三阶段递进式外科护理学课程思政教学设计与实践研究

doi:10.3761/j.issn.1672-9234.2025.06.002

摘要/Abstract

摘要：

目的探讨基于探究共同体模型的三阶段递进式外科护理学课程思政教学设计与实践成效。方法以探究共同体模型的教学存在、认知存在和社会存在为核心要素，构建课前启知（线上）、课中深知（线下）、课后化知（线下）三阶段递进式课程思政教学路径，将视频案例、游戏教学、反思日记等形式融入课程思政。以2022级165名全日制护理本科生为教学对象，从学生反馈和同行评定两层面评价课程思政建设成效。结果学生对课程思政教学改革总体评价较高。课程思政教学使学生深入理解护理专业价值，重新审视外科护理工作内涵，护理就业倾向积极转变，学习效果得到提升，并对线上第二课堂建设局限性提出看法。课程获评校级课程思政示范课及省级线上线下一流课程等荣誉。结论基于探究共同体模型的三阶段递进式外科护理学课程思政教学成效显著，发挥了课程育人同向同行效应。线上思政教学资源与线下案例应进一步结合，以提高学生学习兴趣。

关键词: 课程思政, 探究共同体模型, 递进, 外科护理学

Abstract:

Objective To explore the design and practical effectiveness of a three-stage progressive ideological and political teaching model in Surgical Nursing course based on the Community of Inquiry（COI） model. Methods The teaching presence，cognitive presence，and social presence of COI were used as core elements to construct a three-stage progressive ideological and political teaching path：pre-class knowledge initiation（online），in-depth understanding during class （offline），and post-class knowledge internalization （offline）. Video cases，game-based teaching，and reflective diaries were integrated into ideological and political education. The effectiveness of the course’s ideological and political construction was evaluated from both student feedback and peer assessment，involving 165 full-time nursing undergraduates from the 2022 grade. Results Students generally gave high evaluations to the ideological and political teaching reform. The course deepened students’ understanding of the value of the nursing profession，prompted them to reconsider the essence of surgical nursing work，positively shifted their employment intentions，and significantly improved learning outcomes. Students also provided insights on the limitations of online second classroom construction. The course was recognized as a university-level ideological and political demonstration course and a provincial-level first-class online and offline course. Conclusion The three-stage progressive ideological and political teaching model in surgical nursing based on COI has achieved significant results，demonstrating a synergistic effect in course-based education. Further integration of online ideological and political resources with offline cases is recommended to enhance student learning interest.

Key words: Ideological and political theory education, Community of inquiry model, Progressive development, Surgical nursing

刘敦, 张锦程, 林剑彬, 高骥, 宋继红, 钟富秀, 卢伟燕. 三阶段递进式外科护理学课程思政教学设计与实践研究[J]. 中华护理教育, 2025, 22(6): 649-655.

LIU Dun, ZHANG Jincheng, LIN Jianbin, GAO Ji, SONG Jihong, ZHONG Fuxiu, LU Weiyan. Research on the design and implementation of a three-stage progressive ideological and political education curriculum in Surgical Nursing course[J]. Chinese Journal of Nursing Education, 2025, 22(6): 649-655.

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