfaction evaluation in the study group were higher than those in the control group (P＜0.05, respectively). Conclusion The evidence-based simulation combined with problem-based learning is effective to arouse students’ motivation and interest in learning English, deepen the understanding of theoretical knowledge, improve the independent problem-solving ability and enhance the clinical practice skills.