收稿日期: 2025-03-01
网络出版日期: 2025-09-02
基金资助
浙江大学医学院教育改革项目一般项目(jgyb20222024)
Construction and practice of an integrated critical nursing teaching for master students of nursing specialist
目的 将库伯经验学习理论与整合式教学结合应用于护理硕士专业研究生危重症护理教学,开展探索性、小样本试点研究,评价该教学方案的短期效果与可操作性。 方法 采用名义群体法,形成基于库伯经验学习理论的危重症模块整合式护理临床教学方案框架,包括经验感知、理解观察、评价概括和实践应用4个学习阶段。邀请护理研究生教学、危重症临床护理教学及临床护理专家,进行2轮Delphi专家咨询,构建包含5个危重症模块的整合式培训内容。在18名护理专业硕士研究生危重症护理专科能力培养中进行应用,采用迷你临床演练量表(mini-clinical evaluation exercise,Mini-CEX)、护理专业学生学习动力评定量表、满意度调查表评价其短期效果及可行性。 结果 培训前护理专业硕士研究生Mini-CEX得分为(3.17±0.65)分、护理专业学生学习动力评定量表得分为(120.61±17.10)分;培训后Mini-CEX得分为(6.00±0.55)分、护理专业学生学习动力评定量表得分为(139.22±7.10)分,培训前后得分差异均有统计学意义(P<0.01)。护理专业硕士研究生对该教学方案的总体满意度为96.67%。 结论 在库伯经验学习理论指导下构建的整合式危重症护理教学方案具有科学性、可行性,能提高护理硕士专业学位研究生主动学习能力,有助于培训研究生的危重症专科能力。
杨小娜 , 徐彩娟 , 张玉萍 , 王丽竹 , 李茜 , 葛澜 , 兰美娟 . 护理硕士专业学位研究生整合式危重症教学的设计与实践[J]. 中华急危重症护理杂志, 2025 , 6(9) : 1118 -1123 . DOI: 10.3761/j.issn.2096-7446.2025.09.017
Objective To Integrate Kolb’s experiential learning theory with integrated teaching in critical nursing education for master of nursing specialist(MNS) students,conduct an exploratory and small sample pilot study to verify the short-term effectiveness and operability of the teaching program. Methods Using the nominal group technique,a framework for an integrated clinical teaching program of critical care based on Kolb’s experiential learning theory was developed,four learning phases included experiential perception,reflective observation,abstract conceptualization,and active experimentation. Experts in nursing postgraduate education,critical care clinical nursing teaching and clinical nursing were invited to conduct 2 rounds of Delphi expert consultation for constructing integrated training contents covering five critical care modules. The teaching program was applied in the training of critical care nursing skills for 18 MNS students. Mini-clinical Evaluation Exercise(Mini-CEX),Learning Motivation Assessment Scale,and Satisfaction Questionnaire were used to assess the short-term effectiveness and feasibility. Results The Mini-CEX score for MNS students before training was (3.17±0.65) points,and the Learning Motivation Assessment Scale score was(120.61±17.10) points. After the training,the Mini-CEX score was(6.00±0.55) points,and the Learning Motivation Assessment Scale score was (139.22±7.10) points. The differences in scores before and after the training were statistically significant (both P<0.01). The overall satisfaction rate of MNS students with this teaching program was 96.67%. Conclusion The integrated critical care nursing teaching program,guided by Kolb’s experiential learning theory,demonstrates scientific rigor and feasibility. It effectively enhances MNS students’ self-directed learning abilities,and help train their critical care specialty skills.
| [1] | 孙宏玉, 朱丽娜, 党芸. 护理硕士专业学位指导性培养方案及核心课程介绍[J]. 中华护理教育, 2015, 12(10):725-729. |
| Sun HY, Zhu LN, Dang Y. Introduction of national guidelines and core curriculums of master of nursing specialist programs[J]. Chin J Nurs Educ, 2015, 12(10):725-729. | |
| [2] | 朱晨玲, 张玉萍, 金静芬. 护理专业学位硕士研究生急危重症核心能力培养现状及发展方向[J]. 中华急危重症护理杂志, 2021, 2(6):517-521. |
| Zhu CL, Zhang YP, Jin JF. Status and development direction of core competencies cultivation of master of nursing specialist in emergency and critical care[J]. Chin J Emerg Crit Care Nurs, 2021, 2(6):517-521. | |
| [3] | 吴艳梅, 吴迪, 高祖梅, 等. 护理硕士专业学位研究生临床培养方案的整合与实践[J]. 中华护理教育, 2021, 18(8):686-689. |
| Wu YM, Wu D, Gao ZM, et al. A clinical cultivation pro-gramme for maters of nursing specialist:integration and prac-tice[J]. Chin J Nurs Educ, 2021, 18(8):686-689. | |
| [4] | 宋琦, 谭洁, 王建荣, 等. 护理硕士专业学位研究生临床实践模式的现况调查与启示[J]. 中国实用护理杂志, 2014, 30(32):58-61. |
| Song Q, Tan J, Wang JR, et al. Investigation and prospect of clinical practice patterns for Master of Nursing Specialist[J]. Chin J Pract Nurs, 2014, 30(32):58-61. | |
| [5] | 谢鹏, 李慧琴, 陈蕾. 基于离散选择实验的护理硕士专业学位研究生对临床带教的偏好研究[J]. 中华护理教育, 2021, 18(8):700-705. |
| Xie P, Li HQ, Chen L. The clinical teaching preference of master of nursing specialist based on discrete choice experi-ment[J]. Chin J Nurs Educ, 2021, 18(8):700-705. | |
| [6] | 苏建萍, 周娟, 孟翔菲, 等. 基于协同创新、岗位胜任能力护理硕士专业学位研究生临床实践培养模式的构建研究[J]. 创新教育研究, 2023, 11(3):639-649. |
| Su JP, Zhou J, Meng XF, et al. Research on the construction of clinical practice training mode for nursing master’s professio-nal degree students based on collaborative innovation and post competence[J]. Creat Educ Stud, 2023, 11(3):639-649. | |
| [7] | 胡仕敏, 曹其莉, 胡晓, 等. 国外危重症护理专业学位研究生临床能力培养现状及启示[J]. 中华急危重症护理杂志, 2021, 2(4):318-321. |
| Hu SM, Cao QL, Hu X, et al. Cultivation and enlightenment of clinical ability of master students of nursing specialist majoring in critical care abroad[J]. Chin J Emerg Crit Care Nurs, 2021, 2(4):318-321. | |
| [8] | 由淑萍, 孟娜, 林昕, 等. 产教融合背景下护理硕士专业学位研究生实践创新能力培养实践[J]. 卫生职业教育, 2024, 42(10):4-7. |
| You SP, Meng N, Lin X, et al. Practice and cultivation on innovation ability of postgraduates of master of nursing specia-list’s under the background of integration between industry and education[J]. Health Vocat Educ, 2024, 42(10):4-7. | |
| [9] | 朱孟艳. 库伯经验学习理论视域下成人学习模式构建研究[D]. 曲阜: 曲阜师范大学, 2012. |
| Zhu MY. Research on the construction of adult learning models from the perspective of Cooper’s empirical learning theory[D]. Qufu: Qufu Normal University, 2012. | |
| [10] | 曾诗颖, 朱渊. Kolb经验学习理论在护理教育领域的应用进展[J]. 护理学杂志, 2019, 34(24):95-98. |
| Zeng SY, Zhu Y. Application of Kolb’s experiential learning theory in nursing education:a literature review[J]. J Nurs Sci, 2019, 34(24):95-98. | |
| [11] | 蔡恩丽, 王蕾, 武煜明. 整合式教学模式在外科护理学实验教学中的对照分析[J]. 中国高等医学教育, 2015(6):61-62. |
| Cai EL, Wang L, Wu YM. A comparative study of the inte-grated teaching model in “surgical nursing” in the experi-mental teaching[J]. China High Med Educ, 2015(6):61-62. | |
| [12] | Carney O, McIntosh J, Worth A. The use of the Nominal Group Technique in research with community nurses[J]. J Adv Nurs, 1996, 23(5):1024-1029. |
| [13] | 荣道香, 方姗姗, 周瑞, 等. 联合应用Mini-CEX和DOPS在儿科实习医师教学评估中的价值[J]. 中华全科医学, 2022, 20(11):1944-1946,1994. |
| Rong DX, Fang SS, Zhou R, et al. Value of combined applica-tion of Mini-CEX and DOPS in teaching evaluation of pae-diatric interns[J]. Chin J Gen Pract, 2022, 20(11):1944-1946, 1994. | |
| [14] | 赵秋利, 谢大明. 护理专业学生学习动力评定量表的编制及信效度检验[J]. 护理学杂志, 2010, 25(16):1-5. |
| Zhao QL, Xie DM. The rating scale of learning dynamic for nursing student(RSLDNS):development and testing of reliabi-lity and validity[J]. J Nurs Sci, 2010, 25(16):1-5. | |
| [15] | 丁睿, 张若涵, 李霄. 库伯经验学习理论模式在外科手术学教学的应用[J]. 陕西教育(高教), 2023(9):21-23. |
| Ding R, Zhang RH, Li X. The application of Cooper’s empiri-cal learning theory model in the teaching of surgical opera-tions[J]. Shaanxi Educ, 2023(9):21-23. | |
| [16] | Lisko SA, O’dell V. Integration of theory and practice:expe-riential learning theory and nursing education[J]. Nurs Educ Perspect, 2010, 31(2):106-108. |
| [17] | 吴丽芬, 刘恋, 何娇, 等. 基于库伯经验学习理论的新生儿专科护士培训基地教学实践[J]. 护理学杂志, 2024, 39(10):89-92. |
| Wu LF, Liu L, He J, et al. Practice of teaching in neonatal specialized nurse training based on Cooper’s experiential learning theory[J]. J Nurs Sci, 2024, 39(10):89-92. |
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