临床教学中应用社交媒体培养护生评判性思维能力的研究

发布时间：2018-06-20 14:52

本文选题：护生 + 社交媒体　；参考：《昆明医科大学》2017年硕士论文

【摘要】：[目的]探讨如何将社交媒体应用于临床护理辅助教学中,实现在临床护理教学模式引导下运用社交媒体网络微信平台启发护生临床思维和提高评判性思维能力,建立具备互联网特色的创新型临床护理教学新模式,为临床护理教学的革新和临床护理教学质量的提高提供参考和依据。[方法]建立微信社交媒体平台。采取实验性干预研究,进行整群抽样的方法,选取2015年6月-2016年5月在我院实习的全体护生共134人为调查对象进行分组,将实习生按进入实习的时间顺序进行编号,随机将67名护生分为实验组,67名护生分为对照组。对照组:采用常规的临床护理教学模式,此模式包括“岗前培训、一对一带教和专科小讲课、护理病历、教学查房”。研究组教学模式:在常规临床护理教学模式的基础上,采用微信平台应用于临床护理教学相结合的实习方式,建立护生微信公众平台,分为系统管理、资源共享、业务管理三大模块。护理教研室专职管理员、科室带教教师、护生各自相对应权限参与到平台的维护管理。调查工具采用一般资料调查表和评判性思维能力测量表(CCTDI-CV)。于实习前期和后期分别对对照组和研究组护生进行问卷调查。采用SPSS17.0统计软件对资料进行统计学分析,统计方法包括描述性统计分析、两独立样本t检验、卡方检验、和配对t检验,比较对照组护生和研究组护生实习前期和后期评判性思维能力。[结果]1.两组护生中,对照组67人与研究组67人的一般情况比较,差异无统计学意义(P0.05)。2.两组护生实习后期的评判性思维能力比较,研究组评判性思维总评分为(288.07±18.97)分,高于对照组(250.97±26.68)分,差异有统计学意义(P0.05);研究组7个维度得分高于对照组,除“分析能力、系统化能力”维度无统计学意义(P0.05),余各维度比较,差异具有显著统计学意义。3.研究组护生实习后期评判性思维总评分为(278.67±25.33)分,高于实习前期(239.82± 11.63)分,差异具有统计学意义P0.05,实习后期评判性7个维度得分均高于实习前期,差异有统计学意义P0.05。[结论]1.目前我院护生的评判性思维能力总体表现为正性倾向,表明我省的高等护理教育在评判性思维能力的培养方面发挥了一定的作用“但是护生缺乏寻求真相、思想不开放、评判性思维的自信心不高、求知欲不强、认知成熟度有待提高,显现现有的临床护理教育教学模式存在一定的弊端,对护生在这几个方面的培养没有起到一定的促进辅助作用。2.社交媒体在临床护理辅助教学中的开展,有利于提高研究组护生的评判性思维能力,研究组护生的评判性思维能力果优于对照组护生。3.运用微信平台启发护生临床思维和提高评判性思维能力,使研究组护生实习后期在评判性思维中寻求真相、分析能力系统化能力、评判性思维自信心、求知欲、认知成熟度均得到提高,实习后期的评判性思维能力达到正性能力,教实习前期有较大的提高。4.在护理临床实践教学中运用社交媒体网络平台改革临床护理教学模式,为护生评判性思维能力的培养起到积极的促进作用;为护理临床实习教学内容、方法的改进提供依据,也为护理教育提供了一种新途径和模式。
[Abstract]:[Objective] to explore how to apply social media to clinical nursing assistant teaching, and to realize the application of social media network WeChat platform under the guidance of clinical nursing teaching mode to enlighten the nursing students' clinical thinking and improve their critical thinking ability, and to establish a new and innovative new mode of clinical nursing teaching with the characteristics of the Internet for clinical nursing teaching. The improvement of the quality of new and clinical nursing teaching provides reference and basis. [method] establish the WeChat social media platform. Take the experimental intervention research, carry on the cluster sampling method, select the total of 134 students who are intern in our hospital in May -2016 in June 2015 to group the investigation object, and put the interns in the time sequence of entering the practice. 67 nursing students were divided into experimental group randomly and 67 nursing students were divided into control group. The control group was divided into control group. The normal clinical nursing teaching mode was used in the control group. The model included "pre job training, a pair of teaching and specialist small lectures, nursing records, teaching rounds". The teaching model of the research group was used on the basis of conventional clinical nursing teaching mode, using WeChat. The platform is applied to the practice of clinical nursing teaching, and the WeChat public platform of nursing students is established. It is divided into three modules: system management, resource sharing and business management. The nursing teaching and research department is a full-time administrator, the Department is taught by the Department, and the nursing students are involved in the maintenance and management of the platform. The survey tools use the general information questionnaire and evaluation. CCTDI-CV. In the early and late period of practice, a questionnaire survey was conducted between the control group and the study group. The statistical analysis was carried out by the SPSS17.0 statistical software. The statistical methods included descriptive statistical analysis, two independent sample t test, chi square test, and paired t test, compared with the control group and the study of the nursing students. In group]1. two nursing students, 67 in the two groups of the control group compared with the study group, the difference was not statistically significant (P0.05), the critical thinking ability of the late nursing students in group.2. two was compared, the total score of the study group was (288.07 + 18.97), higher than that of the control group (250.97 +). 26.68), the difference was statistically significant (P0.05); the score of 7 dimensions of the study group was higher than that of the control group. There was no statistical significance (P0.05) in the dimension of "analysis ability, systematization ability" (P0.05), and the difference had significant statistical significance. The total score of critical thinking in the post practice period of.3. study group was (278.67 + 25.33), higher than that in the early stage of practice ( 239.82 + 11.63), the difference was statistically significant P0.05, the score of 7 dimensions in the late practice was higher than that in the early stage of practice, and the difference was statistically significant P0.05.[conclusion]1. at present, the critical thinking ability of the nursing students in our hospital was generally positive, which showed that the higher nursing education in our province played a role in the cultivation of the critical thinking ability. There are certain functions "but the nursing students lack the truth, the thought is not open, the confidence of the critical thinking is not high, the desire for knowledge is not strong, the cognitive maturity needs to be improved, and the existing clinical nursing education teaching mode has some disadvantages. It has not played a certain auxiliary role in promoting the training of the nursing students in these aspects of.2. social interaction. The development of media in the auxiliary teaching of clinical nursing helps to improve the critical thinking ability of the nursing students in the study group. The result of the critical thinking ability of the study group is better than the control group.3. using WeChat platform to enlighten the nursing students' clinical thinking and improve the critical thinking ability, so that the late nursing students' internship in the study group is sought in the critical thinking. The truth, the ability to systematize the ability of analysis, the self confidence of critical thinking, the desire for knowledge, the maturity of cognition, and the positive ability of the critical thinking ability in the later period of the internship, there is a great improvement in.4. in the early stage of teaching practice to reform the clinical nursing teaching mode by using the social media network platform in the clinical practice teaching of nursing, and judge the nursing students for the nursing students. The cultivation of sexual thinking ability plays a positive role in promoting, providing a basis for improving the teaching content and methods of nursing clinical practice, and providing a new way and model for nursing education.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：G434;R47-4

【参考文献】