教师视角下临床中医护理案例教学困境的质性研究  

A qualitative study on the teaching dilemmas of clincal traditional Chinese medicine nursing case from the perspective of teachers

作　　者：祝晓迎 任毅[2] 曾秋霞 杨婵娟[2] 谢晓梅[2] ZHU Xiaoying;REN Yi;ZENG Qiuxia;YANG Chanjuan;XIE Xiaomei(Beijing University of Chinese Medicine,Beijing 100105,China;Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China)

机构地区：[1]北京中医药大学,北京100105 [2]重庆市中医院,重庆400021

出　　处：《护士进修杂志》2024年第5期493-496,502,共5页Journal of Nurses Training

基　　金：北京中医药大学2022年度教育科学研究项目(编号:XJY22138)。

摘　　要：目的探讨临床科室带教教师进行中医护理案例教学时面临的困境,为提升中医护理案例教学能力,促进中医护理应用型人才培养提供参考。方法运用现象学研究方法,2023年2-5月对参与过中医护理案例教学的9名护理带教教师进行半结构式访谈,采用Colaizzi 7步分析法进行资料分析。结果提炼出3个主题及8个亚主题:对临床教学中实施中医护理案例教学法困难的感知(临床护理带教教师的备课负荷重、辨证分析过程难以深入展开研讨、容易从学生主动转变为教师主动);影响中医护理案例教学法临床实施的因素(中医护理案例的教学设计、中医理论知识的特殊性、护理带教教师的专业能力);中医护理案例临床教学工作中希望得到的支持(提升自身的中医知识水平和教学能力、获得中医专业医师的参与指导)。结论可从推进信息化教学资源应用、提高备课效率和精准度,加强中医基础知识培训、深化辨证分析教学内涵,提升临床教师教学能力、打造优秀案例教学设计,丰富案例教学内容和形式、激发学生学习内驱力4方面着手,不断提升临床中医护理案例教学质量,以促进中医护士核心能力的培养。Objective To explore the difficulties faced by clinical teachers on the courses of traditional Chinese medicine(TCM)nursing case teaching,so as to provide reference for improving TCM nursing case teaching ability and promoting the cultivation of TCM nursing application talents.Methods A semi-structured interview was conducted among 9 nursing teachers who had participated in TCM case teaching from February to May 2023 by using phenomenological research methods,and then data were analyzed by Colaizzi's seven-step analysis method.Results A total of 3 themes and 8 sub-themes were extracted:The perception of difficulties in implementing TCM nursing case teaching method in clinical teaching(heavy lesson preparation workload of the clinical nursing teachers,shortage of in-depth discussions during the process of syndrome differentiation analysis,and the easy change from students'initiative to teachers'initiative);Influencing factors of clinical implementation of TCM nursing case teaching method(case design of TCM nursing case,particularity of the theoretical knowledge of TCM,and professional ability of nursing teachers);The desired support of the clinical teaching in TCM nursing cases(improvement of personal knowledge and teaching capacity of TCM,and involvement and guidance from specialist of TCM).Conclusion It can try to continuously improve education quality of clinical TCM case teaching from 4 aspects,so as to promote the cultivation of core competence of TCM nurses:The advancing application of information education resources to improve the efficiency and accuracy of lesson preparation;Reinforcement of the basic theory training of TCM and deepening of the connotation of the dialectical analysis teaching;Improvement of the teaching ability of clinical teachers and creation of excellent case teaching design;Enrichment of the content and forms of case teaching to stimulate students'learning motivation.

关 键 词：中医 护理 案例教学 教师 质性研究 

分 类 号：R248[医药卫生—中医临床基础] R471[医药卫生—中医学]