开展早期接触临床+PBL教学的早期成果探讨.docVIP

顾老师您好：请按以下意见修改，修回稿上传至本刊网站，上传成功稿件将自动变成“终审”状态，拟年底或明年上半年择期刊登，有问题可致电编辑部联系吴艳妮编辑：020 护理教学中开展早期接触临床+PBL教学的顾丽华1 王韧1 于异男1 王莉萍1 刘建伟1 马伟红2 郭爱军2 李稻3[摘要] 目的 探讨在高职护理专业技能理论课学习期间开展“早期接触临床+PBL”教学的方法方法 实验班学生分成小组为单位分别接触不同病人，进行问诊、健康评估和整理案例，随后开展PBL教学活动和完成个案分析报告；对照班学生按传统教学方法进行。结果 通过问卷调查发现，实验班绝大部分学生喜欢此教学活动。学生的自我学习效能、分析与解决问题能力、团队协作精神，均高于对照班（P0.05）。结论 开展“早期接触临床+PBL”教学提高了学生的综合能力；并且能克服传统教育中理论与实践脱节的弊端，值得在高职护理专业教学中推广使用。[关键词]护理教学 早期接触临床 PBL教学 Preliminary Study on Early Clinical Contact + PBL Instruction Method in Nursing EducationGU Li-hua1, WANG Ren1, YU Yi-nan1, WANG Li-ping1, Liu Jian-wei1, MA Wei-hong2, GUO Ai-jun2, LI Dao3 [Abstract] Objective To investigate the application of “Early Clinical Contact + PBL” instruction method during the second grade of nursing specialty in higher vocational colleges. Methods Experimental class students were randomly divided into groups to contact different patients, carry on the inquiry of medical history, implement health assessment and finish case, then carry out PBL teaching activities and complete case analysis report; meanwhile, the control class students were taught by traditional instruction method. Results The result of the questionnaire survey shows that most of the experimental class students like this instruction method. The level of their self-study efficiency, analysis and problem solving skills, teamwork cooperation spirit, and the confidence of the role of “student-nurse” are all higher than that of the control class students（P0.05）. Conclusion “Early Clinical Contact + PBL” instruction method can improve the students’ comprehensive ability; in addition, it can overcome the disadvantage of the separation between theory and practice and is worth being generalized in nursing education. [Key words] nursing education; early clinical contact; PBL instruction method 在高职护理专业技能理论课学习期间常常遇到困惑是如何增强理论教学与临床现实相结合，提高学生自主学习、分析与解决问题的能力。早期接触临床和问题为导向的学习（roblem-based learning，PBL）教学一直被认为是能克服传统教育中理论与实践脱节的弊端，增强学生自主学习的能力，也是教学改革的热点。近年来，众多国际知名大学，