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不同教学模式对提高护理人文关怀能力的影响:一项网状Meta分析

The effect of different teaching models on improving nursing humanistic care competencies: a network meta-analysis.

作者信息

Meixia Xiao, Qin Xiong, Rong Jiang, Lingxia Li, Wenhao Fu

机构信息

The First Affiliated Hospital of Nanchang University, Intensive Care Unit, Nanchang, Jiangxi, China.

Nanchang People's Hospital, Operating Room, Nanchang, Jiangxi, China.

出版信息

Front Genet. 2025 Jul 9;16:1602615. doi: 10.3389/fgene.2025.1602615. eCollection 2025.

Abstract

OBJECTIVES

To evaluate the effectiveness of 13 teaching modes in improving nurses' humanistic care ability using a Bayesian network meta-analysis.

METHODS

A computer-based search was conducted in PubMed, Web of Science, Cochrane Library, Embase, CBM, CNKI, WanFang, and VIP databases from their inception until 20 December 2024. Two researchers independently screened the literature, extracted data, and assessed the included studies using the bias risk assessment tool recommended by the Cochrane Handbook for Systematic Reviews of Interventions 5.1.0. The heterogeneity test was performed using RevMan 5.3 software, while the network meta-analysis and publication bias test were conducted using Stata 15.0 software.

RESULTS

A total of 21 studies involving 13 teaching modes (12 innovative teaching modes and Traditional Teaching Mode) and a combined sample size of 878 participants were included. All included studies were rated as either A or B in quality evaluation. Compared with the traditional teaching mode, the other 12 innovative teaching modes were more effective in enhancing nurses' humanistic care ability, with statistically significant differences (P < 0.05). Among the 12 innovative teaching modes included, the "Peer Sister Teaching Mode" had superior teaching effectiveness compared to the other teaching modes. The Lasswell Teaching Mode was more effective than the Carolina Teaching Mode, Micro-video Teaching Mode, and Balint Teaching Mode. Additionally, the ADDIE Teaching Mode was more effective than the Carolina Teaching Mode and Micro-video Teaching Mode (P < 0.05). The cumulative ranking probability plot indicated that the "Learning from Sisters" teaching mode was the best for improving nurses' humanistic care ability, with a probability of 91.7%.

CONCLUSION

The "Peer Teaching Mode", based on its peer - assisted and collaborative - learning approach, shows the most advantages in the network meta - analysis results. It is recommended that nursing management choose the "Peer Teaching Mode" as the best training strategy to enhance nurses' humanistic care ability.

摘要

目的

采用贝叶斯网络荟萃分析评估13种教学模式在提高护士人文关怀能力方面的有效性。

方法

通过计算机检索PubMed、Web of Science、Cochrane图书馆、Embase、CBM、CNKI、万方和维普数据库,检索时间从建库至2024年12月20日。两名研究人员独立筛选文献、提取数据,并使用《Cochrane系统评价干预措施手册5.1.0》推荐的偏倚风险评估工具对纳入研究进行评估。使用RevMan 5.3软件进行异质性检验,使用Stata 15.0软件进行网络荟萃分析和发表偏倚检验。

结果

共纳入21项研究,涉及13种教学模式(12种创新教学模式和传统教学模式),合并样本量为878名参与者。所有纳入研究在质量评价中均被评为A级或B级。与传统教学模式相比,其他12种创新教学模式在提高护士人文关怀能力方面更有效,差异有统计学意义(P<0.05)。在纳入的12种创新教学模式中,“同伴师姐教学模式”的教学效果优于其他教学模式。拉斯韦尔教学模式比卡罗来纳教学模式、微视频教学模式和巴林特教学模式更有效。此外,ADDIE教学模式比卡罗来纳教学模式和微视频教学模式更有效(P<0.05)。累积排序概率图显示,“向师姐学习”教学模式在提高护士人文关怀能力方面最佳,概率为91.7%。

结论

基于同伴互助和合作学习方法的“同伴教学模式”在网络荟萃分析结果中显示出最大优势。建议护理管理者选择“同伴教学模式”作为提高护士人文关怀能力的最佳培训策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6c/12283267/c61f139f7f44/fgene-16-1602615-g001.jpg

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