Application of Problem-Chain Teaching in Domestic Higher Medical Education and Optimization Strategies for Nursing Teaching
Year: 2026
Type: article
Abstract: 目的：聚焦问题链教学法在护理教育中的应用优化，构建贯穿课程全流程的系统化教学新范式，为提升护理人才培养质量提供支撑。方法：采用回顾性分析方法，系统梳理国内相关研究成果，总结问题链教学在国内医学高等教育中的应用现状，并剖析其在专业分布、临床契合度和应用系统性等方面存在的问题。结果：立足护理学科发展特点与《“健康中国2030”规划纲要》要求，顺应成果导向教育与智慧护理发展趋势，从目标导向、实施模式、评价体系与保障机制四个维度，提出了问题链教学系统性优化策略。结论：该策略形成了以能力为核心、贯穿护理课程全流程的教学新范式，通过“以问促学、以能达标”破解应用瓶颈，为深化护理教学改革、提升护理人才岗位胜任力提供了理论支撑与实践路径。Objective: To optimize the application of Problem‑Chain Teaching methodology in nursing education by establishing a systematic new paradigm that spans the entire curriculum, thereby contributing to the improvement of nursing talent development quality. Methods: A retrospective analysis was conducted to systematically review relevant Chinese literature, summarize the current application status of Problem‑Chain Teaching in China’s medical higher education, and identify existing deficiencies regarding disciplinary distribution, clinical relevance, and the systematic nature of its application. Results: Based on the developmental characteristics of the nursing discipline and the requirements specified in the Outline of the “Healthy China 2030” Plan, and the emerging trends of Outcome‑Based Education and smart nursing, systematic optimization strategies for Problem‑Chain Teaching were proposed across four dimensions: goal orientation, implementation model, evaluation system, and guarantee mechanism. Conclusions: The proposed strategies form a competency‑ centered teaching paradigm that integrates the entire nursing curriculum. By fostering learning through questioning and ensuring standard achievement via competency‑based assessment, these strategies address key implementation bottlenecks, offering both theoretical foundations and practical pathways for advancing nursing teaching reform and strengthening the clinical competence of nursing professionals.
Source: Nursing Science
Author: 焕香 高
Subfield: Education
Field: Social Sciences
Domain: Social Sciences
Open Access status: bronze
OpenAlex ID: W7204095160