以临床思维能力培养为导向的护理职业能力培训课程的教学设计与实践

doi:10.3761/j.issn.1672-9234.2026.05.004

中华护理教育 ›› 2026, Vol. 23 ›› Issue (5): 535-541.doi: 10.3761/j.issn.1672-9234.2026.05.004

• 专题策划——临床思维培育 • 上一篇下一篇

以临床思维能力培养为导向的护理职业能力培训课程的教学设计与实践

郭玉成¹(), 夏立平¹^,^*(), 朱唯一², 张静¹, 张茹¹, 许敬华³, 薛美琴², 钱欣⁴, 计文韬⁵

¹ 江苏护理职业学院江苏省淮安市 223300
² 上海交通大学医学院附属瑞金医院护理部上海市 200025
³ 上海交通大学医学院附属瑞金医院急诊抢救室上海市 200025
⁴ 美国迈阿密大学米勒医学院戈登模拟医学教育创新中心佛罗里达州迈阿密市 33136
⁵ 上海交通大学医学院附属瑞金医院呼吸与危重症医学科上海市 200025

收稿日期:2025-11-17 出版日期:2026-05-15 发布日期:2026-05-14
通讯作者: *夏立平,E-mail:Xialiping1976@163.com
作者简介:郭玉成:男,硕士,讲师,E-mail:jshlgyc1@163.com
第一联系人：作者贡献声明
研究选题、设计、论文撰写与修改:郭玉成、夏立平;资源建设、课程实施及评价:郭玉成、张静、张茹、许敬华、薛美琴、计文韬、钱欣;论文审校、质量控制:夏立平、朱唯一。
基金资助:
江苏省高等教育教改研究课题(2025JGZD057)

Instructional design and practice of a nursing professional competency training course oriented by cultivating clinical thinking ability

GUO Yucheng¹(), XIA Liping¹^,^*(), ZHU Weiyi², ZHANG Jing¹, ZHANG Ru¹, XU Jinghua³, XUE Meiqin², QIAN Xin⁴, JI Wentao⁵

¹ Jiangsu College of Nursing, Huai’an 223300,Jiangsu Province, China
² Department of Nursing, Ruijin Hospital,Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
³ Emergency Resuscitation Room, Ruijin Hospital,Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
⁴ Gordon Center for Research in Medical Education, Miller School of Medicine,University of Miami, Miami 33136,Florida, USA
⁵ Department of Respiratory and Critical Care Medicine, Ruijin Hospital,Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received:2025-11-17 Online:2026-05-15 Published:2026-05-14
Contact: *XIA Liping,E-mail:Xialiping1976@163.com
Supported by:
Jiangsu Higher Education Teaching Reform Research Project(2025JGZD057)

摘要/Abstract

摘要：

目的探讨以临床思维能力培养为导向进行护理职业能力培训课程教学设计的方法及实践成效。方法以临床思维能力培养为导向,通过校院合作设计开发急性胸痛护理职业能力培训课程,构建“核心理论知识学习+关键操作技能练习—知识技能综合应用”的递进式课程实施框架,联合高仿真情境模拟教学方法,在24名高职护理专业第四学期(临床实习前)学生中进行试点教学。课程教学后通过测评学生急性胸痛理论知识、关键护理操作技能,以及情境模拟考核情况和访谈学生(n=12),评价教学效果。结果 24名学生的理论、关键护理操作技能及情境模拟考核成绩均达到80分以上,通过率为100%。访谈结果显示,学生普遍认为本课程的实施有助于培养其临床思维能力、提升知识技能综合运用与团队协作能力。结论以临床思维能力培养为导向设计的护理职业能力培训课程教学取得初步成效,得到学生认可。

关键词: 教育,护理, 产教融合, 临床思维能力, 急性胸痛, 情境模拟

Abstract:

Objective To explore the effect of a nursing professional competency training course designed to cultivate clinical thinking ability as the core goal. Methods Guided by the goal of cultivating clinical thinking ability,a training course for professional competency in acute chest pain nursing was designed and developed through college-hospital collaboration. A progressive course implementation framework of “core theoretical knowledge learning + key operational skills practice—integrated application of knowledge and skills” was constructed,which incorporated high-fidelity simulation teaching methods. A pilot teaching program was conducted among 24 higher vocational nursing students in their fourth semester(prior to clinical practice). Results After the course implementation,all 24 students achieved scores above 80 in theoretical examinations,key nursing skills assessments,and scenario simulation evaluations,with a pass rate of 100%. Qualitative interview results indicated that students generally believed that the implementation of this course helped cultivate their clinical thinking ability and enhanced their comprehensive application of knowledge and skills as well as thier teamwork ability. Conclusion The nursing vocational competency training program,designed with a focus on cultivating clinical thinking skills,has achieved initial success and gained positive recognition from students.

Key words: Education,Nursing, Integration of Industry and Education, Clinical Thinking Ability, Acute Chest Pain, Situational Simulation Teaching

郭玉成, 夏立平, 朱唯一, 张静, 张茹, 许敬华, 薛美琴, 钱欣, 计文韬. 以临床思维能力培养为导向的护理职业能力培训课程的教学设计与实践[J]. 中华护理教育, 2026, 23(5): 535-541.

GUO Yucheng, XIA Liping, ZHU Weiyi, ZHANG Jing, ZHANG Ru, XU Jinghua, XUE Meiqin, QIAN Xin, JI Wentao. Instructional design and practice of a nursing professional competency training course oriented by cultivating clinical thinking ability[J]. Chinese Journal of Nursing Education, 2026, 23(5): 535-541.

图/表 2

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以临床思维能力培养为导向的护理职业能力培训课程的教学设计与实践

Instructional design and practice of a nursing professional competency training course oriented by cultivating clinical thinking ability

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