模块化教学在胃肠外科护理临床教学中的应用

doi:10.3761/j.issn.1672-9234.2022.03.013

摘要/Abstract

摘要：

目的探索导言—目标—前测—参与式学习—后测—总结（bridge-in,objective,pre-assessment,participatory learning,post-assessment,summary,BOPPPS）模块化教学在胃肠外科护理临床带教中的应用效果。方法将某三级甲等综合医院2019年3月—12月在胃肠外科病房实习的护理本科生设为对照组（n=53）,2020年3月—12月在胃肠外科病房实习的护理本科生设为试验组（n=55）。在胃肠外科临床护理教学过程中,对照组采用常规教学方法,试验组采用BOPPPS教学法进行教学。采用理论、操作考核及床边考核评价两组的学习效果。结果胃肠外科实习结束时,试验组实习生床边考核得分为（97.95±0.54）分,对照组得分为（94.86±0.66）分,两组比较差异有统计学意义（t=3.641,P<0.001）;试验组理论考核成绩为（81.76±1.32）分,对照组为（78.67±1.06）分,两组比较差异有统计学意义（t=1.998,P=0.049）;试验组操作考核成绩为（91.99±0.54）分,对照组为（89.09±0.35）分,两组比较差异有统计学意义（t=4.482,P<0.001）。结论基于BOPPPS教学的胃肠外科临床带教规范了胃肠外科临床带教过程,有利于提高学生对知识的掌握程度及临床护理能力。

关键词: 教育,护理, 消化系统外科手术, 临床实习, 教学方法

Abstract:

Objective To explore the effects of a teaching model （bridge-in,objective,pre-assessment,participatory learning,post-assessment,summary,BOPPPS） in clinical teaching of gastrointestinal surgery nursing. Methods The undergraduate nursing students who practiced in the gastrointestinal surgery ward of a tertiary hospital from March to December 2019 were assigned to the control group（n=53）,and those who practiced in the same ward from March to December 2020 were assigned to the experimental group（n=55）. The conventional teaching methods were applied in the control group,while the BOPPPS teaching methods were applied in the experimental group. Bedside assessment,theoretical examination and the skill assessment were compared between the two groups. Results After the practice,students in the experimental group had a bedside assessment score of（97.95±0.54）,while those in the control group had a bedside score of （94.86±0.66）（t=3.641,P<0.001）. The theoretical score of students in the experimental group was（81.76±1.32）,while it was（78.67±1.06） for the students in the control group（t=1.998,P=0.049）. The skill assessment score of students in the experimental group was（91.99±0.54）,while it was（89.09±0.35） for students in the control group（t=4.482,P<0.001）. Conclusion The application of BOPPPS teaching in clinical teaching of gastrointestinal surgery nursing provides a reference for clinical teaching in gastrointestinal surgery department,which is beneficial to improve the knowledge and clinical nursing ability of nursing students.

Key words: Education,Nursing, Digestive System Surgical Procedures, Clinical Clerkship, Teaching Methods

颜媛媛,赵赛郦,王颖,赵娟. 模块化教学在胃肠外科护理临床教学中的应用[J]. 中华护理教育, 2022, 19(3): 262-266.

YAN Yuan-yuan,ZHAO Sai-li,WANG Ying,ZHAO Juan. Application of the BOPPPS model in clinical teaching of gastrointestinal surgery nursing[J]. Chinese Journal of Nursing Education, 2022, 19(3): 262-266.

参考文献 13

[1]	王超, 姚银春, 吴胜娟, 等. PBL联合翻转课堂教学法在胃肠外科护生临床教学中的应用[J]. 齐鲁护理杂志, 2019, 25(22):130-132.
	Wang C, Yao YC, Wu SJ, et al. Application of PBL joint flipped classroom teaching method in nursing student clinical teaching of gastrointestinal surgery[J]. J Qilu Nurs, 2019, 25(22):130-132.
[2]	丰帆, 刘震, 张洪伟. 提高胃肠外科临床实习教学质量的策略探讨[J]. 中华医学教育探索杂志, 2017, 16(8):823-826.
	Feng F, Liu Z, Zhang HW. Investigation of strategy for improving clinical practice teaching quality in the department of gastrointestinal surgery[J]. Chin J Med Edu Res, 2017, 16(8):823-826.
[3]	Gong L, Ma C, Zhang J, et al. Advice on effective teaching design based on BOPPPS model[C]// 7th International Conference on Education,Management,Information and Computer Science（ICEMC 2017）, 2017.
[4]	Zhang M, Zhang Q, Wang Z, et al. Mechanical experimental platform construction based on BOPPPS model[C]// International Conference on Computer Science,Engineering and Education Applications. Springer,Cham, 2019.
[5]	Cui H. Application and Exploration of BOPPPS model in oral Chinese teaching as a foreign language[J]. International Educa-tion Studies, 2019, 12(12):123.
[6]	谭杨波, 廖桂红, 李柳丽. BOPPPS教学模型在高职护生外科护理学教学中的应用[J]. 护理研究, 2020, 34(6):1086-1088.
	Tan YB, Liao GH, Li LL. Application of BOPPPS-based model in teaching of surgical nursing for higher vocational nursing students[J]. Chin Nurs Res, 2020, 34(6):1086-1088.
[7]	石莉红, 骆艳妮, 胡敏华. 情景案例结合导学互动教学模式在神经内科临床护理教学中的应用效果[J]. 解放军护理杂志, 2019, 36(5):65-68.
	Shi LH, Luo YN, Hu MH. Application of BOPPPS with situational simulation teaching method in the clinical nursing of neurology department[J]. Nurs J Chin PLA, 2019, 36(5):65-68.
[8]	徐玉锦, 金明玉, 柳振宇, 等. 基于 BOPPPS 与超星学习通结合的中医基础理论混合式教学模式研究[J]. 时珍国医国药, 2019, 30(6):1481-1482.
	Xu YJ, Jin MY, Liu ZY, et al. Study on mixed teaching mode of TCM based on the combination of BOPPPS and superstar learning[J]. Lishizhen Medicine and Materia Medica Research, 2019, 30(6):1481-1482.
[9]	程诚, 何非, 王同. “互联网+”背景下“BOPPPS+CBL”在物理诊断教学中的应用[J]. 中国全科医学, 2020, 18(9):1573-1576.
	Cheng C, He F, Wang T. Application of BOPPPS combing with CBL method in experimental teaching of physical diagnosis under the background of “Internet +”[J]. Chin J Gen Pract, 2020, 18(9):1573-1576.
[10]	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-le-ctures with modularized teaching method in ICU nursing teaching[J]. Chin J Nurs Educ, 2020, 17(11):1022-1025.
[11]	张雪莲, 李星沛, 谭丽蕊. “互联网+BOPPPS”教学模式在应用型本科院校中的探索与研究[J]. 科教文汇, 2018(34):53-54.
	Zhang XL, Li XP, Tan LR. Exploration and research on internet+BOPPPS teaching model in applied undergraduate colleges[J]. The Science Education Article Cultures, 2018(34):53-54.
[12]	黄丽丽, 王卫芬, 陈霞敏, 等. 整体思维联合床边实例在急诊护生带教中的探索与实践[J]. 中国高等医学教育, 2018 (10):79-80.
	Huang LL, Wang WF, Chen XM, et al. Using holistic thinking model with bedside examples teaching method in nursing students[J]. China High Med Educ, 2018(10):79-80.
[13]	黄丽丽. 互动沟通模式在胃肠外科临床护理带教中的应用及体会[J]. 中国卫生产业, 2019, 16(25):143-144.
	Liu JQZ. Application and experience of interactive communication mode in the clinical care teaching of gastrointestinal surgery[J]. China Health Industry, 2019, 16(25):143-144.

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