摘要
目的 探讨基于案例学习法(CBL)结合PICOS在作业治疗本科教学中的效果.方法 2023年2月至2024年6月,对南京医科大学康复医学院43名作业治疗本科大三学生开展CBL结合循证实践PICOS的作业治疗核心课程教学,在学期初和学期末采用循证实践能力评估量表进行评估.结果 学期末,学生的文献质量评价、找出最佳科学证据、评价论文质量、对研究进行实用性分析、应用PICOS提出临床问题、评价研究结果的主要关联测量法、了解不同证据级别以及常用循证实践数据库方面的自我评价改善(χ2>4.778,P<0.05),对不知道采用决策程序或健康干预的不同推荐强度(χ2=7.938,P<0.01)的自我评价低于学期初.循证实践态度、技能水平和知识水平均改善.结论 CBL与PICOS联合应用能够提升作业治疗本科教学效果,提高学生循证实践能力.
Abstract
Objective To explore the effect of case-based learning(CBL)combined with PICOS(population,interventions,compari-sons,outcomes,study design)framework in undergraduate occupational therapy(OT)education.Methods A total of 43 junior students majoring in OT from School of Rehabilitation Medicine,Nanjing Medical Univer-sity,were taught the core courses of OT using CBL combined with PICOS framework,from February,2023 to June,2024.The Evidence-based Practice Competency Assessment Scale was used to investigate the students at the beginning and the end of the semester,respectively.Results At the end of the semester,students'self-assessments improved in areas such as the quality evaluation of litera-ture,identifying the best scientific evidence,evaluating the quality of papers,conducting practical analysis of re-search,applying PICOS to formulate clinical questions,assessing the primary association measurement methods of research results,understanding different levels of evidence,and familiarity with commonly used evidence-based practice databases(χ2>4.778,P<0.05).Self-assessment regarding uncertainty about the decision-making process or the different recommendation strengths for health interventions(χ2=7.938,P<0.01)was lower.Atti-tudes toward evidence-based practice,skill levels,and knowledge all improved.Conclusion The combined application of CBL and PICOS framework could improve the effect of undergraduate OT ed-ucation and enhance the evidence-based practice ability of OT students.
基金项目
南京医科大学教育研究课题(2023ZC067)
江苏省卫生健康发展研究中心开放课题(JSHD2021003)
国家科技期刊平台
NSTL
万方数据