目的 探讨本科急危重症护理学课程教学改革的方法及效果。方法 选取我校大学三年级209名护理本科生为研究对象,将初级创伤救治的4个模块融入急危重症护理学教学中,将临床护士纳入教学团队,调整理论和实践课时比,增加临床真实抢救观摩,采用案例教学、情境模拟、小组讨论等教学法,应用OSCE进行考核。教学结束后通过问卷调查学生对教学的评价。结果 189（90.4%）名学生对课程教学表示满意,85%以上的学生认为教学对增强急救意识、提高自主学习能力和激发学习兴趣等方面帮助很大或较大。部分学生认为在专题讨论部分和理论讲解部分有待进一步完善。结论 改革后的急危重症护理学教学,既丰富了教学内容,使教学更贴近临床实际,又有助于提升学生自主学习能力、沟通交流能力、临床思维能力,还能激发其学习兴趣和求知欲。

Objective To evaluate the effects of the teaching reform applied in the course of Emergency and Critical Care Nursing among undergraduate nursing students. Methods Primary trauma care with 4 modules was introduced into and incorporated in the course of Emergency and Critical Care Nursing among 209 year 3 undergraduate nursing students. Nurses in the emergency department were recruited in the teaching team. The hours of classroom teaching and practice were adjusted. Observation of real clinical rescue was increased. Case-based teaching,simulation and group discussion were used. OSCE was adopted for assessment. The evaluation of students was surveyed by using questionnaires. Results One hundred and eighty-nine students are satisfied with the course teaching（90.4%）. 85% students reported that the reform could stimulate their learning interests and desire for knowledge,and enhance team cooperation,communication skills,emergency response competence and clinical thinking. Some students believed that the topical discussion and theoretical explanations need to be further improved. Conclusion Reformed Emergency and Critical Care Nursing can not only enrich the teaching contents,makes teaching closer to the clinical practice,but also promote their clinical thinking,on-site disposal ability,team cooperation,and self-directed learning.