摘要
目的 探讨ABC管理结合反思性指导教学在老年科护理实习带教中的应用效果,为护理教育提供新的教学思路.方法 将2022年1月至2023年12月在空军军医大学第一附属医院老年科进行实习的102名护生纳入本研究,根据教学方法分为对照组(48名,采用传统常规带教)和观察组(54名,ABC管理结合反思性指导教学).比较两组护生理论和技能操作成绩、护理记录文件书写及综合能力、护患沟通意识、风险防范意识、护理技能提升所需时间与自主学习能力及实习生对教学的满意度.采用SPSS 22.0进行t检验和卡方检验.结果 观察组护生理论、技能操作、护理记录文件书写及综合能力评分[(94.75±6.31)、(90.74±5.95)、(93.85±6.18)、(92.58±6.87)]均高于对照组[(83.54±5.67)、(81.22±5.41)、(83.98±5.59)、(83.06±5.66)],差异有统计学意义(P<0.05).观察组护生护患沟通意识、风险防范意识评分均高于对照组(96.52±2.47)vs.(86.74±53.54)、(90.26±2.88)vs.(81.63±2.11),护理技能提升所需时间短于对照组.观察组护生学习动机、计划和实施、自我管理及人际沟通及总分均高于对照组.观察组护生对教学内容、专业程度、耐心程度及责任感的总满意度(98.15%、98.15%、100.00%、96.30%)均高于对照组(79.17%、81.25%、83.33%、81.25%).结论 ABC管理与反思性指导结合教学模式在老年科护理带教中优势更大,带教效果更佳,值得在院内进一步推广.
Abstract
Objective To explore the application effects of ABC management combined with reflective guidance in teaching geriatric nursing internship,and to provide new teaching ideas for nursing education.Methods A total of 102 nursing students who completed internships in the Department of Geriatrics in The First Affiliated Hospital of Air Force Military Medical University from January 2022 to December 2023 were included in this study.According to the teaching method,they were divided into a control group(48 students,traditional routine teaching)and an observation group(54 students,ABC management combined with reflective guidance teaching).The two groups of nursing students were compared for the theoretical and skill operation scores,nursing record writing and comprehensive ability,nurse patient communication awareness,risk prevention awareness,time required for nursing skill improvement,self-learning ability,and the satisfaction of interns with teaching.The t-test and chi-square test were performed using SPSS 22.0.Results The theoretical,skill operation,nursing record writing,and comprehensive ability scores of the observation group[(94.75±6.31),(90.74±5.95),(93.85±6.18),(92.58±6.87)]were higher than those of the control group[(83.54±5.67),(81.22±5.41),(83.98±5.59),(83.06±5.66)],and the differences were statistically significant(P<0.05).The communication awareness and risk prevention awareness scores of the observation group were higher than those of the control group[(96.52±2.47)vs.(86.74±53.54);(90.26±2.88)vs.(81.63±2.11)].The time required for nursing skill improvement was shorter in the observation group than in the control group.The learning motivation,planning and implementation,self-management,interpersonal communication,and total scores of the observation group were higher than those of the control group.Compared with the control group,the observation group showed higher overall satisfaction in terms of teaching content(98.15%vs.79.17%),professional level(98.15%vs.81.25%),patience(100.00%vs.83.33%),and sense of responsibility(96.30%vs.81.25%).Conclusions The teaching mode combining ABC management and reflective guidance has greater advantages and better effects in teaching geriatric nursing.This method is worth further promoting in the hospital.
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