张思梦

[摘要] 目的 探究循证护理与案例教学结合的教学方法在康复科临床护理带教中的效果，为护理实习生临床护理提供指导。方法 选择该院2018年6月—2019年3月间100名护理实习生，采用随机分组法均分为对照组和观察组，每组各50名。对照组采取传统教学方法开展教学，观察组采用循证护理与案例教学结合的方法开展教学。对比两组实习生带教情况。结果 观察组的实践成绩和理论成绩均明显高于对照组，差异有统计学意义（P<0.05）;观察组实习生对教学评价明显高于对照组，差异有统计学意义（P<0.05）。结论 采取循证护理结合案例教学的方法对护理实习生进行教学，能有效提高实习生的实践成绩和理论成绩，获得优异评价，提高临床护理带教水平。

[关键词] 循证护理;案例教学;护理;带教

[Abstract] Objective To explore the effect of the teaching method of combining evidence-based nursing and case teaching in clinical nursing teaching in rehabilitation department， and to provide guidance for clinical nursing students. Methods A total of 100 nursing interns in the hospital from June 2018 to March 2019 were selected and randomly divided into a control group and an observation group， with 50 cases in each group. The control group adopted traditional teaching methods for teaching， and the observation group adopted evidence-based nursing combined with case teaching for teaching. Compare the teaching situation of the two groups of interns. Results The practical and theoretical scores of the observation group were significantly higher than those of the control group， and the difference was of statistical significance（P<0.05）; the internship of the observation group was significantly higher than the control group， and the difference was statistically significant（P<0.05）. Conclusion Using evidence-based nursing combined with case teaching to teach nursing interns can effectively improve the practical and theoretical results of interns， obtain excellent evaluation， and improve the level of clinical nursing teaching.

[Key words] Evidence-based nursing; Case teaching; Nursing; Teaching

傳统临床护理带教方法大部分以教师为中心，重点以理论讲解和实操教学为主要模式，这种教学模式未全面考虑到护理实习生个体之间的差异，受教水平的差异，所以带教中的效果在临床护理中存在明显差异[1]。近年来，随着社会的进步和医疗水平的发展，各种带教方法在护理中得到广泛使用[2]。循证护理结合案例教学的方法是目前逐渐广泛应用的新型教学模式，这种教学方法异于传统带教模式，是以护理实习生为教学中心，提高其主动学习能力[3]。护理人员通过护理计划时，合理科学地将临床经验、科研结论及患者的愿望结合，获得临床护理决策的依据。循证护理与案例教学结合是一种新型带教模式，其异于传统教学，将护理实习生作为主体，教师提出问题引导其自主学习，提高护理实习生的综合能力和自主能力。该次研究将该院2018年6月—2019年3月间100名护理实习生作为研究对象，把护理实习生采用随机分组法分组，探究循证护理结合案例教学的方法在临床护理中的效果评价，现报道如下。……