基于真实临床病例的7E教学模式在护生查房中的效果评价：准实验研究

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-03-01 DOI:10.1016/j.nepr.2025.104316

Tao Xu , Liping Cui , Chao Li

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引用次数: 0

摘要

目的评价基于真实临床病例的7E教学模式在护生查房中的效果。护理查房是临床教学的重要组成部分，旨在加强专业知识，培养批判性思维和提高实践技能。然而，传统的以教师为中心的学习方式往往导致被动学习和低效率。因此，探索吸引学生的方法，促进学生主动学习，培养临床推理和实践能力是至关重要的。DesignQuasi-experimental研究。方法选取2022年7月~ 2023年4月参加临床实习的护生50名作为对照组，进行传统查房。另外52名从2023年7月到2024年4月在同一家医院实习的学生组成了实验组，并使用真实临床病例进行了基于7E模型的查房。比较两组患者的批判性思维、自我效能感和临床实践能力。采用nursing - mini - cex量表对临床实践进行评估，包括护理访谈、体格检查、护理诊断、护理干预、健康咨询、人文关怀、组织效能和综合评价八个维度。数据分析采用SPSS 27.0软件，采用t检验和卡方检验。结果干预后，实验组的批判性思维、自我效能感和临床实践能力均显著高于对照组（P <； 0.05）。结论基于真实临床案例的7E教学模式比传统的round教学模式更有效，能显著提高护生的批判性思维、自我效能感和临床实践能力。

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Effect evaluation of the 7E teaching model based on real clinical cases in nursing students' clinical rounds: A quasi-experimental study

Aim

To evaluate the effectiveness of the 7E teaching model based on real clinical cases in nursing students' clinical rounds.

Background

Nursing rounds, as an integral component of clinical teaching, are designed to reinforce professional knowledge, foster critical thinking and enhance practical skills. However, the traditional teacher-centered approach often results in passive learning and low efficiency. Therefore, it is crucial to explore methods that engage students, promote active learning and cultivate clinical reasoning and practical abilities.

Design

Quasi-experimental study.

Methods

Fifty nursing students who participated in clinical internships from July 2022 to April 2023 were assigned to the control group, receiving traditional rounds. An additional 52 students, who interned at the same hospital from July 2023 to April 2024, formed the experimental group and received rounds based on the 7E model using real clinical cases. Critical thinking, self-efficacy and clinical practice abilities were compared between the two groups. Clinical practice was assessed using the Nursing-Mini-CEX scale, covering eight dimensions: nursing interview, physical examination, nursing diagnosis, nursing interventions, health consultation, humanistic care, organizational effectiveness and overall evaluation. Data were analyzed using SPSS 27.0 software with t-tests and chi-square tests.

Results

After the intervention, the experimental group demonstrated significantly higher critical thinking, self-efficacy and clinical practice abilities compared with the control group (P < 0.05).

Conclusion

The 7E teaching model based on real clinical cases is more effective than the traditional round approach, significantly enhancing nursing students' critical thinking, self-efficacy and clinical practice abilities.

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.