【摘要】 目的 提高专升本护生成人护理学实践教学效果。方法 将2018级专升本护生134人分为对照组、2019级114人分为试验组；对照组行常规实训课教学，试验组采用图尔敏论证模式分为3个阶段(课前、课中及课后)5个环节(案例主张、证据呈现、论证分析、辨证施护、引领反思)实施教学。课程结束后评价教学效果。结果 试验组护生考核成绩、对本教学模式的效果评价均显著优于对照组(P<0.05,P<0.01);图尔敏论证模式教学后试验组护生临床推理与反思能力评分显著优于教学前(均P<0.01)。结论 图尔敏论证模式应用于成人护理学实践教学中，可有效提高实践教学质量和效果。更多还原

【Abstract】 Objective To improve practical teaching effect of Adult Nursing in college nursing students.Methods A total of 134 post-secondary nursing students of Grade 2018 were served as a control group and received conventional practical teaching.One hundred and fourteen nursing students of Grade 2019 were treated as an experimental group and given practical teaching using Toulmin argument model. The teaching was divided into three stages(before, during, and after the class) and five procedures(case assertion, evidence presentation, argument analysis, dialectical care, and reflection).At the end of the course, teaching effect was eva-luated.Results The experimental group demonstrated better performance in exams and higher evaluation of the teaching model compared with the control group(P<0.05,P<0.01).The scores of clinical reasoning and reflection were significantly higher in the experimental group after the course than the baseline stage(P<0.01 for both).Conclusion Using Toulmin′s argument model in practical teaching of Adult Nursing effectively improves teaching quality and effect.更多还原