基于“软硬技能并重”理念的高职临床护理综合实训课程改革与实践

doi:10.3761/j.issn.1672-9234.2023.12.006

摘要/Abstract

摘要：

目的借鉴全国职业院校护理技能大赛项目，基于“软硬技能并重”理念对高职临床护理综合实训课程进行改革，并探讨实践效果。方法便利选取某高职院校2020级护理专业3个班学生为试验组（n=136），3个班为对照组（n=138）。试验组教学内容基于全国职业院校护理技能大赛项目进行改革，采用以团队合作为基础的线上线下混合式教学，在教学中注重学生操作技能的同时，强化护患沟通、团队合作、分析解决问题、临床思维等软技能；对照组则采用传统方法组织教学。比较两组客观结构化临床考试（objective structured clinical examination，OSCE）成绩和对课程的评价，并通过试验组提交的反思报告了解其学习体会。结果试验组OSCE考核得分为91.50（90.50，93.00）分，对照组得分为82.25（80.00，84.50）分，差异有统计学意义（Z=14.067，P<0.001）；试验组在课程提升实习信心及9种软硬技能的认可度均高于对照组，差异有统计学意义（P<0.05）；反思报告分析结果显示，学生认为本课程实践性与综合性强，能激发学习主动性，提升了专业综合能力与实习信心，有一定的挑战性。结论基于“软硬技能并重”理念改革的临床护理综合实训课程不仅提高了学生的操作技能，而且提升了其团队协作、紧急应变及临床思维等软技能，有助于学生从学校学习过渡到医院实习。

关键词: 教育, 护理, 软技能, 硬技能, 赛教融合, 综合实训

Abstract:

Objective To explore a curriculum reform of Nursing Comprehensive Training based on the concept of "full integration of soft and hard skills"，drawing on the project of the National Vocational College Nursing Skills Competition. Methods Convenient sampling was employed with students in three classes of grade 2020 as the experimental group（n=136） and students in another three classes as the control group（n=138）. The teaching content of the experimental group was reformed based on the national vocational college nursing skills competition project，and online and offline mixed teaching based on teamwork were adopted. In teaching，while students’ hard skills were valued，soft skills such as communication，teamwork，problem-solving，and clinical thinking were also focused and trained. Meanwhile，traditional teaching methods were employed in the control group. The scores of OSCE（objective structured clinical examination） and the evaluations of the course were compared between the two groups. And the reflection diaries submitted by students in experimental group were analyzed to understand their learning experience. Results The OSCE scores of the experimental group[91.50（90.50，93.00）] were significantly better than those in the control group[82.25（80.00，84.50）]（P<0.001）. The students in the experimental group were significantly rated higher than those in the control group in the recognition of improving their practice confidence and nine types of soft and hard skills in the course（P<0.05）. Besides，the analysis of the reflective reports showed that students believed that this course had strong practicality and comprehensiveness with some difficulties and challenges，stimulated their learning initiative，and enhanced their comprehensive abilities and professional confidence. Conclusion The Nursing Comprehensive Training course based on Nursing Skills Competition effectively improves students’ hard and soft skills，which is conducive to the transition training from school learning to clinical practice.

Key words: Education, Nursing, Soft skills, Hard skills, Integration of competition and education, Comprehensive Training

毛翠, 周敏, 吴建军, 李会仿, 娄雅晴, 胡野, 姚水洪. 基于“软硬技能并重”理念的高职临床护理综合实训课程改革与实践[J]. 中华护理教育, 2023, 20(12): 1440-1445.

MAO Cui, ZHOU Min, WU Jianjun, LI Huifang, LOU Yaqing, HU Ye, YAO Shuihong. Curriculum reform of Nursing Comprehensive Training in a higher vocational college based on the concept of "full integration of soft and hard skills"[J]. Chinese Journal of Nursing Education, 2023, 20(12): 1440-1445.

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