刘四顺　李春华　赖雯　王景

摘 要 目的：探讨基于原位翻转课堂的外科护理实训教学模式应用效果。方法：选取8个护理大专班学生为研究对象，随机分为观察组（n=197）和对照组（n=199），观察组采用原位翻转课堂实训教学模式，对照组采取传统实训教学。对比两组学生实训考核成绩及自我导向学习评价情况。结果：观察组实训考核成绩、自我导向评价量表得分等均优于对照组，差异有统计学意义（P<0.05）。结论：基于原位翻转课堂的外科护理实训教学模式能提高学生实训技能，提升学习素养。

关键词 原位翻转课题 外科护理 实训教学

中图分类号：G424                                 文献标识码：A  DOI：10.16400/j.cnki.kjdk.2021.11.033

The Exploration of Surgical Nursing Training Teaching

Model Based on in-situ Flipped Classroom

LIU Sishun[1][2]， LI Chunhua[1]， LAI Wen[1]， WANG Jing[1][2]

（[1] Sichuan Nursing Vocational College， Chengdu， Sichuan 610100;

[2] Intelligent Rehabilitation Laboratory for Children in Key Medical Disciplines （Laboratories） of

Sichuan Province， Chengdu， Sichuan 610100）

Abstract Objective To explore the application effect of surgical nursing training teaching model based on in-situ flipped classroom. Methods Eight nursing college students were selected as the research objects， and they were randomly divided into an observation group （n=197） and a control group （n=199）. The observation group adopted the in-situ flipped classroom practice teaching mode， and the control group adopted traditional practice teaching. Compare the performance of the two groups of students in training assessment and self-directed learning evaluation. Results The observation group's training assessment scores and self-directed evaluation scale scores were better than those of the control group， and the difference was statistically significant （P<0.05）. Conclusion The surgical nursing training teaching model based on the in-situ flipped classroom can improve students' practical training skills and enhance their learning literacy.

Keywords in-situ flipping topic; surgical nursing; practical teaching

护理专业是一门实践性强、技能操作要求高的科学，其专业核心课程——外科护理学中的技能实训常为教学的重点与难点，技能实训的教学效果关乎高职护理教育的事业发展。[1]然而，传统教师为主体单线式的教学已经不能满足新时代护理专业学生的实训学习需求，[2]通过对四川某大专院校72个护理专业班级进行集中教学反馈调研发现，约63.9%的班级反映存在学生专业操作练习时间少、实训教学方法有待改进的问题，学生普遍存在临床实训能力不足的现状，这是护理职业教育改革亟待突破的瓶颈。虽然部分高校教师开始了翻转课堂的探索，但仍以增加学生“课后作业”为思路，致使学生课后学习负担重、难以持续。本研究基于原位翻转课堂，充分利用在线开放课程， 发挥微课及信息化教学的优势，侧重提高学习效率， 让学生主动融入实训教学全过程，以期为护理人才培养改革提供参考方向与依据。……