Application of the combination teaching modal of observation-teaching-discussion (OTD) and case instruction in nutritional nurse training

Abstract

Objective To explore the effect of applying the combination of the observation-teaching-discussion (OTD) modal with case instruction in the nutritional nurse training. Methods By convenient sampling, a total of 62 participants were selected from the nutritional nursing team in Shaanxi Provincial People's Hospital from January to December in 2017. The participants were divided into two groups: observation group (n=31) and control group (n=31) based on the random grouping method. In the control group, the traditional teaching approach was applied while the combination teaching modal of OTD and case instruction was used in the observation group. The theoretical and clinical practise assessment, Competency Inventory for Registered Nurse, and the Inpatient Satisfaction Questionnaire on Nursing Service were used to evaluate the effect of the intervention. Results After 12 months of intervention, the nurses in the observation group scores higher than the control group in terms of the total score of competency inventory, the testing dimensions of critical thinking, scientific research competence, clinical nursing competence, leadership, professional development, education and counselling with statistically significant difference (P<0.05) . The nurses also achieved higher score in the theoretical and clinical practise assessment as well as the patients' satisfaction degree than the control group with statistically significant differences (P<0.05) . Conclusions The combination teaching modal of OTD and case instruction can effectively improve the nutritional nurses' core competence, professional skills and patients' satisfaction degree. Key words: Nurses; Observation-teaching-discussion teaching; Case instruction; Nutrition; Core competence