临床护理技能培训教学软件的开发及应用研究

doi:10.3761/j.issn.0254-1769.2022.10.011

摘要/Abstract

摘要：

目的开发并应用临床护理技能培训教学软件（以下简称“软件”）,以探索临床护理实践教学新方法。方法基于游戏化教学理论,融合临床护理技能操作知识,研发适配于各系列操作系统的移动教学软件,包含2个端口、6个模块,纳入13项临床护理技能操作。选取2020年5月—7月青岛市某三级甲等医院A、B 2个院区的全部护理专业本科实习学生（以下简称“学生”）为研究对象,A院区共276名学生为试验组,B院区共293名学生为对照组,试验组在传统带教基础上应用软件开展临床技能培训,对照组采用传统带教方式,比较两组岗前、实习2个月后的临床技能操作考核成绩。同时调查应用软件2个月后试验组学生及带教教师对软件的满意度。结果实习2个月后试验组13项临床技能操作考核平均成绩高于对照组（P<0.001）,且高于其岗前成绩（P<0.001）。94.81%的学生对软件评价处于高满意度水平,91.33%的带教教师对软件评价处于高满意度水平。结论应用该软件能有效提高学生临床技能培训效果,丰富临床护理技能教学方法,学生及带教教师对该软件总体及各维度评价较高。

关键词: 临床实习, 技能培训, 游戏化教学, 护理实习生, 软件开发

Abstract:

Objective The research aims to develop and apply clinical nursing skills training software to explore new methodology in clinical nursing practice. Methods Based on the gamified learning theory,combined with integrations of knowledge concerning clinical nursing skills,a mobile teaching software compatible with a variety of operating system was developed. The software was divided into 2 ports,consisting of 6 modules,covering 13 clinical nursing skills operations. All undergraduate students majoring in nursing,who took internships in 2 hospital districts labeled as A and B of an affiliated hospital of university in Qingdao from May to July in 2020,were selected as research subjects by cluster sampling,with 276 students in district A as the experimental group and 293 students in district B as the control group. The experimental group was trained by the game software for clinical nursing skills training on the basis of traditional teaching approaches,while the control group was only implemented with traditional teaching means. The performance evaluations of clinical skills between the 2 groups were compared separately before-post and after two-month internships. Degrees of satisfaction of teachers and students in the experimental group was investigated after using the software for 2 months. Results The average evaluation scores of 13 clinical skill operations in the experimental group were significantly higher than those in the control group after two-month internships（P<0.001）,and the mean scores of 13 clinical skills operations in the experimental group were also considerably higher than those before-post（P<0.001）. Student satisfaction with the whole software ran at 94.81% and teacher satisfaction achieved 91.33%. Conclusion The application of the software could effectively enhance training outcomes of clinical skills for students and profoundly enrich the methodology of teaching clinical nursing skills. The software was rated highly by students and teachers from all and each dimensions.

Key words: Clinical Internship, Skills Training, Gamified Learning, Nursing Students, Software Engineering

孙彤, 魏丽丽, 谷如婷, 张艳, 李倩倩, 王丝瑶. 临床护理技能培训教学软件的开发及应用研究[J]. 中华护理杂志, 2022, 57(10): 1225-1230.

SUN Tong, WEI Lili, GU Ruting, ZHANG Yan, LI Qianqian, WANG Siyao. Development and applications of software for clinical nursing skills training[J]. Chinese Journal of Nursing, 2022, 57(10): 1225-1230.

图/表 2

参考文献 23

[1]	丁姣姣, 李艳, 刘梅梅. 护理本科生实习参与度现状及影响因素研究[J]. 护理学杂志, 2021, 36(13):73-75.
	Ding JJ, Li Y, Liu MM. Current situation and influencing fac-tors of nursing students’clinical participation[J]. J Nurs Sci, 2021, 36(13):73-75.
[2]	张秀婷, 何登鑫, 侯丹华, 等. 护理实习生专业自我概念的影响因素分析[J]. 中华护理教育, 2019, 16(11):851-855.
	Zhang XT, He DX, Hou DH, et al. Influencing factors of professional self-concept among nursing interns[J]. Chin J Nurs Educ, 2019, 16(11):851-855.
[3]	肖惠敏, 姜小鹰, 李红, 等. 全程化递进式“四位一体”护理实践教学体系的创建与实施[J]. 中华护理教育, 2019, 16(1):31-34.
	Xiao HM, Jiang XY, Li H, et al. Development and evaluation of an integrated step-by-step nursing practical teaching program[J]. Chin J Nurs Educ, 2019, 16(1):31-34.
[4]	Pront L, McNeill L. Nursing students’ perceptions of a clinical learning assessment activity:‘linking the puzzle pieces of theory to practice’[J]. Nurse Educ Pract, 2019, 36:85-90. DOI URL
[5]	国务院办公厅. 国务院办公厅关于深化医教协同进一步推进医学教育改革与发展的意见[J]. 国务院公报, 2017 (21):13-17.
	General Office of the State Council. Opinions of the General Office of the State Council on furthering the reform and development of medical education through the coordination of medical education[J]. Gazette State Counc People’s Repub China, 2017(21):13-17.
[6]	褚婕, 严敏, 余嘉欣. 虚拟现实技术+沉浸体验式学习模式在血管外科护理实践教学中的应用[J]. 护理研究, 2020, 34(10):1804-1806.
	Chu J, Yan M, Yu JX. Application of virtual reality+immersive experience learning model in nursing practice teaching of vascular surgery[J]. Chin Nurs Res, 2020, 34(10):1804-1806.
[7]	刘齐, 刘桂瑛, 苏丽西, 等. 虚拟仿真技术联合网络教学用于基础护理学实践教学[J]. 护理学杂志, 2019, 34(24):71-73.
	Liu Q, Liu GY, Su LX, et al. Application of virtual simulation technology combining with network teaching in the teaching of fundamentals of nursing[J]. J Nurs Sci, 2019, 34(24):71-73.
[8]	谭运文, 方郁岚, 张辉, 等. 体验式教学在麻醉护理临床实践培训中的应用[J]. 护士进修杂志, 2021, 36(19):1760-1766.
	Tan YW, Fang YL, Zhang H, et al. Application of experiential teaching in clinical practice training of anesthesia nursing[J]. J Nurses Train, 2021, 36(19):1760-1766.
[9]	姜兆权, 包丹丹. 合作式情景模拟教学模式在康复护理实践教学中的应用[J]. 中国医学教育技术, 2020, 34(3):396-399.
	Jiang ZQ, Bao DD. Application of cooperative scenario simulation teaching mode in rehabilitation nursing teaching[J]. China Med Educ Technol, 2020, 34(3):396-399.
[10]	Zhang FY, Zhao L, Zeng YL, et al. A comparison of inquiry-oriented teaching and lecture-based approach in nursing ethics education[J]. Nurs Educ Today, 2019, 79:86-91. DOI URL
[11]	Milner KA, Cosme S. The PICO game:an innovative strategy for teaching step 1 in evidence-based practice[J]. Worldviews Evid Based Nurs, 2017, 14(6):514-516. DOI URL
[12]	胡晓玲, 赵凌霞, 李丹, 等. 游戏化教学有效性的系统评价与元分析[J]. 开放教育研究, 2021, 27(2):69-79.
	Hu XL, Zhao LX, Li D, et al. Effectiveness of game-based tea-ching:a systematic review and meta-analysis[J]. Open Educ Res, 2021, 27(2):69-79.
[13]	李小寒, 尚少梅. 基础护理学[M]. 6版. 北京: 人民卫生出版社, 2017.
	Li XH, Shang SM. Basic nursing[M]. 6th ed. Beijing: People’s Medical Publishing House, 2017.
[14]	高玉芳, 魏丽丽, 修红. 临床实用护理技术操作及常见并发症预防与处理规范[M]. 4版. 北京: 科学出版社, 2021.
	Gao YF, Wei LL, Xiu H. Clinical practice nursing technique operation and common complication prevention and treatment standard[M]. 4th ed. Beijing: Science Press, 2021.
[15]	李云芳, 齐卫东. 临床护理技能学[M]. 2版. 北京: 人民卫生出版社, 2017.
	Li YF, Qi WD. Clinical nursing skills[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2017.
[16]	黄杰, 马琳. 论软件产品的用户体验性测试[J]. 中国金融电脑, 2017(5):64-66.
	Huang J, Ma L. On user experience testing of software products[J]. Financ Comput Chin, 2017(5):64-66.
[17]	罗丹萍, 周加仙, 付炳建, 等. 教育游戏在课堂教学中的应用:教育神经科学的视角[J]. 教育生物学杂志, 2021, 9(3):226-233.
	Luo DP, Zhou JX, Fu BJ, et al. Application of educational games to classroom teaching:from perspective of educational neuroscience[J]. J Bio Educ, 2021, 9(3):226-233.
[18]	张艳云. 混合式教学在基础护理学课程中的应用[J]. 中华护理教育, 2018, 15(3):196-199.
	Zhang YY. The effects of blended teaching mode applied in fundamentals of nursing[J]. Chin J Nurs Educ, 2018, 15(3):196-199.
[19]	杨惠敏, 马丽丽, 陈志兰, 等. 混合式教学在护理学基础课程中的应用[J]. 中华护理教育, 2019, 16(4):254-257.
	Yang HM, Ma LL, Chen ZL, et al. The effects of blended teaching applied in the fundamentals of nursing[J]. Chin J Nurs Educ, 2019, 16(4):254-257.
[20]	赵永乐, 何莹, 蒋宇, 等. 教师对教育游戏的接受度与技术接受路径模型研究:基于509份调查数据的因子和路径分析[J]. 远程教育杂志, 2019, 37(6):100-110.
	Zhao YL, He Y, Jiang Y, et al. Research on teachers’ acceptance degree and technology acceptance path model of educational games:factor analysis and path analysis based on 509 survey data[J]. J Distance Educ, 2019, 37(6):100-110.
[21]	李春, 向家艮, 谭益冰. 基于微信平台的混合式教学模式在临床护理技能课教学中的应用[J]. 护理研究, 2020, 34(12):2208-2211.
	Li C, Xiang JG, Tan YB. Application of mixed teaching mode based on Wechat platform in teaching of clinical nursing skill[J]. Chin Nurs Res, 2020, 34(12):2208-2211.
[22]	邓菲菲, 邓辉. 信息化背景下以问题为中心标准化患者及情景模拟教学法在急救护理实践教学中的应用研究[J]. 山西医药杂志, 2018, 47(22):2730-2732.
	Deng FF, Deng H. Research on the application of problem-centered standardized patient and situational simulation teaching method in first-aid nursing practice teaching under information background[J]. Shanxi Med J, 2018, 47(22):2730-2732.
[23]	李红梅, 田朝霞, 张红, 等. 虚拟仿真训练在基础护理学教学中的应用[J]. 中华护理杂志, 2017, 52(3):275-279.
	Li HM, Tian ZX, Zhang H, et al. Application of virtual simulation technology in basic nursing teaching[J]. Chin J Nurs, 2017, 52(3):275-279.