以临床思维能力培养为导向的护理职业能力培训课程的教学设计与实践

doi:10.3761/j.issn.1672-9234.2026.05.004

Abstract

Abstract:

Objective To explore the effect of a nursing professional competency training course designed to cultivate clinical thinking ability as the core goal. Methods Guided by the goal of cultivating clinical thinking ability,a training course for professional competency in acute chest pain nursing was designed and developed through college-hospital collaboration. A progressive course implementation framework of “core theoretical knowledge learning + key operational skills practice—integrated application of knowledge and skills” was constructed,which incorporated high-fidelity simulation teaching methods. A pilot teaching program was conducted among 24 higher vocational nursing students in their fourth semester(prior to clinical practice). Results After the course implementation,all 24 students achieved scores above 80 in theoretical examinations,key nursing skills assessments,and scenario simulation evaluations,with a pass rate of 100%. Qualitative interview results indicated that students generally believed that the implementation of this course helped cultivate their clinical thinking ability and enhanced their comprehensive application of knowledge and skills as well as thier teamwork ability. Conclusion The nursing vocational competency training program,designed with a focus on cultivating clinical thinking skills,has achieved initial success and gained positive recognition from students.

Key words: Education,Nursing, Integration of Industry and Education, Clinical Thinking Ability, Acute Chest Pain, Situational Simulation Teaching

GUO Yucheng, XIA Liping, ZHU Weiyi, ZHANG Jing, ZHANG Ru, XU Jinghua, XUE Meiqin, QIAN Xin, JI Wentao. Instructional design and practice of a nursing professional competency training course oriented by cultivating clinical thinking ability[J].Chinese Journal of Nursing Education, 2026, 23(5): 535-541.

Figures/Tables 2

References 12

[1]	教育部办公厅关于开展2025届高校毕业生“春季促就业攻坚行动”的通知[EB/OL]. [2025-03-07]. http://www.moe.gov.cn/srcsite/A15/s3265/202503/t20250314_1182811.html.
	Notice from the General Office of the Ministry of Education of the People’s Republic of China on Launching the “Spring Employment Promotion Campaign” for the Class of 2025[EB/OL]. [2025-03-07]. http://www.moe.gov.cn/srcsite/A15/s3265/202503/t20250314_1182811.html.
[2]	苏州工业园区东方华夏心血管健康研究院, 国家放射与治疗临床医学研究中心胸痛中心专家委员会. 《胸痛中心质控报告(2024)》概要[J]. 中国介入心脏病学杂志, 2025, 33(7):361-367.
	China Heart House, Chest Pain Professional Committee of National Clinical Research Center for Interventional Medicine. Summary of quality control report of Chest Pain Center in 2024[J]. Chin J Intervent Cardiol, 2025, 33(7):361-367.
[3]	刘静, 胡少华, 李伦兰, 等. 急性胸痛护理质量评价指标的构建[J]. 护理研究, 2023, 37(4):685-690.
	Liu J, Hu SH, Li LL, et al. Construction of care quality evaluation index for acute chest pain[J]. Chin Nurs Res, 2023, 37(4):685-690.
[4]	吕茵茵, 王菲, 马宁, 等. 置信职业行为视角下对护士临床思维能力培养的思考[J]. 中国护理管理, 2025, 25(5):664-667.
	Lü YY, Wang F, Ma N, et al. Thinking on the cultivation of nurses’ clinical thinking ability from the perspective of Entrustable Professional Activities[J]. Chin Nurs Manag, 2025, 25(5):664-667.
[5]	谷灿, 马贵媛, 彭娟, 等. 增强现实技术在护理本科生车祸救援情境模拟教学中的应用研究[J]. 中华护理教育, 2024, 21(11):1334-1339.
	Gu C, Ma GY, Peng J, et al. Research on the application of augmented reality fusion projection practical training platform in car accident rescue scenario simulation teaching for undergraduate nursing students[J]. Chin J Nurs Educ, 2024, 21(11):1334-1339.
[6]	《胸痛中心质控指标及考核办法》(第三版修订版)[EB/OL]. [2025-03-07]. https://chinacpc.org/home/article/quality/home/about.
	Quality control indicators and assessment methods for Chest Pain Centers(Third edition,revised)[EB/OL]. [2025-03-07]. https://chinacpc.org/home/article/quality/home/about.
[7]	中国医师协会急诊医师分会, 国家卫健委能力建设与继续教育中心急诊学专家委员会, 中国医疗保健国际交流促进会急诊急救分会. 急性冠脉综合征急诊快速诊治指南(2019)[J]. 中华急诊医学杂志, 2019, 28(4):421-428.
	The Emergency Medicine Branch of the Chinese Medical Doctor Association; the Expert Committee on Emergency Medicine of the National Health Commission’s Center for Capacity Building and Continuing Education; and the Emergency and First Aid Branch of the China Association for International Exchange of Medical and Health Care. Guidelines for emergency rapid diagnosis and treatment of acute coronary syndrome(2019)[J]. Chin J Emerg Med, 2019, 28(4):421-428.
[8]	中华医学会急诊医学分会, 中国医疗保健国际交流促进会胸痛分会. 急性胸痛急诊诊疗专家共识[J]. 中华急诊医学杂志, 2019, 28(4):413-420.
	The Emergency Medicine Branch of the Chinese Medical Association; the Chest Pain Branch of the China Association for International Exchange of Medical and Health Care. Expert consensus on emergency diagnosis and treatment of acute chest pain[J]. Chin J Emerg Med, 2019, 28(4):413-420.
[9]	牟宝华, 冷佳俐, 钱欣, 等. 北欧急重症模拟导师培训工作坊的体验与启示[J]. 中华护理教育, 2025, 22(6):764-769.
	Mou BH, Leng JL, Qian X, et al. Experience and enlightenment of the training workshop of Nordic critical care simulation facilitator[J]. Chin J Nurs Educ, 2025, 22(6):764-769.
[10]	李玥桐, 李红玉, 李齐, 等. 护理本科实习生临床思维能力评价指标体系的构建[J]. 中华护理教育, 2022, 19(11):965-969.
	Li YT, Li HY, Li Q, et al. Development of an evaluation index system for clinical thinking ability in nursing interns[J]. Chin J Nurs Educ, 2022, 19(11):965-969.
[11]	廖朝晖, 王晓松, 官春红, 等. 护理临床思维练习系统结合复盘教学在新护士岗前培训中的应用[J]. 上海护理, 2024, 24(8):5-9.
	Liao ZH, Wang XS, Guan CH, et al. Integrating clinical thinking exercises with retrospective analysis in induction training for newly recruited nurses[J]. Shanghai Nurs, 2024, 24(8):5-9.
[12]	皋文君, 张薇, 郝建玲, 等. 基于案例的临床推理教学法对护理本科实习生临床思维能力的培养效果研究[J]. 军事护理, 2025, 42(9):100-103.
	Gao WJ, Zhang W, Hao JL, et al. Research on the effectiveness of case-based clinical reasoning teaching method in cultivating clinical thinking skills among undergraduate nursing interns[J]. Mil Nurs, 2025, 42(9):100-103.

Instructional design and practice of a nursing professional competency training course oriented by cultivating clinical thinking ability

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 2

References 12

Related Articles 8

Metrics

Comments

Recommended 0

[1]	CUI Hongxia, GUO Meihua, WANG Jingjing, ZHAO Tianyu. Construction and application of scenario simulation training program for improving midwives’ post competency [J]. Chinese Journal of Nursing Education, 2026, 23(5): 613-620.
[2]	HE Shufen, ZHU Wenqing, SHAO Yuanping, ZHAO Xueping. Analysis of job-seeking challenges and educational implications for vocational nursing graduates in Shanghai from the perspective of employment intention [J]. Chinese Journal of Nursing Education, 2026, 23(5): 542-546.
[3]	LIU Min, ZHANG Taoyan, HOU Yuhua, ZHENG Chunhui, YANG Xueying. Exploration and construction of nursing and health care talents training cultivation curriculum system from the perspective of industry-education integration [J]. Chinese Journal of Nursing Education, 2025, 22(5): 561-565.
[4]	ZHU Xiaoling, CHEN Shaohua, LIN Binbin, WANG Xiaoyan, XU Guiru, XU Qin, QIU Pingping, LIN Xiaoyun, SONG Jihong. The learning experience of undergraduates participating in the Midwifery Comprehensive Experiment course based on situational simulation teaching [J]. Chinese Journal of Nursing Education, 2024, 21(5): 562-568.
[5]	LING Yinchan, WEI Changyuan, NING Chuanyi, LIU Qi, QU Jingting, JIANG Lan, FANG Jian, YANG Lihui, LIU Guiying. Cultivation of nursing clinical thinking ability during the training of College Students’ Medical Technology Skills Competition [J]. Chinese Journal of Nursing Education, 2023, 20(3): 301-305.
[6]	YAN Lingqin. Teaching reform of a skill operation program based on the skill competition [J]. Chinese Journal of Nursing Education, 2022, 19(8): 692-694.
[7]	LI Chunyan,LUO Yaoyue. Research on curriculum design and teaching practice of Nursing Clinical Thinking Training for Common Diseases in Chinese and Western Medicine [J]. Chinese Journal of Nursing Education, 2022, 19(11): 998-1001.
[8]	LI Yuetong,LI Hongyu,LI Qi,HUYAN Sihan. Development of an evaluation index system for clinical thinking ability in nursing interns [J]. Chinese Journal of Nursing Education, 2022, 19(11): 965-969.