Volume 23 Issue 7
Jul.  2025
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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

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
Funds:

 2023jyxm1190

 2024fyjyxm07

  • Received Date: 2025-03-04
    Available Online: 2025-10-25
  •   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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