摘要目的 探讨体验式教学模式在脊柱外科实习护生中的应用效果.方法 选取2016年2月—2017年1月在中南大学湘雅二医院脊柱外科实习的护生126名为研究对象.按照进科时间,单月进入脊柱外科的实习护生为对照组(n=63),双月进入的护生为试验组(n=63).对照组护生采用传统教学模式,试验组护生采用体验式教学模式.比较两组护生的理论考试、实践技能考核成绩,批判性思维能力和沟通能力.结果 试验组护生理论考试和实践技能考核成绩均高于对照组,差异有统计学意义(P<0.05);试验组护生批判性思维能力中的寻找真相、开放思维、分析能力、系统化能力、求知欲、认知成熟度6个维度得分和总分高于对照组,差异均有统计学意义(P<0.05);试验组护生沟通能力各维度得分及总分高于对照组,差异均有统计学意义(P<0.05).结论 体验式教学模式有利于提升实习护生理论知识和实践技能,培养护生的批判性思维能力和沟通能力.

abstractsObjective To explore the application effects of experiential learning theory (ELT) in intern nursing students in spine surgery department.Methods A total of 126 intern nursing students who had been practicing in Spine Surgery Department of the Second Xiangya Hospital of Central South University from February 2016 to January 2017 were selected as the research objects. According to the entry time, all the students were divided into two groups: students who entered department in odd months were allocated into observation group (n=63); and even months entered students were allocated into control group (n=63). Traditional teaching method was applied in the control group, while ELT was used in the observation group. Nursing students' theoretical examination, practical skills, critical thinking ability and communication ability were compared between the two groups.Results The results of nursing students' theoretical examination and practical skills assessment of the observation group were higher than those of the control group, and the difference were statistically significant (P<0.05). The scores of truth seeking, open-mindedness, analyticity, systematicity, inquisitiveness and maturity of judgement and the total score of critical thinking ability in the observation group were all statistically higher than the control group (P<0.05). The total score and scores of each dimensions of communication ability in the observation group were higher than those in the control group, and the difference were statistically significant (P<0.05).Conclusions ELT is helpful in improving nursing students' theoretical knowldge and practical skills, and cultivating the critical thinking ability and communication ability of the nursing students.