目的 探讨“影子”体验活动在骨科护理实习生临床教学中的应用效果。方法 选取2020年8月—12月在某三级甲等医院实习的102名护理实习生作为研究对象,按照随机数字表法将其分为对照组和试验组。对照组给予常规临床护理教学干预,试验组给予“影子”体验活动,包括培训、示范和感知,跟随、体验和换位,分享、反思和内化,每周进行考核和反馈。教学后比较两组的临床综合素质、理论考核与实践操作成绩。结果 试验组迷你临床演练评估量表得分为（7.68±0.84）分,对照组为（7.04±1.28）分,两组差异有统计学意义（t=2.995,P=0.004）。试验组出科理论考核成绩与实践操作成绩分均高于对照组,差异有统计学意义（P<0.05）。结论 将“影子”体验活动用于骨科护理实习生临床教学,可进一步提升护理实习生的临床综合素质、理论及实践操作水平。

Objective To explore the application effects of “shadow” experience activities in teaching of nursing interns in the orthopedic department. Methods A total of 102 nursing interns practicing in a tertiary hospital from August to December 2020 were recruited and divided into the control group and the experimental group randomly. Students in the control group received the routine teaching. Students in the experimental group received“shadow”experience activity including training,demonstration and perception;following,experiencing and transposition;sharing,reflection and internalization;and feedback and assessment on every week. After the teaching,students’ clinical comprehensive ability,examination performance,and skills assessment were compared between the two groups. Results The score of the Mini-Clinical Evaluation Exercise in the experimental group was（7.68±0.84）,and the control group was（7.04±1.28）. The difference between the two groups was statistically significant（t=2.995,P=0.004）. The examination performance and skill assessment of students in the experimental group were all better than those of students in the control group（P<0.05）. Conclusion The “shadow” experience activities used in the teaching of nursing interns in orthopedic department can improve the clinical comprehensive ability,examination performance and skills of nursing students.