目的 探究一致性学习策略在急危重症护理学翻转课堂教学中的应用效果。 方法 便利抽样法选取某医科大学三年级的93名护理学本科生（简称护生）为研究对象，采用一致性学习策略设计教学方案并进行应用。比较教学前后护生认知参与水平及自主学习能力，并使用教学效果及满意度问卷了解学习效果及体验。 结果 教学活动后，护生深层认知参与及自主学习能力得分均得到提高，差异有统计学意义（P＜0.05）。91.4%（85/93）的护生认为该教学活动“有助于知识的迁移应用”和“有助于提升发现、分析、解决问题的能力”，83.9%（78/93）的护生“总体上感到满意”。 结论 一致性学习策略有助于提升护生认知参与水平，激发护生学习动机，培养临床思维能力，具有推广应用价值。

Objective To explore the application of Learning by Concordance strategy in flipped classroom teaching for emergency and critical nursing.Methods A teaching plan based on the Learning by Concordance strategy was designed and implemented,involving 93 nursing undergraduates in the third year of college.Their cognitive engagement level,together with self-directed learning ability before and after the teaching intervention were compared,and a questionnaire on learning effectiveness and satisfaction was used to assess the teaching outcomes and study experiences.Results After the teaching activity,the students demonstrated a statistically significant improvement in deep cognitive engagement and self-directed learning ability scores (P＜0.05).91.4% reported that the activity “facilitated the transfer and application of knowledge” and “enhanced their ability to identify,analyze,and solve problems”.Overall,83.9% expressed satisfaction with the teaching activity.Conclusions Learning by Concordance strategy can enhance the cognitive engagement of nursing undergraduates,stimulate their learning motivation,as well as cultivate their clinical thinking ability,thus is worth broader implementation and application.

R47-05

中国高校产学研创新基金资助课题（2023YC0035）；广东省本科高校教学质量与教学改革工程建设项目（No.469）