目的:探讨临床护理课程改革对护生职业核心胜任力的影响.方法:随机抽取护理普通本科和高职本科各1个班,实施课程改革;另抽取1个高职本科班作为对照.采用护士核心胜任力界定工具评价改革效果.结果:参加课程改革的高职本科护生其专业建设与发展能力维度得分显著高于未参加者(t=-2.109,P=0.037);普通本科护生在胜任力总分和良好的个人特质维度得分方面显著高于高职本科护生(P＜0.05).结论:临床护理课程改革对提升高职本科护生的职业核心胜任力有效,但差于普通本科.

Objective:To implement theoretical practice all-in-one teaching in curriculum integration of medical and surgical nursing and explore the inlfuence of the implementation on educational environment. Methods:The theoretical practice all-in-one teaching method was designed and implemented through the combination of students' autonomous exploration, group discussion and clinical scene learning under the background of curriculum integration of medical and surgical nursing. From teachers and students investigation, education environments of traditional teaching and theoretical practice all-in-one teaching were evaluated. Results:The education environment of theoretical practice all-in-one teaching got high scores from both the teachers and students (3.15±0.13&3.04±0.33, respectively). There were signiifcant differences between the new teaching method and the traditional one (P<0.01).Conclusions:Theoretical practice all-in-one teaching could be an effective method in this context of curriculum integration. But it still needed deep exploration on mobilization, professional emotional education, communication skills training and so on.

随着现代医学科学技术的不断进步，学科之间的相互交叉、相互融合、相互渗透也越来越显得突出，随着我国经济社会的快速发展和人民生活水平的提高，人们对健康的要求也越来越高。只有改革护理学专业的课程体系、教学内容和教学模式，才能培养出高素质的适用型人才，以适应医学科学和经济社会的发展，满足人们对健康的要求。滨州医学院自2009年起对5年制护理学本科进行临床护理课程体系与教学内容综合改革和整合实践的研究，经过5年的教学实践，已形成了较成熟的以生命周期为基础的临床护理课程体系及教学内容，积累了一定的改革经验，现报告如下。

Objective To apply teaching integration of theory and practice in curriculum integration of medical and surgical nursing,in order to improve staff-students' satisfaction and promote teaching quality of curriculum integration.Methods The teaching method was designed as the combination of autonomous learning,entering the clinical scene and centralized instructions,and was applied into teaching integration of theory and practice in curriculum integration of medical and surgical nursing in grade 2009 undergraduates.Teachers and students were investigated by the satisfaction questionnaire.Results The students got high average score which was (90.20±2.72) points in the examination of teaching integration of theory and practice.The total satisfaction degree showed significant difference between the normal teaching mode and the new one.Conclusions As an explored innovative teaching mode,teaching integration of theory and practice can well arouse staff-students' learning enthusiasm,promote teaching quality.It is the requirement of curriculum integration and be worthy of being developed.

Objective To explore the reform effects of medical-surgical nursing curriculum integration,and to provide reference for the independent curriculum system and the mode of cultivating talents which is suitable for higher nursing education in our country.Methods we studied 251 undergraduate nursing students in grade 2007 and grade 2008 by cluster sampling.The integration of medical and surgical nursing course was executed during nursing teaching.After the course,we applied self-designed questionnaire to investigate nursing student attitude to the teaching reform.Results 74.19% nursing students thought that curriculum integration increased interdisciplinary knowledge connection.77.42% nursing students thought that interdisciplinary repeat content was reduced.More than 60% nursing students thought that problem solving ability,innovation ability and independent learning capability were improved.64.52% nursing students thought that curriculum integration contributed to actively participating in classroom teaching.Conclusions Teaching of medical-surgical nursing curriculum integration may be save teaching time,improve the students' comprehensive quality,promote the teachers' comprehensive development,promotes the interaction between teachers and students.At the same time,we should take measures to strengthen teacher team construction,perfect the evaluation system,construct a reasonable teaching mode,research and write teaching materials,etc.

目的探索以系统为基础的内外科护理学课程整合方法及效果。方法将2008级护理本科生220名随机分为观察组和对照组各110名,观察组采取以系统为基础的内外科护理学整合的课程进行教学,对照组采取传统以学科为中心的课程进行教学。结果观察组考核成绩显著高于对照组,70%以上学生普遍认为整合后的课程有利于提高课堂教学效果、知识的应用及能力的培养。结论以系统为基础的内外科护理学整合的课程设置优于传统的以学科为基础的课程设置,可提高教学质量。

我们在2000年～2001年外科护理学教学中,进行了改革课堂教学方法与培养学生能力的探索.将171名学生分成两组,实验组111人,对照组60人,分别采用传统的教学方法和改革后的教学方法,并分别在学期初和学期末对学生进行能力测评,数据用PEMS进行统计学处理.结果显示,实验组学生学期末的能力测评结果明显优于对照组学生.