模块化教学在中医院新入职护士辨证施护能力培训中的应用

doi:10.3761/j.issn.1672-9234.2022.01.010

摘要/Abstract

摘要：

目的探讨模块化教学在中医院新入职护士辨证施护能力培训中的应用效果。方法将南通市中医院2017年—2018年的新入职护士设为对照组,2019年—2020年的新入职护士设为试验组,对两组新入职护士进行辨证施护能力的培训,对照组采用传统的理论讲授方式,试验组采用模块化教学,包含导入、目标、前测、参与式学习、后测、总结6个模块。培训6个月后对两组新入职护士的中医基础理论、辨证施护能力及教学满意度进行测评。结果培训6个月后,试验组中医基础理论知识考核得分93.0(91.5,94.5)高于对照组85.0(82.5,87.5),差异有统计学意义(Z=11.309,P<0.001);试验组客观结构化临床技能考核得分94.0(92.5,95.5)高于对照组93.0(92.0,94.0),差异有统计学意义(Z=3.063,P=0.002);试验组对教学的满意度85.0(81.5,88.5)高于对照组67.0(63.0,71.0),差异有统计学意义(Z=11.541,P<0.001)。结论将模块化教学应用于新入职护士辨证施护培训中,能有效提高中医院新入职护士辨证施护能力及教学满意度,可在新入职护士培训中进一步推广应用。

关键词: 在职培训, 辨证施护, 中医护理人员, 新入职护士

Abstract:

Objective To investigate the effects of the module teaching on ability of syndrome differentiation and treatment among new nurses in a traditional Chinese hospital. Methods New nurses recruited in the year 2017 and 2018 in the Nantong Traditional Chinese Hospital were assigned to the control group,and those recruited in the year 2019 to 2020 were assigned to the experimental group. Nurses in the control group received the traditional training. Nurses in the experimental group were trained through the modular teaching,including the modules of bridge-in,objective,pre-assessment,participatory learning,post-assessment and summary. After 6-month training,nurses in both groups were assessed for their knowledge of Chinese medicine,their ability of syndrome differentiation and treatment,and satisfaction level. Results After 6 months training,the knowledge score of nurses in the experimental group was 93.0(91.5,94.5) which was higher than that 85.0(82.5,87.5) of nurses in the control group(Z=11.309,P<0.001). The OSCE score of nurses in the experimental was 94.0(92.5,95.5),higher than that 93.0(92.0,94.0) of nurses in the control group(Z=3.063,P=0.002). The satisfaction level of nurses in the experimental group 85.0(81.5,88.5) was higher than that 67.0(63.0,71.0) of nurses in the control group(Z=11.541,P<0.001). Conclusion The module teaching can significantly improve new nurses’ ability of syndrome differentiation and treatment and satisfaction level. The training method is worthy to be promoted among new nurses.

Key words: Inservice Training, SYNDROME DIFFER NURSING, NURSING STAFF(TCM), New nurses

王敏, 陈桂兰, 瞿艳, 戴秀娟. 模块化教学在中医院新入职护士辨证施护能力培训中的应用[J]. 中华护理教育, 2022, 19(1): 59-63.

WANG Min, CHEN Gui-lan, QU Yan, DAI Xiu-juan. Effects of the module teaching on ability of syndrome differentiation and treatment among new nurses in a traditional Chinese hospital[J]. Chinese Journal of Nursing Education, 2022, 19(1): 59-63.

图/表 3

参考文献 10

[1]	国家中医药管理局办公室. 国家中医药管理局办公室关于《中医医院新入职护士培训大纲(试行)》的通知[EB/OL].(2018-05-14). http://bgs.satcm.gov.cn/gongzuodongtai/2018-05-14/7148.html.
[2]	孙秋华. 中医护理学[M]. 4版. 北京: 人民卫生出版社, 2017.
	Sun QH. Nursing in traditional Chinese medicine[M]. 4th ed. Beijing: People’s Medical Publishing House, 2017.
[3]	郭秀君, 张惠玲, 曹丛, 等. 中医院护理人才培训课程的构建研究[J]. 中华护理教育, 2017, 14(6):422-425.
	Guo XJ, Zhang HL, Cao C, et al. A study on the course construction of nurses training in a traditional Chinese medicine hospital[J]. Chin J Nurs Educ, 2017, 14(6):422-425.
[4]	李彩霞, 李晓芳, 孙晓英, 等. 新入职护士规范化培训大纲落实情况的研究新进展[J]. 护理管理杂志, 2020, 20(2):126-130.
	Li CX, Li XF, Sun XY, et al. The new research progress on implementation of Standardized Training Program for new recruited nurses[J]. J Nurs Adm, 2020, 20(2):126-130.
[5]	Ma XM, Ma XW, Li L, et al. Effect of blended learning with BOPPPS model on Chinese student outcomes and perceptions in an introduction course of health services management[J]. Adv Physiol Educ, 2021, 45(2):409-417. doi: 10.1152/advan.00180.2020
[6]	郑剑煌, 刘丽红, 庄梦娇, 等. 微课结合模块化教学在ICU临床护理教学中的应用[J]. 中华护理教育, 2020, 17(11):1022-1025.
	Zheng JH, Liu LH, Zhuang MJ, et al. Application of micro-lectures with modularized teaching method in ICU nursing teaching[J]. Chin J Nurs Educ, 2020, 17(11):1022-1025.
[7]	国家中医药管理局. 关于印发《护理人员中医技术使用手册》的通知[EB/OL].(2015-12-28). http://yzs.satcm.gov.cn/gongzuodong-tai/2018-03-24/2691.html.
[8]	丁轩, 徐莉. 基于BOPPPS教学模型的肿瘤科临床带教微课程体系建设及应用[J]. 中国护理管理, 2016, 16(5):659-662.
	Ding X, Xu L. Construction and application of micro-curriculum system of clinical nursing teaching based on BOPPPS model in oncology department[J]. Chin Nurs Manag, 2016, 16(5):659-662.
[9]	郑连雪, 秦元梅, 孙瑞敏, 等. 中医院新入职护士中医基础理论和技能的培训[J]. 中华护理教育, 2019, 16(4):298-300.
	Zheng LX, Qin YM, Sun RM, et al. Chinese medicine basic knowledge and skill training of new nurses in hospitals of traditional Chinese medicine[J]. Chin J Nurs Educ, 2019, 16(4):298-300.
[10]	Schiller U, Jaffray P, Ridley T, et al. Facilitating a participatory action learning action research process in a higher educational context[J]. Action Res, 2021, 19(2):301-317. doi: 10.1177/1476750318776715

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