现代医药卫生2025，Vol.41Issue(4)：967-974,8.DOI:10.3969/j.issn.1009-5519.2025.04.032
基于OBE理念的实习护生核心能力培养效果的系统评价
Systematic evaluation of the effect of core competence development of practicing nursing students based on OBE concepts
摘要
Abstract
Objective To systematically evaluate the training effect of core competence of nursing students under the concept of Outcome-Based Education(OBE).Methods Randomized controlled trials on the effects of various teaching modes based on the OBE concept on the development of core competencies of nurs-ing students in practice at the current stage were searched in PubMed,Web of Science,Cochrane Library,Em-base,China Knowledge Network,Wanfang,China Biomedical Literature Database,VIP Database,with a search timeframe of January 2024 for each database.Literature was independently screened,data extracted and quality evaluated by two trained researchers,and meta-analysis was performed using RevMan5.3 software.Results A total of 1 416 intern nursing students were included in 16 papers.Meta-analysis showed that the introduction of the OBE concept could improve the core competencies of nursing students in the clinical practice phase[mean difference(MD)=15.59,95％CI 5.84-25.34,P=0.002],and the more significant improvements in the core competencies were the effect of theory teaching[standardized mean difference(SMD)=1.74,95％CI 1.19-2.29,P＜0.000 01],clinical skills effect(SMD=1.94,95％CI 1.34-2.55,P＜0.000 01),self-direct-ed learning ability(SMD=1.23,95％CI 0.95-1.50,P＜0.000 01),critical thinking ability(SMD=2.98,95％CI 1.05-4.92,P=0.003)and clinical communication skills(SMD=1.75,95％CI 1.00-2.49,P＜0.000 01).However,funnel plots and Egger's tests for theory teaching effects and clinical skills effects sug-gested publication bias in the included literature(P＜0.05),and the cut-and-patch method showed that the re-sults were not affected by publication bias.Conclusion The introduction of the OBE concept in clinical teaching can improve the core competencies of intern nursing students such as theoretical teaching effectiveness,clinical skill ef-fectiveness,independent learning ability,critical thinking ability and clinical communication abilit.关键词
成果导向教育/OBE理念/实习护生/护生核心能力/系统评价Key words
Outcome-based education/OBE concept/Practice nursing students/Core competence of nursing students/System evaluation分类
社会科学引用本文复制引用
周萍,邓润菊..基于OBE理念的实习护生核心能力培养效果的系统评价[J].现代医药卫生,2025,41(4):967-974,8.基金项目
陆军军医大学校级教学改革课题(2023B27). （2023B27）
