目的 创新高级健康评估课程教学设计，培养护理硕士专业学位研究生的临床实践能力与思政素养。 方法 在福建医科大学护理学院2021级和2022级护理硕士专业学位研究生高级健康评估课程中开展 “自主-合作-探究-反思”式创新教学。对学生提交的反思报告进行资料分析，评价其教学效果。 结果 2届学生共91名，提交364份反思报告，凝炼出3个获益主题：夯实专业知识和技能；提升综合能力（提高自主学习能力、提高临床探究思辨能力、强化团队合作意识、转变思维方式）；增强综合素养（感受责任担当、促进专业认同、提升科研兴趣、增强道德素养、提升人文素养）。此外，部分学生也表示存在沟通交流能力不足、临床应变能力有待提升、健康教育能力有待加强等问题。 结论 高级健康评估课程创新教学中通过自主、合作、探究、反思的教学设计有助于培养护理硕士专业学位研究生的临床综合实践能力，并通过反思教学设计进一步引导学生进行深度思维反刍，培养学生思政素养。

Objective To innovate the teaching design of the Advanced Health Assessment course，and to promote the cultivation of clinical practice ability and civic and political literacy of students of master of nursing specialist. Methods This study was conducted for two consecutive sessions of an advanced health assessment course，in which 91 nursing master’s degree students of a university in the grades of 2021 and 2022 were taught in an "independent-cooperative-inquiry-reflective" innovative teaching style. Data from students’ submitted reflection reports were analyzed to evaluate the effectiveness of their teaching. Results A total of 364 reflection reports were submitted by 91 students，and three themes were condensed：consolidation of professional knowledge and skills；enhancement of comprehensive competence（improvement of independent learning ability，enhancement of clinical inquiry and critical thinking ability，strengthening of teamwork awareness，and change of thinking style）；and enhancement of literacy（feeling of responsibility，promotion of professional identity，enhancement of scientific research interest，enhancement of ethical literacy，and enhancement of humanistic literacy）. In addition，some students also indicated that there were problems such as insufficient communication skills，clinical adaptability to be improved，and health education skills to be strengthened. Conclusion The innovative teaching of Advanced Health Assessment course cultivates the comprehensive clinical practice ability of nursing master’s degree students through autonomous，cooperative and inquiry teaching design，and further guides students to conduct in-depth thinking and rumination through reflection teaching design to sublimate the students’ civic and political literacy.