ADDIE教学设计模式在手术室护理临床教学中的应用及效果分析

钱黄静 汤晓芬 陈玉芬 朱幸洁 张丽青

[关键词] ADDIE模式;教学设计;手术室护理;临床教学

[中图分类号] R47-4          [文献标识码] B          [文章编号] 1673-9701（2021）29-0159-03

Application and effect analysis of ADDIE teaching design model in clinical nursing teaching of the operating room

QIAN Huangjing   TANG Xiaofen   CHEN Yufen   ZHU Xingjie   ZHANG Liqing

Operating Room， The First Affiliated Hospital of Wenzhou Medical University， Wenzhou   325000， China

[Abstract] Objective To study the application effect of ADDIE teaching design model in clinical teaching of nursing practice in the operating room. Methods The nursing students admitted to our department from July 2020 to December 2020 were selected. According to the practice grouping method of the Nursing Department， a batch of nursing students entered the operating room for internship each month. The patients were randomly divided into the control group and the observation group using the envelope method. The observation group adopted the ADDIE teaching design model. The control group adopted the traditional unified entrance training and was assigned to the teaching teacher for one-on-one teaching. The formative evaluation indexes， the theories of passing courses and the performance assessment results of nursing students in the control group and the observation group were compared. Results The formative evaluation score of the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. The observation group's objective structured clinical examination score was higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion The application of ADDIE model in operating room nursing practice clinical teaching can improve the quality of operating room nursing teaching， and provide a basis for the popularization and application of ADDIE teaching design model in operating room nursing practice clinical teaching.

[Key words] ADDIE model;Teaching design;Operating room nursing;Clinical teaching

護理实习生到临床是护理教育的重要阶段，是学校教育的延续，是将护理理论与实践相结合的过程，实习的结果直接关系到护理队伍的整体水平。手术室是临床实践的重点科室，是医院中专业性很强的特殊护理单元，有着环境较特殊、涉及理论知识面广、操作专科性强、无菌技术要求严格、工作节奏快等工作性质和特点，如何让护理实习学生尽快掌握手术室的各种专业理论知识和操作技能、提高手术室临床护理教学的质量是手术室临床教学一直关注的问题。目前的临床教学方法已呈现出多样化，但仍存在教学目标不能真实体现学生需求、缺乏系统教学设计与专业教学团队的建立、临床教学评价匮乏等问题。ADDIE模式是由世界著名教育技术学专家罗伯特·加涅（Robert M.Gagnè）提出的研究教育、教学及培训的模型[1-4]。ADDIE教学设计模式应用于2020年7月—12月来院手术室护理实习临床教学中，取得较好的效果，现报道如下。

1 资料与方法

1.1 一般资料

选择本院2020年7—12月进入手术室临床学习的护理实习生。纳入标准：①护理实习生;②知情同意并自愿参加本研究者;③完成手术室实习周期。排除标准：①同意参加试验但干预期间未能全程参与者;②未能正常完成手术室实习任务者。按研究标准纳入研究对象138例，按护理部的实习分组法23人每小组，使用信封法随机分成对照组和观察组。……