目的：探讨高职护理专业课程项目化教学方案设计与应用效果。方法选取2009级和2010级护理专业二年级学生为研究对象。2009级121名学生作为传统组，采用传统教学法；2010级128名学生作为教改组，采用模拟真实情境设计的项目化教学。通过理论考试、岗位职业技能和职业素养考核以及问卷调查评价教学效果。应用SPSS 17.00软件录入数据，进行t检验和秩和检验，以P＜0.05为差异有统计学意义。结果传统组和教改组职业技能考核成绩分别为（76.670±13.072）分和（85.480±10.085）分、素养考核成绩分别为（74.770±13.865）分和（87.040±8.982）分，两组比较差异均有统计学意义（P＜0.001）。调查两组对教学方法的评价，教改组共有50.85%（716/1408）的学生认为项目化教学对提高综合素质等11项很有帮助，除理解理论知识1项外，其余10项两组比较差异均有统计学意义（P＜0.001）。结论护理专业临床课程应用模拟真实情境设计的项目化教学，能有效提高学生综合职业核心能力。%Objective To explore the effect of designing and applying project teaching scheme in higher vocational nursing clinical curriculum. Methods Sophomores of nursing major in grade 2009 and 2010 were selected as experiment subjects. Lecture-based traditional teaching method was applied in tradition group (121 students in grade 2009) while project teaching was applied in reorga-nization group (128 students in grade 2010). The teaching method was evaluated through thoretical exam, vocational skill test, professional quality test and questionnaine surrey. Data were input by us-ing SPSS17.00. T-test and Ranksum test were applied. Results Vocational skill test results of tra-dition group and reorganization group were (76.67 ±13.072) and (85.48 ±10.085) respectively;professional quality test results were (74.77±13.865) and (87.04±8.982), respectively. Differences in both groups had statistical significances (P<0.001). Evaluation on the teaching method was carried out in both groups through a questionnaire. (716/1408) of students in reorganization group thought that project teaching can improve 11 items including comprehensive quality. Except for the item of the-oretical knowledge comprehension, the rest 10 items of both groups had statistical significances (P<0.001). Conclusion Implementation of project teaching in nursing clinical curriculum helps to im-prove students' professional core competence.
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