中职卫生类专业实习教学现状调查及对策研究

发布时间：2018-06-01 19:17

本文选题：卫生类专业 + 中职　；参考：《广州大学》2017年硕士论文

【摘要】：卫生体制改革的深化,包括卫生服务模式的改革、服务体系的调整、医疗保障制度的完善和社区卫生服务的加强,对医学教育及其人才培养提出了更高的要求。卫生职业教育作为医学教育的重要组成部分,在国家对职业教育日益重视的大背景下,既迎来空前发展机遇,又面临巨大挑战。中职卫生类专业的实践性特别强,实践教学尤其是实习教学是人才培养质量的重要环节。本研究选取惠州卫生职业技术学院中职部的5个卫生类专业(护理、助产、药学、医学检验、康复)3届学生和教学医院带教老师为对象,采用自编的“学生实习教学问卷调查表”、“教学医院带教老师实习教学情况问卷调查表”进行问卷调查。对回收的3318份实习生问卷和189份带教老师问卷分析结果表明:(1)86.9%学生对实习前准备动员比较满意,60.1%学生明确实习目的和要求;75.4%学生认为实习医院制定了实习计划与大纲,78.0%的同学得到带教老师的悉心指导,92.3%的学生最喜欢实习单位的指导老师。(2)93.2%学生认可目前“2+1”人才培养模式,85.5%学生认为实习岗位要与专业吻合,94.7%学生认为10个月的实习将为自己的能力培养和就业带来正能量;同时,在实习过程中学生能够得到班主任的关心和及时帮助,实习单位带教老师能详细讲解遇到的问题;实习基地建设情况、带教老师和学校老师的管理及实习生对实习的重视程度是影响实习教学效果最为重要的因素。但是,仅51.3%学生对实践教学总体评价满意,57.9%实习生不太明确或不明确实习成绩考核评定的组成和方法。(3)91.2㳠带教老师对实习生的表现非常认可与满意;93.4%带教老师明确实习目的与要求;80.6㳠的带教老师制定了带教计划,如助产专业在产科实习时,带教老师就制定了具体实习内容与时间安排,技能掌握要求以及出科考核;带教老师认为实习生最需要培养的能力依次是分析和解决问题的能力、自学能力、动手实践和操作能力和沟通表达能力。但是67.7%带教老师不太明确实习生成绩评定的组成和方法。访谈中还发现校内教学与实践教学不够紧密,实习前需进一步强化实操训练,校园文化建设对实习实践工作支持不够等。针对实习教学中存在的问题,建议:一是拓展校园文化建设,培养学生综合素养;二是加强校内教学与实习教学的衔接;三是进一步完善实习评价制度与考核方法;四是进一步加强实训实操、增设小班教学;五是进一步增强教学医院带教医务工作者的主动带教意识;六是进一步优化师资队伍建设。
[Abstract]:The deepening of the health system reform, including the reform of the health service mode, the adjustment of the service system, the improvement of the medical security system and the strengthening of the community health service, put forward higher requirements for medical education and personnel training. As an important part of medical education, health vocational education is facing both unprecedented development opportunities and great challenges under the background that the country increasingly attaches importance to vocational education. Practice teaching, especially practice teaching, is an important link in the quality of personnel training. In this study, 5 health majors (nursing, midwifery, pharmacy, medical examination and rehabilitation) were selected from Huizhou Health Vocational and Technical College. The questionnaire of students' practice teaching and the questionnaire of teaching practice of teachers in teaching hospitals were used to carry out the questionnaire. The analysis of 3318 intern questionnaires and 189 tutoring teachers' questionnaires showed that 86.9% of the students were satisfied with the mobilization before practice. 60.1% of the students were satisfied with the intention and requirement of the internship. 75.4% of the students thought that the practice plan and the practice plan had been drawn up by the internship hospital. 78.0% of students receive careful guidance from teachers. 92.3% of students like practice units most. 93.2% of students approve of the current "21" talent training model. 85.5% of students think that internship posts should be in line with their major. 94.7% of students think that the internship position should be consistent with that of the major, that is, 94.7% of the students think that the current "21" talent training model should be adopted by 85.5% of the students. A 10-month internship will bring positive energy to your ability development and employment. At the same time, during the internship process, the middle school students can get the care and timely help of the teacher in charge of the class, and the practice units and teachers can explain in detail the problems encountered; the situation of the construction of the internship base, The management of teachers and school teachers and the importance attached by interns to practice are the most important factors affecting the effectiveness of practical teaching. However, only 51.3% of the students are satisfied with the overall evaluation of practical teaching. 57.9% of the interns are not clear or clear about the composition and method of the assessment of practice achievement. Teachers are very approbable and satisfied with the performance of interns. 93.4% of teachers are clear about the purpose and requirements of practice. For example, when midwifery majors practice in obstetrics, they make specific practice content and time arrangement, skill mastery requirements and examination; The teachers think that the most important skills that interns need to cultivate are the ability to analyze and solve problems, the ability of self-study, the ability of practice and operation, and the ability of communication and expression. However, 67.7% of the teachers were not clear about the composition and method of the evaluation of intern scores. The interview also found that the campus teaching and practice teaching is not close enough, the practice training should be further strengthened before the practice, and the campus culture construction is not enough to support the practice work, etc. In view of the problems existing in the practice teaching, some suggestions are put forward: first, to expand the campus culture construction and cultivate the students' comprehensive accomplishment; second, to strengthen the connection between teaching and practice teaching; third, to further improve the practice evaluation system and assessment method; The fourth is to further strengthen practical training, to create small class teaching; five is to further strengthen the teaching hospital teaching medical workers' awareness of active teaching; sixthly, to further optimize the construction of teachers.
【学位授予单位】：广州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：G712;R-4

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