柳琳琳　吕建林　覃毅　聂莎　陈玲

摘  要：中医护理学作为广西中医药大学四年制本科护理专业的特色核心课程，是中华民族五千年历史文化的积累，其内容博大精深，抽象且术语性强，教学大纲中课程分配的课时有限，难以教会学生中医护理学的所有知识点，因此，有必要探索更好的方法来教授中医护理学。突破时间和空间的限制进行信息化背景下的有效教学，是混合式教学的优点，但也是缺点。为此，如何处理混合式教学与传统教学之间的关系，作者以微信雨课堂平台构建混合式中医护理学课程教学模式的实践经验为基础，进行反思如下： 首先，制定适当的教学目标，增强学生的自我效能感，促进有效学习;其次，布置适当的任务，以学生为中心的教学设计，通过课前、课堂、课后全程参与式的设计，促进学生自主学习;第三，给予适当的支持，教师课堂外放手不放眼，提供参与式学习保障。

关键词：混合式教学;实践;反思;以学生为中心

中图分类号：G642 文献标志码：A         文章编号：2096-000X（2021）07-0127-04

Abstract： Nursing of Chinese Medicine as a characteristic core course of the four-year undergraduate nursing program of Guangxi University of Chinese Medicine， is the accumulation of 5，000 years of history and culture of the Chinese nation. Its content is extensive and profound， abstract and strong in terminology， and the course hours allocated in the syllabus are limited. It is difficult to teach students all the knowledge points of TCM nursing， so it is necessary to explore better methods to teach TCM nursing. Breaking through the limitations of time and space for effective teaching in the context of informatization is the advantage of mixed teaching， but it is also a disadvantage. To this end， how to deal with the relationship between mixed teaching and traditional teaching， the author based on the WeChat rain classroom platform to build a mixed traditional Chinese medicine nursing teaching model based on practical experience， to reflect on the following： First， formulate appropriate teaching goals， strengthen Students' sense of self-efficacy promotes effective learning; secondly， appropriate tasks are arranged， and student-centered instructional design promotes self-directed learning; thirdly， appropriate support is given to teachers to let go of their hands outside the classroom and provide participatory learning security.

Keywords： mixed teaching; practice; reflection; student-centered

中華人民共和国教育部2019年7月发布的“2018年全国教育事业发展统计公报”[1]中提及：中国已经建成世界规模最大的高等教育体系，全国各类高等教育在学总规模（包括研究生、普通本专科、成人本专科、网络本专科、高等教育自学考试本专科等各种形式的高等教育在学人数）达到3833万人，高等教育毛入学率达到48.1%[1]，即将进入高等教育普及化阶段。我国高等教育的普及化解决了规模性问题，几乎让每个想上大学的人都有了上大学的机会，但却给高校带来了质量问题：高校学生数量增多，有限的教育资源使得学生得不到较为完善的个性化教育。……