目的 探讨基于案例的临床推理（case-based clinical reasoning,CBCR）教学法对护理本科实习生临床思维能力的培养效果。方法 2024年7-8月，采用便利抽样法选取某三级甲等医院的27名护理本科实习生为研究对象，对其实施为期2周的CBCR培训。采用临床思维能力评定量表进行前后测评，根据能力提升幅度分层后，选取各层级典型样本开展质性访谈。结果 护生普遍反馈，实施CBCR教学培训后，其临床思维能力得到提升，能更有效地综合运用专业知识，团队协作能力明显增强。此外，护生对课程内容和教学方法给予积极评价，并对课程改进提出建议。结论 CBCR教学法通过临床导向的案例设计和互动教学模式，有效培养了护理本科实习生的临床思维能力，未来可通过整合虚拟仿真等技术进一步优化课程。

Objective To evaluate the effectiveness of case-based clinical reasoning (CBCR) teaching method in cultivating clinical thinking skills among nursing undergraduate interns.Methods From July to August 2024,27 nursing undergraduate interns from a tertiary A hospital were conveniently sampled and received a 2-week CBCR training.Clinical thinking ability was assessed before and after the intervention using the Clinical Thinking Ability Assessment Scale.Qualitative interviews were conducted with typical samples from different improvement levels.Results Participants generally reported significant improvement in clinical thinking skills,enhanced ability to integrate professional knowledge,and strengthened teamwork competence after CBCR training.Additionally,they provided positive feedback on the course content and teaching methods,while offering suggestions for improvement.Conclusions CBCR teaching method effectively cultivates nursing interns’ clinical thinking abilities through clinically-oriented case design and interactive teaching approaches.Future optimization could involve integrating virtual simulation technologies to further enhance the curriculum.

R47-05;R823

海军军医大学教学成果重点培育项目（JPY2024A09）