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将科尔布的体验式学习理论融入护理教育:一项四阶段干预措施,包括案例分析、思维导图、反思日志以及用于高级健康评估的同伴模拟。

Integrating Kolb's experiential learning theory into nursing education: a four-stage intervention with case analysis, mind maps, reflective journals, and peer simulations for advanced health assessment.

作者信息

Cheng Jing, Wu Yingting, Huang Li, Wu Yuehong, Guan Yuxiang

机构信息

School of Nursing, Anhui University of Chinese Medicine, Hefei, China.

Laboratory of Geriatric Nursing and Health, Anhui University of Chinese Medicine, Hefei, China.

出版信息

Front Med (Lausanne). 2025 Aug 21;12:1616392. doi: 10.3389/fmed.2025.1616392. eCollection 2025.

DOI:10.3389/fmed.2025.1616392
PMID:40917832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12408510/
Abstract

PURPOSE

This study evaluates the effectiveness of integrating case-based mind maps and reflective journals within Kolb's experiential learning framework in advanced nursing education.

METHODS

An design compared 2023 (control group,  = 46) and 2024 (experimental group,  = 57) cohorts of nursing master's students. The experimental group received a Kolb-based intervention comprising: case analysis (concrete experience), reflective journals (reflective observation), mind maps (abstract conceptualization), and peer-led simulations (active experimentation). Outcomes were assessed using the Self-Directed Learning Instrument for Nursing Students (SDLINS), Critical Thinking Disposition Inventory (CTDI-CV), and a teaching satisfaction questionnaire.

RESULTS

The experimental group demonstrated significantly higher final assessment scores (96.54 ± 1.43 vs. 93.07 ± 1.62,  < 0.001), superior self-directed learning abilities (69.09 ± 7.56 vs. 55.63 ± 7.68,  < 0.001), and enhanced critical thinking skills (288.05 ± 12.41 vs. 260.13 ± 12.02,  < 0.001). All subdomains of these measures showed significant improvements ( < 0.05). Teaching satisfaction was markedly higher in the experimental group across all dimensions ( < 0.001), with particular strengths noted in teaching attitude (18.09 ± 2.68 vs. 11.35 ± 2.09) and classroom teaching (23.02 ± 3.59 vs. 17.83 ± 2.70).

CONCLUSION

The systematic implementation of Kolb's experiential learning cycle through case-based mind mapping and reflective journaling can facilitate the development of master's nursing students' competency in clinical advanced health assessment. This pedagogical approach effectively connects theoretical knowledge and clinical practice while fostering students' critical thinking and self-directed learning skills.

摘要

目的

本研究评估在高等护理教育中,将基于案例的思维导图和反思日志整合到科尔布体验式学习框架内的有效性。

方法

采用一种设计对2023年(对照组,n = 46)和2024年(实验组,n = 57)的护理硕士研究生队列进行比较。实验组接受了基于科尔布理论的干预,包括:案例分析(具体体验)、反思日志(反思观察)、思维导图(抽象概念化)和同伴主导的模拟(主动实践)。使用护理专业学生自主学习工具(SDLINS)、批判性思维倾向量表(CTDI-CV)和教学满意度问卷对结果进行评估。

结果

实验组在最终评估成绩上显著更高(96.54 ± 1.43 vs. 93.07 ± 1.62,P < 0.001),自主学习能力更强(69.09 ± 7.56 vs. 55.63 ± 7.68,P < 0.001),批判性思维技能得到增强(288.05 ± 12.41 vs. 260.13 ± 12.02,P < 0.001)。这些测量指标的所有子领域均显示出显著改善(P < 0.05)。实验组在所有维度上的教学满意度均显著更高(P < 0.001),在教学态度(18.09 ± 2.68 vs. 11.35 ± 2.09)和课堂教学(23.02 ± 3.59 vs. 17.83 ± 2.70)方面表现尤为突出。

结论

通过基于案例的思维导图和反思日志系统地实施科尔布体验式学习循环,可以促进护理硕士研究生在临床高级健康评估方面能力的发展。这种教学方法有效地将理论知识与临床实践联系起来,同时培养学生的批判性思维和自主学习技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df00/12408510/820a8d71cb65/fmed-12-1616392-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df00/12408510/62ac5c95dedf/fmed-12-1616392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df00/12408510/820a8d71cb65/fmed-12-1616392-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df00/12408510/62ac5c95dedf/fmed-12-1616392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df00/12408510/820a8d71cb65/fmed-12-1616392-g002.jpg

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