臨床教學中應用社交媒體培養(yǎng)護生評判性思維能力的研究
本文選題:護生 + 社交媒體; 參考:《昆明醫(yī)科大學》2017年碩士論文
【摘要】:[目的]探討如何將社交媒體應用于臨床護理輔助教學中,實現(xiàn)在臨床護理教學模式引導下運用社交媒體網(wǎng)絡微信平臺啟發(fā)護生臨床思維和提高評判性思維能力,建立具備互聯(lián)網(wǎng)特色的創(chuàng)新型臨床護理教學新模式,為臨床護理教學的革新和臨床護理教學質(zhì)量的提高提供參考和依據(jù)。[方法]建立微信社交媒體平臺。采取實驗性干預研究,進行整群抽樣的方法,選取2015年6月-2016年5月在我院實習的全體護生共134人為調(diào)查對象進行分組,將實習生按進入實習的時間順序進行編號,隨機將67名護生分為實驗組,67名護生分為對照組。對照組:采用常規(guī)的臨床護理教學模式,此模式包括“崗前培訓、一對一帶教和?菩≈v課、護理病歷、教學查房”。研究組教學模式:在常規(guī)臨床護理教學模式的基礎(chǔ)上,采用微信平臺應用于臨床護理教學相結(jié)合的實習方式,建立護生微信公眾平臺,分為系統(tǒng)管理、資源共享、業(yè)務管理三大模塊。護理教研室專職管理員、科室?guī)Ы探處、護生各自相對應權(quán)限參與到平臺的維護管理。調(diào)查工具采用一般資料調(diào)查表和評判性思維能力測量表(CCTDI-CV)。于實習前期和后期分別對對照組和研究組護生進行問卷調(diào)查。采用SPSS17.0統(tǒng)計軟件對資料進行統(tǒng)計學分析,統(tǒng)計方法包括描述性統(tǒng)計分析、兩獨立樣本t檢驗、卡方檢驗、和配對t檢驗,比較對照組護生和研究組護生實習前期和后期評判性思維能力。[結(jié)果]1.兩組護生中,對照組67人與研究組67人的一般情況比較,差異無統(tǒng)計學意義(P0.05)。2.兩組護生實習后期的評判性思維能力比較,研究組評判性思維總評分為(288.07±18.97)分,高于對照組(250.97±26.68)分,差異有統(tǒng)計學意義(P0.05);研究組7個維度得分高于對照組,除“分析能力、系統(tǒng)化能力”維度無統(tǒng)計學意義(P0.05),余各維度比較,差異具有顯著統(tǒng)計學意義。3.研究組護生實習后期評判性思維總評分為(278.67±25.33)分,高于實習前期(239.82± 11.63)分,差異具有統(tǒng)計學意義P0.05,實習后期評判性7個維度得分均高于實習前期,差異有統(tǒng)計學意義P0.05。[結(jié)論]1.目前我院護生的評判性思維能力總體表現(xiàn)為正性傾向,表明我省的高等護理教育在評判性思維能力的培養(yǎng)方面發(fā)揮了一定的作用“但是護生缺乏尋求真相、思想不開放、評判性思維的自信心不高、求知欲不強、認知成熟度有待提高,顯現(xiàn)現(xiàn)有的臨床護理教育教學模式存在一定的弊端,對護生在這幾個方面的培養(yǎng)沒有起到一定的促進輔助作用。2.社交媒體在臨床護理輔助教學中的開展,有利于提高研究組護生的評判性思維能力,研究組護生的評判性思維能力果優(yōu)于對照組護生。3.運用微信平臺啟發(fā)護生臨床思維和提高評判性思維能力,使研究組護生實習后期在評判性思維中尋求真相、分析能力系統(tǒng)化能力、評判性思維自信心、求知欲、認知成熟度均得到提高,實習后期的評判性思維能力達到正性能力,教實習前期有較大的提高。4.在護理臨床實踐教學中運用社交媒體網(wǎng)絡平臺改革臨床護理教學模式,為護生評判性思維能力的培養(yǎng)起到積極的促進作用;為護理臨床實習教學內(nèi)容、方法的改進提供依據(jù),也為護理教育提供了一種新途徑和模式。
[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.
【學位授予單位】:昆明醫(yī)科大學
【學位級別】:碩士
【學位授予年份】:2017
【分類號】:G434;R47-4
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