教学评一体化视域下基于多轨教学模式在肝胆外科护理实习带教中的探索与实践
Exploration and Practice of Teaching Practice in Hepatobiliary Surgery Nursing Based on Multi-Track Teaching Mode from the Perspective of Teaching-Learning-Assessment Integration
DOI: 10.12677/ae.2025.1591670, PDF,    国家自然科学基金支持
作者: 陈洪让, 张玉东, 王 开, 江明媚, 刘 磊*:安徽医科大学第一附属医院普外科,合肥 安徽;王凤杰:安徽医科大学护理学院,合肥 安徽
关键词: 教学评一体化多轨教学模式肝胆外科护理实习带教Teaching-Learning-Assessment Integration Multi-Track Teaching Mode Hepatobiliary Surgery Nursing Practice Teaching
摘要: 随着医学教育的不断发展,护理教育领域亟需创新与改进以适应新时代的需求。现阶段传统的教学模式在多样性和灵活性方面存在一定的局限性,导致护生在实习过程中难以充分发挥潜力。教学评一体化为解决传统教学模式下评估与教学脱节的问题提供了新的思路,且多轨教学模式则为实现这一理念提供了具体的实施框架。本文主要阐述了教学评一体化与多轨教学模式的理论基础、实施策略、效果评价、面临的挑战及未来的发展方向,旨在为外科护理教育工作者提供理论参考和实践指导,以推动外科护理教育的创新与发展。
Abstract: With the continuous development of medical education, the field of nursing education urgently needs innovation and improvement to meet the demands of the new era. At present, the traditional teaching mode has certain limitations in terms of diversity and flexibility, which makes it difficult for nursing students to fully exert their potential during the internship process. The teaching-learning-assessment integration provides a new idea for solving the problem of the disconnection between assessment and teaching in the traditional teaching mode, and the multi-track teaching mode provides a specific implementation framework for realizing this concept. This article mainly expounds the theoretical basis, implementation strategies, effect evaluation, challenges faced and future development directions of the teaching-learning-assessment integration and multi-track teaching mode, aiming to provide theoretical references and practical guidance for surgical nursing educators to promote the innovation and development of surgical nursing education.
文章引用:陈洪让, 张玉东, 王开, 江明媚, 王凤杰, 刘磊. 教学评一体化视域下基于多轨教学模式在肝胆外科护理实习带教中的探索与实践[J]. 教育进展, 2025, 15(9): 273-281. https://doi.org/10.12677/ae.2025.1591670

参考文献

[1] Ahn, Y. and Choi, J. (2015) Factors Affecting Korean Nursing Student Empowerment in Clinical Practice. Nurse Education Today, 35, 1301-1306. [Google Scholar] [CrossRef] [PubMed]
[2] Haahr, A., Norlyk, A., Martinsen, B. and Dreyer, P. (2020) Nurses Experiences of Ethical Dilemmas: A Review. Nursing Ethics, 27, 258-272. [Google Scholar] [CrossRef] [PubMed]
[3] 国家卫生健康委员会. 全国护理事业发展规划(2021-2025年) [J]. 中国护理管理, 2022, 22(6): 801-804.
[4] 张照贤, 孙俊义. 以全过程评价活动推动“教学评一体化” [J]. 中国教育学刊, 2024(1): 107.
[5] 湛蓝, 柏毅. 将DIS融入科学课堂: 开发教学评一体化的框架[J]. 东南大学学报(哲学社会科学版), 2022, 24(S2): 56-59.
[6] 王贵军. 多轨教学模式应用于普外科临床实习教学中的效果研究[J]. 中国继续医学教育, 2022, 14(1): 110-113.
[7] 雷浩. 基于核心素养的“教-学-评”一致性探讨[J]. 课程·教材·教法, 2023, 43(10): 42-49.
[8] Ang, W.H.D., Choi, K.C., Lau, Y., Shah, L., Koh, J.J.N., Toh, Z.A., et al. (2024) Evaluation of a Psychological Readiness Program and Final Clinical Practicum among Final Year Nursing Students: A Mixed Methods Study. Nurse Education Today, 141, Article 106317. [Google Scholar] [CrossRef] [PubMed]
[9] Hind, M., Hirdle, J. and Jadzinski, M. (2024) An Evaluation of Practice Supervisor Training for Final-Year Healthcare Students. British Journal of Nursing, 33, 890-894. [Google Scholar] [CrossRef] [PubMed]
[10] Shappell, E., Carter, K., Park, Y.S. and Gottlieb, M. (2023) Educator’s Blueprint: Holistic Applicant File Review in Undergraduate and Postgraduate Medical Education. AEM Education and Training, 7, e10904. [Google Scholar] [CrossRef] [PubMed]
[11] 陈秋荣, 卢小春, 杨清空, 等. 教学做一体化教学模式在“2 + 3”护理专业健康评估教学中的应用[J]. 卫生职业教育, 2021, 39(13): 55-57.
[12] Tam, W., Huynh, T., Tang, A., Luong, S., Khatri, Y. and Zhou, W. (2023) Nursing Education in the Age of Artificial Intelligence Powered Chatbots (AI-Chatbots): Are We Ready Yet? Nurse Education Today, 129, Article 105917. [Google Scholar] [CrossRef] [PubMed]
[13] Shin, S., Hong, E., Lee, I. and Kim, J. (2024) Effects of Governmental Support on Clinical Nurse Educators in South Korea: A Repeated Cross‐sectional Study. International Nursing Review, 71, 933-941. [Google Scholar] [CrossRef] [PubMed]
[14] 郭娜, 姜凤良, 高兴春, 等. LBL、CBL、TBL多轨教学模式在医学免疫学课程改革中的应用——以卓越医师培养为视角[J]. 中国免疫学杂志, 2017, 33(1): 133-135.
[15] Ordu, Y. and Calişkan, N. (2025) Experiences of Nurse Educators Using Virtual Games in Nursing Education: A Qualitative Study. Journal of Nursing Research, 33, e368. [Google Scholar] [CrossRef] [PubMed]
[16] Ravik, M., Laugaland, K., Akerjordet, K., Aase, I. and Gonzalez, M.T. (2024) Usefulness of Pedagogical Design Features of a Digital Educational Resource into Nursing Home Placement: A Qualitative Study of Nurse Educators’ Experiences. BMC Nursing, 23, Article No. 135. [Google Scholar] [CrossRef] [PubMed]
[17] 陆敏敏, 王燕, 王君俏. 虚拟游戏软件的开发及其在《内科护理学》教学中的应用[J]. 护理研究, 2017, 31(23): 2913-2915.
[18] 谢金雨, 王贵猛, 王梓懿, 等. 游戏化教学在护理教育中应用的范围综述[J]. 护理学杂志, 2024, 39(18): 111-115.
[19] 刘志芳, 支晶晶, 李翠霞. 目标教学联合阶梯式考核法在肝胆外科护理实习生带教中的应用效果评价[J]. 国际护理学杂志, 2018, 37(22): 3131-3134.
[20] 雷微, 韩燕红, 谭继平, 等. 基于CIPP评价模式构建临床护理教学质量评价指标体系[J]. 护理学杂志, 2023, 38(8): 84-86.
[21] 郑雯, 丑安, 张礼宾, 等. 高职护生隐性知识能力评价体系的构建研究[J]. 护理学报, 2018, 25(20): 31-36.
[22] Levites Strekalova, Y.A., Jain, S. and Sarder, P. (2025) Developing Evaluation Metrics to Measure the US National Institute of Health Plans to Enhance Diverse Perspectives: A Protocol for a Consensus-Based Study. BMJ Open, 15, e087739. [Google Scholar] [CrossRef] [PubMed]
[23] Hu, X., Liu, G., Yao, Q., Zhao, Y. and Zhang, H. (2024) Hamiltonian Diversity: Effectively Measuring Molecular Diversity by Shortest Hamiltonian Circuits. Journal of Cheminformatics, 16, Article No. 94. [Google Scholar] [CrossRef] [PubMed]
[24] 顾登宇, 王琛, 徐府奇, 等. PBL联合CBL教学法在麻醉护理实习生临床教学中的应用[J]. 护理学报, 2023, 30(6): 12-14.
[25] 刘爱梅, 李红梅, 高欢玲, 等. 护理案例教学评价指标体系的初步构建[J]. 护理研究, 2019, 33(2): 204-208.
[26] Brown, C. (2025) Diverse by Design: A Comprehensive Guide to Inclusive Hiring for Emergency Medicine Faculty. The Journal of Emergency Medicine, 71, 133-139. [Google Scholar] [CrossRef] [PubMed]
[27] 汪慧敏, 颜景颖. 基于PBL的三轨教学混合模式在肛肠科临床教学中的应用[J]. 中国病案, 2024, 25(9): 96-98.
[28] 熊峰, 尹嘉文, 史毓杰, 等. 以实战型人才培养为导向的图片式团队研讨教学法 + 问题教学法 + 案例教学法多轨教学法在特应性皮炎教学及自我效能中的应用分析[J]. 实用皮肤病学杂志, 2023, 16(3): 174-176.
[29] 张力川, 王玉洁, 庞冬, 等. 全国1865名临床护理教师核心胜任力及教学培训需求现况调查[J]. 护理学报, 2023, 30(4): 61-65.
[30] Zeng, H., Liu, J. and Yang, Y. (2024) Clinical Observation of Gastrointestinal Function Recovery in Patients after Hepatobiliary Surgery. World Journal of Gastrointestinal Surgery, 16, 76-84. [Google Scholar] [CrossRef] [PubMed]
[31] 廖菁, 倪平, 毛靖, 等. 护理本科生学习风格现况及其影响因素[J]. 护理研究, 2018, 32(16): 2536-2541.
[32] 杨曼依. 基于OBE理念的《护理学基础》实验课程教学评价体系的构建研究[D]: [硕士学位论文]. 南昌: 南昌大学医学部, 2023.
[33] Davidson, B., Gurusamy, K., Corrigan, N., Croft, J., Ruddock, S., Pullan, A., et al. (2020) Liver Resection Surgery Compared with Thermal Ablation in High Surgical Risk Patients with Colorectal Liver Metastases: The LAVA International Rct. Health Technology Assessment, 24, 1-38. [Google Scholar] [CrossRef] [PubMed]