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针对本科护生在急诊科开展体验式学习的“学习、思考与表达”培训:一项准实验研究。

"Learning, Thinking & Conveying" training with experiential learning in the emergency department for undergraduate nursing students: A quasi-experimental study.

作者信息

Li Ying, Cheng Shuang, Liu Di, Jiang Wei

机构信息

Emergency, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Medicine (Baltimore). 2025 Jul 11;104(28):e43231. doi: 10.1097/MD.0000000000043231.

DOI:10.1097/MD.0000000000043231
PMID:40660587
Abstract

BACKGROUND

"Learning, Thinking & Conveying" training with experiential learning was evaluated for its impact on the theoretical knowledge and clinical operation skills of undergraduate nursing students in the Emergency Department. This was a quasi-experimental study.

METHODS

A total of 90 undergraduate nursing students in the emergency department of a tertiary care hospital in Wuhan were assigned to experimental and control groups between July and December 2023. The experimental group received "Learning, Thinking & Conveying'' training and controls were taught using standard cases. Students completed a questionnaire based on The Critical Thinking Disposition Inventory-Chinese Version (CTDI-CV) and The Self-Rating Scale for Self-Directed Learning (SRSSDL) before and after the experimental period. Theoretical and clinical skills were assessed at the internship end for all participants.

RESULTS

Students in the experimental group showed significant improvement in theoretical performance compared with controls (P < .001) but no differences were found in clinical operation skills. Similar CTDI-CV and SRSSDL scores for self-directed learning and critical thinking were found for both groups at the outset and the experimental group showed greater improvement in 5 out of the 7 dimensions of CTDI-CV and every dimension of SRSSDL after 4 weeks.

CONCLUSIONS

"Learning, Thinking & Conveying" training in combination with experiential learning during the rotation period improves theoretical performance, self-directed learning and critical thinking in undergraduate nursing students.

摘要

背景

评估了采用体验式学习的“学习、思考与传达”培训对急诊科本科护生理论知识和临床操作技能的影响。这是一项准实验研究。

方法

2023年7月至12月期间,武汉一家三级甲等医院急诊科的90名本科护生被分为实验组和对照组。实验组接受“学习、思考与传达”培训,对照组采用标准案例教学。学生在实验期前后完成了基于中文版批判性思维倾向量表(CTDI-CV)和自主学习自评量表(SRSSDL)的问卷调查。在实习结束时对所有参与者的理论和临床技能进行评估。

结果

与对照组相比,实验组学生的理论成绩有显著提高(P < 0.001),但临床操作技能没有差异。两组在开始时的CTDI-CV和SRSSDL自主学习和批判性思维得分相似,4周后实验组在CTDI-CV的7个维度中的5个维度以及SRSSDL的每个维度上都有更大的提高。

结论

在轮转期间,“学习、思考与传达”培训结合体验式学习可提高本科护生的理论成绩、自主学习能力和批判性思维。

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