在心脏病学护理实习生中提高临床解决问题的技能:基于案例的学习和任务驱动的学习的随机对照研究
You-Hua Liu1, Li Zhang2, Jing-Jing Zhang1
1Nursing Department, Beijing Friendship Hospital, Capital Medical Univesity, Beijing 100050, China; Cardiovascular Center, Beijing Friendship Hospital, Capital Medical Univesity, Beijing 100050, China.
Nurse education in practice
|July 15, 2025
概括
与任务驱动学习 (TDL) 整合基于案例的学习 (CBL),与传统方法相比,显著提高了心脏病学护理实习生的理论知识和实践技能. 这种综合方法提高了临床解决问题的能力和学习者满意度.
科学领域:
- 医学教育 医学教育
- 护理教育 护理教育
- 心脏病学 心脏病学
背景情况:
- 传统的基于讲座的学习 (LBL) 可能不足以为护理实习生准备心脏病学中复杂的临床情景.
- 整合基于案例的学习 (CBL) 和任务驱动的学习 (TDL) 等创新的教学方法对于增强实际技能获取至关重要.
研究的目的:
- 评估结合基于案例的学习 (CBL) 和任务驱动的学习 (TDL) 对心脏病护理实习生的有效性.
- 将综合CBL-TDL方法的结果与传统的基于讲座的学习 (LBL) 进行比较.
主要方法:
- 一项随机对照试验,涉及438名在北京友好医院心脏病学实习护士.
- 从2021年6月到2024年3月,实习生被分配到CBL-TDL组 (n=220) 或LBL组 (n=218) 中.
- 评估包括考试成绩,病房周技能评估和匿名满意度调查.
主要成果:
- 与LBL组相比,CBL-TDL组在实习后的理论知识 (P=0.016) 和病房周围技能 (P<0.001) 显著提高.
- 在CBL-TDL组的实习生报告说,他们对学习动机 (OR 2.50) 和实际技能发展 (OR 2.40) 的满意度更高.
- CBL-TDL组还报告了自由活动消耗的时间较少,这表明学习效率较高.
结论:
- 协同整合CBL和TDL是一种非常有效的教学策略,用于提高护理实习生的心血管专业能力.
- 这种方法显著提高了理论知识和实际临床解决问题的技能.
- 这些发现支持采用CBL-TDL用于护理高级临床教育.
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