Abstract: Objective To discuss the design and practical effect of ideological and political teaching scheme in Acute and Critical Care Nursing. Methods The ideological and political teaching practice of “Three Integration and Five Guidance” in the course of Acute and Critical Care Nursing was carried out among the junior nursing students. Using the five approaches of “video guidance, case guidance, exemplary teaching, narrative guidance, and practice facilitation,” the ideological and political education that ran through the entire teaching process of “theory-training-social practice.” was implemented, which was integrated with the concepts of “teaching skills and moral education, offline teaching and online teaching, teaching and imparting knowledge with social service”. The teaching reform effect was assessed by a satisfaction survey. Results Students engaged deeply in the ideological and political teaching of the course. Most students believed that the ideological and political teaching mode of “three integration and five guidance” attracted them by various and novel teaching forms, and rich and interesting materials, which could inspire thoughts and lead values, and enhance learning enthusiasm and professional identity. Conclusion The ideological and political teaching mode of “three integration and five guidance” in Acute and Critical Care Nursing has been recognized by students, which promotes the coordinated development of professional knowledge and ideological and political education.

Key words: educational reform, Acute and Critical Care Nursing, ideological and political theory education