国际医药卫生导报2025，Vol.31Issue(9)：1579-1584,6.DOI:10.3760/cma.j.cn441417-20240611-09033
基于桑代克学习理论的情景教学联合实境考核在NICU护士教学中的应用
Application of situational teaching based on Thorndike's law of learning combined with real-case-based test in teaching for nurses in NICU
摘要
Abstract
Objective To explore the effects of the situational teaching method based on Thorndike's learning theory combined with real-case assessment training on the core competencies and teaching satisfaction of newly hired nurses in the Neonatal Intensive Care Unit(NICU).Methods A prospective study was conducted involving newly hired nurses in the NICU at Henan Children's Hospital,Zhengzhou Children's Hospital,from January 2021 to December 2022.51 nurses who joined the NICU from January to December 2021 were included in the control group,while 51 nurses who joined from January to December 2022 were included in the experimental group.The control group comprised 2 males and 49 females,the age was(20.14±1.03)years old.There were 20 nurses with a junior college education,21 with a bachelor's degree,and 10 with a graduate degree,all receiving traditional teaching methods.The experimental group consisted of 1 male and 50 females,the age was(20.07±1.11)years old.This group included 18 nurses with a junior college education,24 with a bachelor's degree,and 9 with a graduate degree,who received situational teaching methods based on Thorndike's learning theory combined with real-case assessment training.The teaching period for both groups was one month.Assessment scores(theoretical tests and practical operation tests),core competencies,psychological states,and teaching satisfaction were compared between the two groups.x2 test and t test were used for statistical analysis.Results After the intervention,the theoretical and practical operation scores of the experimental group were higher than those of the control group[(81.52±8.66)points vs.(72.78±7.85)points,(82.11±8.36)points vs.(70.62±7.25)points],with statistically significant differences(t=5.340,7.415,both P＜0.001).The core competency assessment scores in the experimental group for assessment and intervention,communication,critical thinking,interpersonal skills,management,leadership,teaching,and comprehensive knowledge were(3.02±0.31,4.02±0.43,2.78±0.33,4.68±0.31,2.78±0.30,2.81±0.29,2.78±0.30,3.54±0.36)points,compared to the control group scores of(2.25±0.29,3.58±0.37,2.11±0.23,4.02±0.43,2.21±0.23,2.17±0.23,2.31±0.24,3.01±0.33)points,showing statistically significant differences(all P＜0.05).In the experimental group,the scores on the burnout scale for personal accomplishment,depersonalization tendency,and emotional exhaustion were(40.11±4.42,22.47±2.36,47.89±5.32)points,while the control group scores were(32.14±3.56,16.21±1.87,42.18±4.52)points,with significant differences(t=10.029,14.847,5.841,all P＜0.001).The overall teaching satisfaction rate in the experimental group was higher than that of the control group[98.04％(50/51)vs.86.27％(44/51)](x2=4.883,P=0.027).Conclusion The situational teaching method based on Thorndike's learning theory combined with real-case assessment training can improve the theoretical and practical operation levels,core competencies,and psychological states of newly hired nurses in the NICU,thereby enhancing teaching satisfaction.关键词
新生儿重症监护室/新入职护士/桑代克学习理论/情景教学/实境考核/核心能力Key words
Neonatal intensive care unit/Newly hired nurses/Thorndike's learning theory/Situational teaching/Real-case assessment/Core competencies引用本文复制引用
陈玉,端木艳艳,刘彦彦,蒋名丽..基于桑代克学习理论的情景教学联合实境考核在NICU护士教学中的应用[J].国际医药卫生导报,2025,31(9):1579-1584,6.基金项目
河南省医学教育研究项目(Wilx2021434) Henan Medical Education Research Project(Wilx2021434) （Wilx2021434）
