《社区护理学》系列教学方法改革的实施及课程评价:以第3版教材为例

目的探讨本学院《社区护理学》教学改革在不同年级护理本科生中的实施效果。方法选择上海交通大学护理学院2009级、2010级和2013级共174名护生为研究对象。开展连续梳理授课内容、逐步采用社区小组评估、社区健康教育参与、家庭健康教育计划制订和学生授课等不同教学方法的尝试。在《社区护理学》课程结束后,所有护生均填写本学院自行设计的课程评价问卷,通过比较不同年级护生对《社区护理学》教学改革的评价情况,分析教学改革方案的实施效果。采用SPSS 20.0进行单因素方差分析,用Student Newman Keuls(S-N-K)法比较各年级间课程评价各项指标的差异。结果在"课程组织""教学内容""教学形式""教学评价"和"教学安排"5个维度各个条目中,2013级和2010级的课程评价得分均高于2009级的课程评价得分(P<0.05)。经过课程改革后,提升了学生对课程组织的满意度;精简教学内容,减少了课程间的重复;实施多样化教学,增强了学生的参与度;采用多元化的评价体系,提高了学生对学习内容的理解;融合不同教学地点和设备,增加了学生体验社区服务的真实感。结论《社区护理学》系列教学改革在调整课程架构、聚焦社区护理、提升学生参与度、综合考核方式、开展多点教学等方面取得了一定的成效,获得学生的认可,为第4版《社区护理学》教学的开展提供参考依据。

Implementation and curriculum evaluation of a series of teaching reforms of "Community Nursing": taking the third edition as an example

Objective To explore the effect of the teaching reform of"Community Nursing"in our school in different grades of nursing undergraduates.Methods A total 174 nursing students in Grade 2009,2010 and 2013,from School of Nursing at Shanghai Jiao Tong University were selected.Various teaching methods were carried out,including continuously carding teaching content,gradually adopting a community assessment approach,participating in community health education,and developing family health education plans and student-centered teaching methods.At the end of the course,all students completed the self-design curriculum evaluation questionnaires.By comparing the evaluation of teaching reform in different grades,the effect of the teaching reform scheme was analyzed.One-way analysis of variance and student Newman Keuls method were performed to compare the differences among different grades with SPSS 19.0 software.Results The scores of the five dimensions of"curriculum organization","teaching content","teaching form","teaching evaluation"and"teaching arrangement"were much higher in Grade 2013 and 2010 than in Grade 2009(P<0.05).After the teaching reform,students'satisfaction with the curriculum organization was improved;simplifying the teaching content reduced the repetition between courses;implementing the diversified teaching form enhanced students'participation;adopting a diversified teaching evaluation system expanded students'understanding of learning content;integrating different teaching locations and equipment brought real service experience to students.Conclusion The series of teaching reforms of"Community Nursing"have achieved positive results in adjusting the curriculum framework,focusing on community nursing,improving students'participation,combining varied assessment methods and developing multiple teaching points and have been recognized by the students,so that the results may provide a reference for the next teaching rounds of"Community Nursing"with the fourth edition.