| 基金项目:北京市教育基金（2021JXGG0234） |
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| 中文摘要: |
| 目的 探讨4C教学结合案例式模拟教学在呼吸与危重症医学科护生实习教学中的应用研究。方法 选取首都医科大学附属北京朝阳医院呼吸与危重症医学科2019至2021年80名实习护生作为研究对象，按照简单随机数字表法分为对照组（n=40）和观察组（n=40）。对照组采用传统教学，观察组采用4C教学结合案例式模拟教学。比较两组实习护生的护理综合能力及自我导向学习能力，并且评估两组实习护生对教学方法的评价情况。采用SPSS 22.0进行卡方检验和t检验。结果 观察组护生的理论知识、病房管理、院感防控、基础护理、护理文档规范书写、危重症护理各维度评分均高于对照组（P<0.05）；观察组的学习意识、学习行为、学习策略、人际关系、学习评价各维度评分及其总分均高于对照组（P<0.05）；观察组认为教学在调动学习主动性、提高基础护理操作、促进临床沟通能力提升、提高分析与解决问题能力、增强人文关怀理念、有助于知识理解与掌握、提高自身综合素质方面，选择人数多于对照组（P<0.05）。结论 4C教学结合案例式模拟教学在呼吸与危重症医学科护生实习教学中可以提高护理综合能力与自我导向学习能力，且实习护生对教学方法有较高的评价。 |
| 英文摘要: |
| Objective To explore the application of 4C teaching combined with case simulation teaching in the practice teaching of respiratory and critical care medicine nursing students.Methods Eighty nursing practice students from 2019 to 2021 in the Department of Respiratory and Critical Care Medicine of Beijing Chaoyang Hospital Affiliated to Capital Medical University were selected as the research objects, and they were randomized into control group (n=40) and observation group (n=40). The control group adopted traditional teaching, and the observation group adopted 4C teaching combined with case simulation teaching. The nursing comprehensive ability and self-directed learning ability of the two groups of nursing students were compared, and the evaluation of teaching methods between the two groups was assessed. SPSS 22.0 was used for Chi-square test and t-test.Results The scores of theoretical knowledge, ward management, prevention and control of hospital infection, basic nursing, standardized writing of nursing documents, and critical care of nursing students in the observation group were higher than those in the control group (P<0.05); the scores and total scores of learning awareness, learning behavior, learning strategies, interpersonal relationships, and learning evaluation in the observation group were higher than those in the control group (P<0.05). The observation group believed that their teaching method was better than the control group in terms of mobilizing learning initiative, improving basic nursing practices, promoting clinical communication skills, improving the ability to analyze and solve problems, enhancing the concept of humanistic care, helping to understand and master knowledge, and improving the overall quality (P<0.05).Conclusion The 4C teaching combined with case simulation teaching can improve the comprehensive nursing ability and self-directed learning ability of nursing students in department of respiratory and critical care medicine, and the nursing students have a high opinion of the teaching method. |
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