赛教融合背景下护生临床思维能力培养的教学设计

护理技能竞赛是临床护理发展的风向标，竞赛所展示的教学理念、命题形式及评价体系等都对护理教学有很强的借鉴性。本文介绍了在赛教融合背景下，在护理综合实训中借鉴STEM科学（Science）、技术（Technology）、工程（Engineering）、数学（Mathematics）四门学科英文首字母的缩写]教育理念将护理专业相关课程根据要解决的问题及目标进行知识选取和整合，以临床病例为载体或主线创建现实问题情景，再以Tanner临床判断模式引导学生对病例进行综合分析，帮助学生培养临床思维能力和综合实践能力，旨在缩小在校学习内容与临床护理工作的差距，帮助护生尽快适应临床实习。

Teaching design for the development of clinical thinking ability in nursing students in the context of integration of competition and education

Nursing skill competitions are the wind vane for clinical nursing development, and the teaching concepts, proposition forms, and evaluation systems demonstrated by competitions have a strong reference value for nursing teaching. This article introduces the knowledge selection and integration from nursing-related courses according to the problems and objectives to be solved by drawing on the STEM education concept in comprehensive nursing practical training in the context of integration of competition and education. Realistic problem scenarios can be created with clinical cases as the carrier or main line, and then the Tanner clinical judgment model is used to guide students to conduct a comprehensive analysis of cases, thereby helping students to develop clinical thinking ability and comprehensive practical skills, so as to bridge the gap between the contents learned at school and nursing work in clinical practice and help nursing students adapt to clinical practice as soon as possible.