高职老年护理学第二课堂教学方案的设计与实践  

Curriculum design and practice of geriatric care practice in higher vocational colleges based on second classroom activities

作　　者：徐凤麟 牛振军 刘玲华[1] 郑蓉[1] 原静民 XU Fenglin;NIU Zhenjun;LIU Linghua;ZHENG Rong;YUAN Jingmin

机构地区：[1]湖北中医药高等专科学校护理学院,荆州市434020 [2]长江大学医学部

出　　处：《中华护理教育》2023年第12期1446-1452,共7页Chinese Journal of Nursing Education

基　　金：2018年湖北省卫生计生委科研项目一般项目(WJ2018H197);2021年湖北中医药高等专科学校提质培优行动计划校级项目(GX21029)。

摘　　要：目的设计高职老年护理学第二课堂教学方案并探讨实施效果。方法通过文献分析结合专家小组讨论确定以传统节气和疾病日为时间节点,设计在社区和养老机构对老年人进行疾病科普、健康评估、技能示教和竞答活动的高职老年护理学第二课堂教学方案。2021年3月—2022年7月,对76名选修该课程的学生实施第二课堂教学。教学前后采用Kogan老年态度量表和老年护理择业动机问卷进行调查,并于教学后调查学生对教学的满意度及分析学生的活动反思报告。结果76名学生的课程成绩为(90.12±1.67)分,76名学生对课程形式和总体评价为满意,教学后学生Kogan老年态度量表得分为(143.38±15.74)分,老年护理择业动机的价值和期望问卷得分分别为(59.30±3.01)和(25.84±2.85)分,得分均高于教学前(129.49±15.91,51.19±4.43,19.92±3.24)(P<0.05);学生反思报告得出5个主题:巩固了第一课堂所学知识和技能、提升了学习兴趣、增强了心理素质和人际沟通能力、改变了对老年人的刻板效应、加深了岗位认知和专业认同。结论高职老年护理学第二课堂构建科学合理,巩固了第一课堂的学习,学生对课程满意度高,改善了学生对于老年人的态度,提升了学生的从事老年护理工作的意愿。Objective To design the second classroom of geriatric nursing in higher vocational colleges and explore the implementation effect.Methods The literatures analysis and Delphi method was used to determine the content of the second classroom of geriatric nursing in higher vocational colleges,which took the traditional solar term and disease day as the time node,and carried out science popularization of disease,health assessment,skill demonstration and recreational activities for the elderly in communities and pension institutions.A total of 76 students who selected the course were taught.Before and after the teaching,the Kogan's Attitudes towards Old People Scale,the Geriatric Nursing Career Motivation Questionnaire,the students'comprehensive scores and course satisfaction were used to compare.Through the text analysis of the students'reflection report on the course activities,the teaching effectiveness was clarified.Results The course score of 76 students was(90.12±1.67)points.At the end of the course,the total score of the students'attitude towards the elderly was(143.38±15.74)points.The value and expectation dimensions of the motivation of choosing a job in geriatric nursing were(59.30±3.01)and(25.84±2.85)points,respectively.The scores were significantly higher than those before teaching(129.49±15.91,51.19±4.43,19.92±3.24)(P<0.05).The analysis of students'reflection report classified five themes namely,consolidated the knowledge and skills learned in the first classroom,enhanced the interest in learning,enhanced the psychological quality and interpersonal communication ability,changed the stereotype effect on the elderly,and deepened the post cognition and professional identity.Conclusion The construction of the second classroom of geriatric nursing in higher vocational colleges is scientific and reasonable,which consolidates the learning of the first classroom,and students are highly satisfied with the course.It is helpful in improving students'attitude towards the elderly and enhanced students'willingnes

关 键 词：老年护理学 态度 第二课堂 择业动机 

分 类 号：G712.4[文化科学—职业技术教育学] R47-4[文化科学—教育学]