摘要
目的探讨案例分析结合角色启示在外科护理培训思维能力培养中的价值。方法选取2019年1月至2020年10月期间山西医科大学附属汾阳医院新入职护士并需在外科系统轮转的护士87人作为研究对象,按先后顺序分为对照组(n=43)和研究组(n=44)。对照组采用传统教学,研究组采用案例分析结合角色启示。采用临床思维能力笔试考核和临床思维能力评分表评估护士的临床思维能力。采用SPSS 22.0进行t检验。结果研究组护士临床思维能力笔试考核(病史采集、初步临床诊断、初步护理措施、辅助检查判读、诊治过程综合分析和护理、出院诊断和出院健康教育)成绩均高于对照组,差异有统计学意义(P<0.05)。研究组护士临床思维能力(批判性思维能力、系统思维能力和循证思维能力)得分高于对照组,差异有统计学意义(P<0.05)。结论在新入职护士的外科护理培训中实施案例分析结合角色启示,有助于提高学员的临床思维能力。
Objective To explore the value of case analysis combined with role revelation in cultivating thinking ability of surgical nursing training.Methods A total of 87 newly recruited nurses who needed to rotate in the surgical system of Fenyang Hospital,Shanxi Medical University from January 2019 to October 2020 were selected as the study subjects.They were divided into control group(n=43)and study group(n=44).The control group used traditional teaching,and the study group used case analysis combined with role revelation.The clinical thinking ability of nurses was evaluated by written examination of clinical thinking ability and clinical thinking ability score table.SPSS 22.0 was used for t-test.Results The scores of written examination of clinical thinking ability(history collection,preliminary clinical diagnosis,preliminary nursing measures,auxiliary examination interpretation,comprehensive analysis of diagnosis and treatment process,nursing and discharge diagnosis,and health education)of nurses in the study group were significantly higher than those in the control group(P<0.05).The scores of clinical thinking ability(critical thinking ability,system thinking ability and evidence-based thinking ability)of nurses in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Case analysis combined with role revelation in the surgical nursing training of new nurses is helpful to improve the trainees'clinical thinking ability.
作者
程继霞
姚丽玲
张俊
郭素红
刘金玲
郭爱萍
Cheng Jixia;Yao Liling;Zhang Jun;Guo Suhong;Liu Jinling;Guo Aiping(Department of Medical Education,Fenyang Hospital,Shanxi Medical University,Fenyang 032200,China;Department of Reproductive Medicine,Fenyang Hospital,Shanxi Medical University,Fenyang 032200,China;Department of Breast Surgery,Fenyang Hospital,Shanxi Medical University,Fenyang 032200,China;Department of Hepatobiliary Surgery,Fenyang Hospital,Shanxi Medical University,Fenyang 032200,China;Department of Pharmacy,Fenyang Hospital,Shanxi Medical University,Fenyang 032200,China;Operating Room,Fenyang Hospital,Shanxi Medical University,Fenyang 032200,China)
出处
《中华医学教育探索杂志》
2022年第10期1401-1404,共4页
Chinese Journal of Medical Education Research
基金
吕梁市重点研发项目(社会发展)(2019SHFZ36)
关键词
案例分析
角色启示
外科护理
思维能力培养
Case analysis
Role revelation
Surgical nursing
Cultivation of thinking ability
作者简介
通信作者:郭爱萍,Email:fyyygap@163.com
