摘要目的 评价应用基于任务导向的体验式教学提升护理专业学生护理临床决策能力的效果.方法 选取学院96名护生(2个班级)作为研究对象,将2个班学生随机抽取1个班为试验组(48名),另外1个班为对照组(48名),试验组采用基于任务导向的体验式教学,对照组采用传统的情景模拟教学,课程结束后观察2组的期末成绩、技能操作成绩及护生对课程评价、护理临床决策能力.结果 试验组护生期末成绩、基于任务导向的体验式教学相关章节、技能操作成绩分别为(82.06±0.98)、(12.01±0.88)、(94.99±0.34)分,分别高于对照组的(78.34±0.98)、(9.32±0.76)、(91.87±0.98)分,差异有统计学意义(t=12.958、9.872、10.834,均P<0.01).试验组护生对教学方法 、教学过程、教学效果评价得分分别为(20.06±0.98)、(23.01±0.88)、(35.99±0.34)分,高于对照组的(17.34±0.98)、(20.32±0.76)、(30.87±0.98)分,差异有统计学意义(t=5.96、6.87、6.99,均P<0.01);试验组护生的护理临床决策能力得分为(137.50±12.61)分,高于对照组的(123.88±9.89)分,差异有统计学意义(t=5.891,P<0.01).结论 基于任务导向的体验式教学模式在护理课程教学中的应用,让学生在体验中实现知能的迁移,促进护生的护理临床决策能力发展.

abstractsObjective To explore the effect of application of task-based learning with experiential teaching on nursing clinical decision making ability. Methods A total of 96 nursing students were divided into experimental group and observation group with each of 48 nursing students. The experimental group used the application of task-based learning with experimental teaching, the control group used the traditional scenario simulation. At the end of the course, the final scores, skill operation scores and nursing students'evaluation of the course and clinical decision-making ability of nursing were observed in the two groups. Results The final scores, chapters related to task-based learning with experiential teaching, skill operation scores was (82.06±0.98), (12.01±0.88), (94.99±0.34) points in the experimental group, and (78.34±0.98), (9.32±0.76), (91.87±0.98) points in the control group, and the difference was significant(t=12.958, 9.872, 10.834, all P<0.01). The evaluation of teaching methods, teaching process and teaching effect was (20.06±0.98), (23.01±0.88), (35.99±0.34) points in the experimental group, and (17.34±0.98), (20.32±0.76), (30.87±0.98) points in the control group, and the difference was significant (t=5.96, 6.87, 6.99, all P<0.01).The score of clinical decision-making ability of nursing was (137.50 ± 12.61) points in the experimental group, and (123.88±9.89) points in the control group,and the difference was significant (t=5.891, P<0.01). Conclusions The effect of task-based learning with experiential teaching in teaching of nursing in vocational nursing students, enable students to transfer knowledge and experience in experience, it can improve the students' clinical decision making ability.