基于CDIO理念的教学模式在心血管护理实践教学中的应用

  目的  探索构思-设计-实现-运行理念(CDIO)指导下的教学模式在心血管专科护理临床实践教学中的应用效果。  方法  将2021年1—12月于蚌埠医学院第一附属医院心血管内科实习的79名护理专业实习生根据病区分为实验组和对照组。心血管2病区38名护理实习生为实验组，采用CDIO临床实践教学法，心血管1病区41名护理实习生为对照组，采用常规模式教学法。2组学生在结束科室实习任务后完成理论、操作技能考核，完成对护理程序4个过程、人文关怀能力等8个维度的临床实践能力评价; 对2组带教老师进行临床教学质量评价。  结果  实验组理论考核成绩、操作技能考核成绩(95.61±1.59)分、(95.12±1.22)分]高于对照组(76.07±8.91)分、(94.34±1.61)分]，差异有统计学意义(均P < 0.05)。临床实践能力考核方面，实验组学生在护理程序、人文关怀能力以及整体等8个维度明显优于对照组，差异有统计学意义(均P < 0.001)。实验组教学质量测评得分(96.89±1.31)分]高于对照组(90.46±1.46)分]，差异有统计学意义(P＜0.001)。  结论  基于CDIO理念下教学模式能够激发护理专业实习生自主学习的能力，促进理论和实践的有机结合，提高其综合运用理论知识分析和解决实际问题的能力，提升教学效果。 

Application of teaching mode based on CDIO concept in cardiovascular nursing practice teaching

  Objective  To explore the application effect of Conception-Design-Implementation-Operation (CDIO) teaching mode in clinical practice teaching of cardiovascular specialty nursing.  Methods  Based on the CDIO concept, a teaching team and teaching cases were established in the course practice teaching of cardiovascular nursing and applied to clinical practice. Seventy-nine nursing interns enrolled in Cardiovascular Medicine Department of the First Affiliated Hospital of Bengbu Medical College from January to December 2021 were randomly divided into experimental group and control group by simple grouping. In the experimental group, 38 people adopted CDIO clinical practice teaching method, and 41 people in the control group adopted conventional teaching method. The two groups of students completed the assessment of theory and operation skills after finishing the department internship task, and completed the evaluation of clinical practice ability of 8 dimensions, including four processes of nursing procedure and humanistic care ability. The clinical teaching quality of the two groups of teachers was evaluated.  Results  The test scores of theory and operation skills in the experimental group (95.61±1.59) points and (95.12±1.22) points] were higher than those in the control group (76.07±8.91) points and (94.34±1.61) points], and the differences were statistically significant (all P < 0.05). In the assessment of clinical practice ability, the students in the experimental group were significantly better than those in the control group in 8 dimensions including nursing procedures, humanistic care ability and overall, and the differences were statistically significant (all P < 0.001). The scores of teaching quality assessment in the experimental group (96.89±1.31) points] were higher than those in the control group (90.46±1.46) points], and the difference was statistically significant (P < 0.001).  Conclusion  The teaching mode based on CDIO concept can stimulate nursing students'independent learning ability, promote the organic combination of theory and practice, improve nursing students'ability to comprehensively use theoretical knowledge to analyze and solve practical problems, and improve the teaching effect.