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目的 研究以问题为导向的护理床旁教学模式在ICU护生临床实习教学中的应用与效果.方法 选取2016年7月至2017年6月247名大专护生为研究对象,对照组129人采用传统教学模式,观察组118人采用以问题为导向的护理床旁教学模式,实习结束后以迷你临床演练评量(mini-CEX)考核护生临床护理综合能力,比较2组护生临床护理综合能力及临床教学效果.结果观察组护生出科时临床护理综合能力为(6.42 ± 1.45)分,对照组为(5.25 ± 1.35)分,2组护生临床护理综合能力比较差异有统计学意义(t=15.73,P=0.000);出科时观察组临床教学效果达到要求和优秀分别为41.53%(49/118)、51.69%(61/118),优于对照组的62.79%(81/129)、19.38%(25/129),差异有统计学意义(Z=-5.35,P=0.000).结论 以问题为导向的护理床旁教学模式可以显著提高护生临床护理综合能力,有助于提高临床教学效果.

Objective To explore the effects of problem-based bedside nursing teaching in clinical teaching. Methods Totally 247 college nursing students were recruited in the study from July 2016 to June 2017. The 118 students were in the experimental group which implemented problem-based bedside nursing teaching,while 129 students were in the control group which implemented traditional teaching.The teaching effects of two groups at the end of practice was compared with mini-CEX. Results The clinical nursing comprehensive ability of the experimental group was 6.42±1.45,the control group was 5.25±1.35,the difference was statistically significant(t=15.73,P=0.000).The clinical teaching effect of the experimental group was better than that of control group,41.53%(49/118)and 51.69%(61/118)met the requirements and reached excellence, and 62.79%(81/129)and 19.38%(25/129)in the control group.The difference was statistically significant (Z=-5.35, P=0.000). Conclusions The model of bedside teaching based on problem can significantly improve nursing students'clinical nursing comprehensive ability and improve clinical teaching effect.