Study on the cultivation of clinical thinking ability of nursing students based on objective structure clinical examination

Objective To study the effect of objective structure clinical examination the cultivation of clinical thinking ability of nursing undergraduates.

Methods Forty-eight nursing undergraduates for internship from 2019 to 2020 were selected as the subjects, in which 22 nursing undergraduates in 2019 were set as the control group, and 26 nursing undergraduates in 2020 were set as the experimental group.The conventional teaching mode was used in control group, and the objective structured clinical examination was applied in experimental group to guide training and learning.After the internship, the theory and skill assessment were conducted uniformly.At the same time, the clinical thinking ability of nursing students and the satisfaction of two-way teaching were conducted by questionnaire survey.

Results After the internship, the theory and skill assessment scores in experimental group were significantly higher than those in control group(P < 0.01).The critical thinking, systemic thinking, and evidence-based thinking abilities of nursing students in the two groups after the internship were better than those before the internship(P < 0.05), and the critical thinking, systemic thinking, and evidence-based thinking abilities in experimental group were better than those in control group(P < 0.05 to P < 0.01).The satisfaction scores of nursing students in experimental group on the teaching method, teaching content and teaching ability of the teachers were higher than those in control group(P < 0.05 to P < 0.01), and the satisfaction scores of teachers in experimental group on the professional knowledge, professional attitude, humanistic care, emergency response and internship performance of nursing students were significantly higher than those in control group(P < 0.01).

Conclusions The application of objective structure clinical examination can cultivate the fusion of clinical knowledge and the mastery of clinical skills of nursing students, and effectively improve the comprehensive ability and clinical thinking ability of nursing undergraduates.The cultivation mode of objective structure clinical examination is conductive to improve the quality of clinical nursing teaching and satisfaction of teaching, which is worthy of clinical promotion.