实习前叙事护理培训提升护理专业学生共情能力的效果研究  

The effects of case-based narrative nursing training on nursing students'empathy capacity before clinical practice

作　　者：周雪[1] 冯吉波 赵敏[1] 李红梅[1] ZHOU Xue;FENG Jibo;ZHAO Min;LI Hongmei

机构地区：[1]山西医科大学汾阳学院,山西省汾阳市032200

出　　处：《中华护理教育》2023年第3期283-288,共6页Chinese Journal of Nursing Education

基　　金：山西省高等学校教学创新改革项目(J20211971);山西省哲学社会科学研究项目(2020w323)。

摘　　要：目的设计适用于实习前护理专业学生的叙事护理培训方案,并探讨其对学生共情能力的影响。方法2022年6月,便利抽样选取山西省某三级甲等医院即将进入临床实习的72名本科护理专业学生为研究对象,开展为期1周的叙事护理培训,内容包括叙事护理概述、关注患者的途径、理解患者的策略、回应患者的方法、叙事护理个案分享5个教学主题,并融合案例教学、合作式学习法、精细阅读、反思日记等多种教学方法,采用Jefferson共情量表护理专业学生版和个人反思报告进行效果评价。结果培训后,学生观点采择和换位思考2个维度得分及量表总分均高于培训前,差异有统计学意义(P<0.05)。个人反思报告分析显示,学生认为叙事护理知识实用且有价值;通过培训,更懂得去理解他人、尊重他人和保持善良。结论本次叙事护理培训内容和方法切实可行,可提高实习前护理专业学生的共情能力。Objective To design a narrative nursing training program based on case-based learning that is applicable for pre-practice nursing students and to explore the effect on nursing students'empathy capacity.Methods In June 2022,a convenience sample of 72 undergraduate nursing students was selected as participants before their participation in clinical practice in a gradeⅢhospital in Shanxi Province.The training included five teaching topics:overview of narrative care,ways to focus on patients,strategies to understand patients,ways to respond to patients,and case sharing of narrative care.Through case micro-projects,multiple teaching methods were employed including case teaching,collaborative learning,fine reading,and reflective diary.Jefferson Scale of Physician Empathy for nursing students and personal reflective reports were used for evaluation.Results After the training,the scores on the dimension of perspective taking and trans-personal thinking and the total score of the scale were higher than before the training,and the difference was statistically significant(P<0.05).The analysis of the personal reflection report showed that the students found the knowledge of narrative care were practical and valuable.Meanwhile,more understanding about others,respecting others and maintaining kindness were gained through the training.Conclusion The content and methods of this narrative nursing training are practical and can improve nursing students'empathy before clinical practice.

关 键 词：学生 护理 叙事护理 案例教学 实习前培训 共情 

分 类 号：R47-4[医药卫生—护理学] G642[医药卫生—临床医学]