目的:探究产出导向法（production-oriented approach，POA）理论视角下翻转课堂教学在肝脏外科规培护生培训中的应用效果。方法:以本院POA理论视角下翻转课堂教学实施时间（2017年1月）为界线，将实施前（2015年1月至2017年1月）肝脏外科做常规培训的51例护生纳入对照组，将实施后（2017年1月至2019年1月）51例规培护生纳入观察组。比较两组规培护生培训前、培训6个月后的考试成绩、自主学习能力、职业认知程度变化，并记录其培训后的教学满意度情况。使用SPSS 19.0进行n t检验和卡方检验。n 结果:两组规培护生理论考试成绩总分、临床实践考核成绩总分、护理专业大学生自主学习能力测评量表（学习动机、自我管理能力、学习合作能力、信息素质）各维度得分及总分较培训前均升高，且观察组高于对照组（n P<0.05）；两组规培护生大学生职业成熟度量表（职业目标、职业自信、职业自主、职业价值、亲友依赖、职业参照）各维度评分均较培训前提升，且观察组（职业目标、职业自信、职业自主、职业价值）评分高于同期对照组（n P0.05）；观察组规培护生教学满意度为96.08%，高于对照组的82.35%。n 结论:将POA理论视角下翻转课堂教学运用于肝脏外科规培培训中，可提高规培护生的自主学习能力，有利于考试成绩及职业认知度的提高，教学满意度较高。“,”Objective:To explore the application of flipped classroom teaching in the standardized residency training of students in department of hepatic surgery from the perspective of production-oriented approach (POA) theory.Methods:Based on the implementation time of flipped classroom teaching (January 2017) from the perspective of POA theory in West China Hospital, 51 nursing students who were routinely trained in department of hepatic surgery before the implementation (January 2015 to January 2017) were included in the control group. After the implementation (January 2017 to January 2019), 51 nursing students under the residency training were included in the observation group. The changes of test scores, independent learning ability and professional awareness of the two groups of nursing students before and 6 months after the training were compared, and the teaching satisfaction after the training was recorded. SPSS 19.0 was performed for n t test and chi-square test.n Results:The total scores of the theoretical examination scores of the two groups of nursing students, the total scores of the clinical practice assessment scores, and the self-learning ability assessment scale for nursing college students (learning motivation, self-management ability, learning cooperation ability, information literacy) scores and total scores in each dimension were significantly higher than those before training, and the observation group was significantly higher than the control group (n P<0.05); the two groups of professional maturity scales (career goals, professional self-confidence, professional autonomy, professional value, dependence on relatives and friends, occupation reference) scores of all dimensions were significantly improved compared with those before the training, and the scores of the observation group (career goals, professional self-confidence, professional autonomy, professional value) were significantly higher than those of the control group during the same period (n P0.05); the teaching satisfaction rate of nursing students in the observation group was 96.08%, which was significantly higher than that of the control group (82.35%).n Conclusion:The application of flipped classroom teaching from the perspective of POA theory in the standardized residency training of department of hepatic surgery can significantly improve the autonomous learning ability of nursing students, which is conducive to the improvement of test scores and professional awareness, with high teaching satisfaction.