情境模拟结合反思日志在本科生外科护理学实训教学中的应用

doi:10.3761/j.issn.1672-9234.2023.10.003

摘要/Abstract

摘要：

目的探究在外科护理学实训教学中应用情境模拟结合反思日志教学对护理本科生人文关怀能力的影响。方法于2022年3月—12月，选择某校2020级122名护理学本科生为研究对象，在外科护理学实训教学中采用情境模拟结合反思日志教学法，包括情境模拟操作实训项目的选定、课前相关教学资源的准备、撰写反思日志的方法培训、课堂情境模拟操作展示与练习、课后撰写反思日志等。采用人文关怀能力量表调查教学前后护理本科生的人文关怀能力，并通过反思日志了解学生的人文关怀感悟。结果课程开始前122名护理本科生人文关怀能力得分为（185.52±10.36）分，课程结束后人文关能力得分为（227.77±10.74）分，差异具有统计学意义（t=32.339，P<0.001）。学生共提交反思日志1 830篇，反思日志中体现人文关怀元素的词汇出现频率排在前3位的分别是责任心（1 100篇，1 444次）、同情心（1 009篇，1 208次）、和谐护患关系（955篇，985次），以加深对人文关怀理解为主的反思日志类型最多（644篇，35.19%）。结论情境模拟结合反思日志教学法可提高护理本科生的人文关怀能力。

关键词: 教育, 护理, 学士, 病人模拟, 外科护理学, 人文科学, 反思日志

Abstract:

Objective To explore the effect of situational simulation combined with reflective log teaching on the humanistic care ability of nursing students in the surgical practical teaching，and to provide a basis for the reform of practical teaching of nursing. Methods From March to December 2022，a total of 122 nursing undergraduates of Grade 2020 were selected to adopt the teaching method of situational simulation combined with reflective journal in surgical practical teaching. The teaching included the selection of practical training projects of situational simulation operation，the preparation of relevant teaching resources before and after class，the training of methods for writing reflective logs，the demonstration and practice of classroom situation simulation operation，and the writing and evaluation of reflective logs. The humanistic care ability scale was used to investigate the humanistic care ability of nursing undergraduates before and after the course. Reflective log was employed to assess the level of humanistic care. Results The score of humanistic care ability of 122 nursing undergraduates was（185.52±10.36） points before the course，and （227.77±10.74） points after the course，which difference reached statistically significant（t=32.339，P<0.001）. A total of 1 830 reflection logs were submitted by students. The top three words that reflected humanistic care elements in the reflection logs were sense of responsibility（1 100，1 444 times），compassion（1 009，1 208 times） and harmonious nurse-patient relationship（955，985 times）. Most reflective log types focused on deepening the understanding of humanistic care（644，35.19%）. Conclusion The teaching method of situational simulation combined with reflective log can improve the humanistic care ability of nursing undergraduates.

Key words: Education, Nursing, Baccalaureate, Patient Simulation, Surgical Nursing, Humanities, Reflective journal

余小柱, 丁秀梅, 郭艳芳, 王福安, 杨振华. 情境模拟结合反思日志在本科生外科护理学实训教学中的应用[J]. 中华护理教育, 2023, 20(10): 1169-1173.

YU Xiaozhu, DING Xiumei, GUO Yanfang, WANG Fuan, YANG Zhenhua. Application of situational simulation combined with reflective log in surgical practice teaching of nursing undergraduates[J]. Chinese Journal of Nursing Education, 2023, 20(10): 1169-1173.

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