Volume 23 Issue 7
Jul.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(7): 1234-1238
ZHOU Huiyun, WANG Xi, WANG Lei, YE Fenglin, YANG Lijuan. Impact of outcome-based education-oriented clinical practicum teaching model on core competencies and self-directed learning ability in nursing undergraduates[J]. Chinese Journal of General Practice, 2025, 23(7): 1234-1238. doi: 10.16766/j.cnki.issn.1674-4152.004105
Citation: ZHOU Huiyun, WANG Xi, WANG Lei, YE Fenglin, YANG Lijuan. Impact of outcome-based education-oriented clinical practicum teaching model on core competencies and self-directed learning ability in nursing undergraduates[J]. Chinese Journal of General Practice, 2025, 23(7): 1234-1238. doi: 10.16766/j.cnki.issn.1674-4152.004105
shu

Impact of outcome-based education-oriented clinical practicum teaching model on core competencies and self-directed learning ability in nursing undergraduates

doi: 10.16766/j.cnki.issn.1674-4152.004105

  • Department of Interventional Radiology, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

Funds:

 2023jyxm1190

 2024fyjyxm07

  • Received Date: 2025-03-04
    Available Online: 2025-10-25
    Abstract
  •   Objective  To develop an outcome-based education (OBE)-oriented clinical practicum teaching model addressing fragmented core competency training and insufficient self-directed learning motivation among nursing undergraduates, and validate its application efficacy.  Methods  A total of 238 nursing undergraduates undertaking clinical practicum during summer (July 2024) and winter (February 2025) vacations at the First Affiliated Hospital of Bengbu Medical University were enrolled. Participants were divided into control and observation groups (n=119 each) using cluster sampling, with Class A and Class B assigned to the control group (traditional one-on-one mentorship model during summer vacation) and observation group (OBE-oriented clinical practicum teaching model during winter vacation), respectively. Core competencies, self-directed learning ability, and satisfaction were compared between the two groups.  Results  The observation group showed statistically significant improvements in five core competency dimensions compared to the control group: clinical biomedical science knowledge (P < 0.05), general clinical skills (P < 0.05), critical thinking and reasoning (P < 0.05), patient-centered care (P < 0.05), and lifelong learning (P < 0.05). No significant difference was observed in ethics and responsibility (P>0.05). The observation group also scored higher in self-directed learning ability, including information processing [(45.56±4.24) points vs. (43.34±4.93) points], self-management [(43.69±5.13) points vs. (42.21±3.89) points], and team-based collaborative learning [(27.77±4.27) points vs. (26.29±4.34) points, P < 0.05]. Satisfaction was significantly higher in the observation group (Z=3.141, P=0.002). Positive correlations were identified between core competency dimensions and self-directed learning ability (P < 0.01).  Conclusion  The OBE-oriented clinical practicum teaching model effectively enhances nursing students ' core competencies and self-directed learning ability, improves educational satisfaction, and provides both theoretical foundations and practical paradigms for nursing education reform.

     

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    • References(20)
  • [1]
    魏万霞, 唐应翠, 魏敏, 等. 近10年我国护士核心能力研究的可视化分析[J]. 全科护理, 2023, 21(24): 3313-3316.

    WEI W X, TANG Y C, WEI M, et al. Core competence of Chinese nurses in the past decade: a visual analysis[J]. Chinese General Practice Nursing, 2023, 21(24): 3313-3316.
    [2]
    鄢鸿雁. 基于健康中国的新医科背景下本科护理专业人才核心能力的探索研究[D]. 南昌: 南昌大学, 2023.

    YAN H Y. Research on the core competence of undergraduate nursing professionals under the background of new medical science in Healthy China[D]. Nanchang: Nanchang University, 2023.
    [3]
    CADORETTE J H, MCCURRY M K, LETOURNEAU R M, et al. Competence and confidence with quality and safety education for nurses competencies by newly licensed registered nurses[J]. J Nurses Prof Dev, 2024, 40(3): 133-138. doi: 10.1097/NND.0000000000001045
    [4]
    SHERWOOD G, JONES C B, CONKLIN J L, et al. Quality and safety education for nurses: a bibliometric analysis[J]. J Nurs Scholarsh, 2023, 55(5): 914-925. doi: 10.1111/jnu.12876
    [5]
    SHARMA S, SARAGIH I D, TARIHORAN D, et al. Outcomes of problem-based learning in nurse education: a systematic review and meta-analysis[J]. Nurse Educ Today, 2023, 120: 105631. DOI: 10.1016/j.nedt.2022.105631.
    [6]
    LKHAGVAA K, TSOGBADRAKH B, GOCHOOSUREN G, et al. The effect of outcome-based education on clinical performance and perception of pediatric care of the third-year nursing students in Mongolia[J]. PLoS One, 2024, 19(6): e0305298. DOI: 10.1371/journal.pone.0305298.
    [7]
    赵燕秋, 杨秀梅, 何秋艳, 等. "4P"临床护理教学模式的构建与实践探索[J]. 卫生职业教育, 2023, 41(17): 63-65.

    ZHAO Y Q, YANG X M, HE Q Y, et al. Construction and Practical Exploration of the "4P" Clinical Nursing Teaching Model[J]. Health Vocational Education, 2023, 41(17): 63-65.
    [8]
    貟蓓. "4P"临床护理教学模式构建研究[D]. 兰州: 兰州大学, 2021.

    YUN B. Study on the construction of "4P" clinical nursing teaching model[D]. Lanzhou: Lanzhou University, 2021.
    [9]
    陈晓, 张秋红. 翻转课堂联合TBL教学模式在耳鼻喉科护理教学中的效果评价[J]. 中国冶金工业医学杂志, 2024, 41(6): 738-739.

    CHEN X, ZHANG Q H. Evaluation of the effectiveness of flipped classroom combined with TBL teaching model in otolaryngology nursing education[J]. Chinese Medical Journal of Metallurgical industry, 2024, 41(6): 738-739.
    [10]
    黄坤, 赵旭, 吴丽丽, 等. CBL结合EBM教学模式在消化内科留学生临床教学中的应用[J]. 医学研究杂志, 2024, 53(3): 204-207.

    HUANG K, ZHAO X, WU L L, et al. Application of CBL combined with EBM teaching model in clinical education for international students in gastroenterology[J]. Journal of Medical Research, 2024, 53(3): 204-207, 201.
    [11]
    张和妹, 杨贝贝, 林雪, 等. 基于OBE理念的CBL教学模式在培养护理本科生临床应急能力中的应用研究[J]. 现代医药卫生, 2025, 41(1): 252-256.

    ZHANG H M, YANG B B, LIN X, et al. Application of OBE-based CBL teaching model in cultivating clinical emergency response ability of nursing undergraduates[J]. Journal of Modern Medicine & Health, 2025, 41(1): 252-256.
    [12]
    李莹, 史晓普, 宋瑞霞. 实习护生专业价值观、自主学习能力与核心能力关系研究[J]. 中国医学教育技术, 2021, 35(5): 564-569.

    LI Y, SHI X P, SONG R X. Study on the relation of professional values, self-learning ability and core competence of nursing interns[J]. China Medical Education Technology, 2021, 35(5): 564-569.
    [13]
    王艳菲, 吴慧敏, 李欢, 等. 实习护生临床决策能力与自主学习能力的相关性研究[J]. 卫生职业教育, 2025, 43(4): 70-73.

    WANG Y F, WU H M, LI H, et al. Research on the correlation between nursing interns'clinical decision-making ability and self-taught ability[J]. Health Vocational Education, 2025, 43(4): 70-73.
    [14]
    梁亚慧, 李丽, 高银, 等. 医护一体化混合式教学对本科实习护生核心能力的影响[J]. 齐鲁护理杂志, 2023, 29(20): 162-164.

    LIANG Y H, LI L, GAO Y, et al. Impact of integrated medical-nursing blended teaching on core competency of undergraduate nursing interns[J]. Journal of Qilu Nursing, 2023, 29(20): 162-164.
    [15]
    蒋文婷, 覃勤, 马秋平, 等. 基于OBE理念本科实习护生学习需求与核心能力相关性研究[J]. 卫生职业教育, 2024, 42(16): 72-77.

    JIANG W T, QIN Q, MA Q P, et al. Study on correlation between the learning needs and core competence of undergraduate nursing interns based on the OBE concept[J]. Health Vocational Education, 2024, 42(16): 72-77.
    [16]
    SARAGIH I D, TARIHORAN D, LIN W T, et al. Outcomes of scenario-based simulation courses in nursing education: a systematic review and meta-analysis[J]. Nurse Educ Today, 2024, 136: 106145. DOI: 10.1016/j.nedt.2024.106145.
    [17]
    孙国爱, 甘白水. 自我导向学习法联合PBL教学对急诊科实习护生自主学习能力的影响[J]. 智慧健康, 2022, 8(31): 176-179.

    SUN G A, GAN B S. Effects of Self-directed learning method combined with PBL teaching on autonomous learning ability of intern nursing students in department of emergency[J]. Smart Healthcare, 2022, 8(31): 176-179.
    [18]
    杨从艳, 李静, 周小梅, 等. 实习护生临床实习适应能力的影响因素分析及教学提升策略[J]. 中华全科医学, 2022, 20(11): 1950-1953. doi: 10.16766/j.cnki.issn.1674-4152.002744

    YANG C Y, LI J, ZHOU X M, et al. Analysis of influencing factors of clinical practice adaptability of nursing students and teaching promotion strategies[J]. Chinese Journal of General Practice, 2022, 20(11): 1950-1953. doi: 10.16766/j.cnki.issn.1674-4152.002744
    [19]
    裴艳丽, 李新兰, 吴延敏. 高职护理实习生核心能力与自主学习准备度的相关性分析[J]. 齐鲁护理杂志, 2024, 30(16): 57-60.

    PEI Y L, LI X L, WU Y M. Correlation analysis between core competency and self-directed learning readiness of vocational nursing interns[J]. Journal of Qilu Nursing, 2024, 30(16): 57-60.
    [20]
    葛刘娜, 刘志宁, 谷一梅. 实习护生专业自我概念、自主学习能力与核心能力的关系研究[J]. 卫生职业教育, 2024, 42(13): 117-120.

    GE L N, LIU Z N, GU Y M. Correlation analysis of professional self-concept, self-directed learning ability, and nursing clinical decision-making ability among nursing interns[J]. Health Vocational Education, 2024, 42(13): 117-120.
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