“认知链-决策链-价值链”三链协同的外科护理学教学改革与实践

doi:10.3761/j.issn.1672-9234.2026.07.004

中华护理教育 ›› 2026, Vol. 23 ›› Issue (7): 790-796.doi: 10.3761/j.issn.1672-9234.2026.07.004

• 专题策划——教学设计创新 • 上一篇下一篇

“认知链-决策链-价值链”三链协同的外科护理学教学改革与实践

谌绍林¹(), 曾芬莲²^,^*(), 陈硕贞², 邵星³, 缪小菊⁴, 李金⁵, 杨莉⁶, 宋凌霞⁷, 邓仁丽²

¹ 遵义医科大学附属医院护理部遵义市 563000
² 遵义医科大学护理学院遵义市 563000
³ 遵义医科大学附属医院烧伤整形科遵义市 563000
⁴ 遵义医科大学附属医院神经外科遵义市 563000
⁵ 遵义医科大学附属医院胸外科遵义市 563000
⁶ 遵义医科大学附属医院甲乳外科遵义市 563000
⁷ 遵义医科大学附属医院关节外科遵义市 563000

收稿日期:2026-01-05 出版日期:2026-07-15 发布日期:2026-07-17
通讯作者: *曾芬莲，E-mail：1226467954@qq.com
作者简介:谌绍林：女，博士，主任护师，E-mail：30363284@qq.com
第一联系人：作者贡献声明
曾芬莲：外科护理学课程负责人，课程总体改革构思与设计、指导实施；谌绍林、曾芬莲、陈硕贞、邵星、缪小菊、李金、杨莉、宋凌霞：“一图谱贯通九库”的数智化AI课程资源建设、理论与实践课教学改革与实施、社会实践指导、论文撰写；曾芬莲、陈硕贞：课程管理；邓仁丽：现场急救技能3D实训教学（国家级虚拟实验教学一流课程）课程负责人；陈硕贞、谌绍林：课程数据收集与处理；谌绍林、曾芬莲：论文修改与审校。
基金资助:
贵州省高等学校本科教学内容和课程体系改革项目(GZJG2024181)

Construction and practice of a tri-chain synergistic teaching model of “cognitive-decision-value chain” in Surgical Nursing education

CHEN Shaolin¹(), ZENG Fenlian²^,^*(), CHEN Shuozhen², SHAO Xing³, MIAO Xiaoju⁴, LI Jin⁵, YANG Li⁶, SONG Lingxia⁷, DENG Renli²

¹ Nursing Department， Affiliated Hospital of Zunyi Medical University， Zunyi 563000， China
² School of Nursing， Zunyi Medical University， Zunyi 563000， China
³ Department of Burn and Plastic Surgery， Affiliated Hospital of Zunyi Medical University， Zunyi 563000， China
⁴ Department of Neurosurgery， Affiliated Hospital of Zunyi Medical University， Zunyi 563000， China
⁵ Department of Thoracic Surgery， Affiliated Hospital of Zunyi Medical University， Zunyi 563000， China
⁶ Department of Breast and Thyroid Surgery， Affiliated Hospital of Zunyi Medical University， Zunyi 563000， China
⁷ Department of Joint Surgery， Affiliated Hospital of Zunyi Medical University， Zunyi 563000， China

Received:2026-01-05 Online:2026-07-15 Published:2026-07-17
Contact: *ZENG Fenlian，E-mail：1226467954@qq.com
Supported by:
Guizhou Provincial Undergraduate Teaching Content and Curriculum System Reform Project(GZJG2024181)

摘要/Abstract

摘要：

目的开展“认知链-决策链-价值链”三链协同外科护理学教学改革，并探讨其初步效果。方法以临床护理岗位需求为导向，针对外科护理学中知识体系建构难、临床决策思维薄弱和思政内化践行不足三大痛点问题，开展“认知链-决策链-价值链”三链协同教学改革。通过教学目标立体化分层，内容专科模块化，构建“一图谱贯通九库”人工智能教学资源，课前—课中—课后三场景贯通式教学实施过程，实现认知链建构、决策链形成与价值链贯通递进培养。在某高校2022级护理本科教学班（n=186）实施，采用学生课程成绩、学生教学评价和同行评价进行效果评价。结果学生课程成绩为（80.32±7.79）分。182名填写教学评价问卷的学生中，93.4%的学生对课程教学满意。本课程教学改革获全国高校教师教学创新大赛三等奖，获评省级课程思政示范课程。结论 “认知链-决策链-价值链”三链协同教学改革可有效促进外科护理学知识体系结构化建构，有助于培养学生临床决策思维能力，并推动职业价值内化，为护理学课程教学改革提供了可推广的实践路径。

关键词: 外科护理学, 护理教育, 临床决策, 教学改革

Abstract:

Objective To construct a tri-chain synergistic teaching model of “cognitive-decision-value chain” in surgical nursing education and evaluate its effectiveness. Methods According to the requirements of clinical nursing competency，this study addressed three major teaching challenges in Surgical Nursing course，including difficulties in knowledge system construction，insufficient clinical decision-making ability，and inadequate internalization of professional values. A tri-chain synergistic teaching model was developed，characterized by hierarchical instructional objectives，modularized specialty-based curriculum design，and an AI-supported teaching resource system consisting of one knowledge graph and nine resource libraries. A three-stage teaching process spanning pre-class，in-class，and post-class learning was implemented to facilitate progressive development of the cognitive chain，decision chain，and value chain. This teaching reform was applied to a cohort of 186 undergraduate nursing students in grade 2022 at a university. Outcomes were evaluated using course performance and teaching evaluation feedback. Results The average course score of students was 80.32±7.79，93.4% of students were satisfied with the course. Besides，the teaching reform was recognized with a Third Prize in the National University Teaching Innovation Competition and designated as a Provincial Ideological and Political Demonstration Course. Conclusion The tri-chain synergistic teaching model effectively helps students build systematic surgical nursing knowledge systems，improve their clinical decision-making competency，and promote the internalization of professional values. It provides a replicable and practical approach for innovation in nursing education.

Key words: Surgical Nursing, Nursing Education, Clinical Decision-Making, Teaching Reform

谌绍林, 曾芬莲, 陈硕贞, 邵星, 缪小菊, 李金, 杨莉, 宋凌霞, 邓仁丽. “认知链-决策链-价值链”三链协同的外科护理学教学改革与实践[J]. 中华护理教育, 2026, 23(7): 790-796.

CHEN Shaolin, ZENG Fenlian, CHEN Shuozhen, SHAO Xing, MIAO Xiaoju, LI Jin, YANG Li, SONG Lingxia, DENG Renli. Construction and practice of a tri-chain synergistic teaching model of “cognitive-decision-value chain” in Surgical Nursing education[J]. Chinese Journal of Nursing Education, 2026, 23(7): 790-796.

图/表 2

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“认知链-决策链-价值链”三链协同的外科护理学教学改革与实践

Construction and practice of a tri-chain synergistic teaching model of “cognitive-decision-value chain” in Surgical Nursing education

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