OBE联合TBL教学在儿科急危重症护理实习教学中的应用研究

目的 探讨成果导向教育（outcome based education，OBE）联合以团队为基础的学习（team-based learning，TBL）在儿科急危重症护理实习教学中的应用价值。方法 选取在空军军医大学第一附属医院儿科重症监护病房（pediatric intensive care unit，PICU）实习的84名护生，对照组41名护生采用传统教学；观察组43名护生采用OBE联合TBL教学。教学后评估两组护生理论知识、实践操作能力、临床思维能力及自主学习能力，对比两组护生对教学的满意度与参与度。使用SPSS 22.0进行t检验和卡方检验。结果 教学后，观察组护生的理论知识、实践操作能力及自主学习能力均优于对照组（P<0.05）；观察组护生各项学习参与度（认可、行为、情感）评分均高于对照组（P<0.05）；观察组护生对课堂效果、知识掌握程度和学习兴趣的满意度评分均高于对照组（P<0.05）。结论 OBE联合TBL教学应用于PICU护生带教中，可有效提高学生自主学习能力及参与度，更有利于学生了解PICU护理重点，提高其实践操作能力。

Application of outcome-based education combined with team-based learning in practice teaching of pediatric emergency and critical care nursing

Objective To investigate the application value of outcome-based education (OBE) combined with team-based learning (TBL) in the practice teaching of pediatric emergency and critical care nursing.Methods A total of 84 nursing students who studied in the pediatric intensive care unit (PICU) of The First Affiliated Hospital of Air Force Medical University were selected and divided into control group and observation group. The 41 nursing students in the control group received traditional teaching, and the 43 nursing students in the observation group received OBE+TBL teaching. The two groups were assessed in terms of theoretical knowledge, practical operation ability, clinical thinking ability, and self-learning ability after teaching, and the degrees of satisfaction with teaching and participation in teaching were compared between the two groups. SPSS 22.0 was used for the t-test and the chi-square test.Results After teaching, the observation group had significantly better theoretical knowledge, practical operation ability, and self-learning ability than the control group (P<0.05). Compared with the control group, the observation group had significantly higher scores of learning engagement (recognition, behavior, emotion) (P<0.05) and satisfaction with classroom effect, knowledge mastery, and learning interest (P<0.05).Conclusion The application of OBE+TBL teaching in PICU nursing students can effectively improve their self-learning ability and participation and help them to understand PICU nursing priorities and improve their practical operation ability.