“医患冲突”背景下辩论式伦理教学在本科护理实习生教育中的应用研究  

Research on the application of debate-style ethics teaching among undergraduate nursing interns under the background of“doctor-patient conflicts”

作　　者：罗菲 朱延波 陶尊晓 LUO Fei;ZHU Yanbo;TAO Zunxiao(Department of Gastrointestinal Surgery,Yantai Affiliated Hospital of Binzhou Medical University,Binzhou 264100,China;Department of Ophthalmology,Yantai Affiliated Hospital of Binzhou Medical University,Binzhou 264100,China)

机构地区：[1]滨州医学院烟台附属医院胃肠外科,山东滨州264100 [2]滨州医学院烟台附属医院眼科,山东滨州264100

出　　处：《中国医学伦理学》2024年第10期1246-1250,F0003,共6页Chinese Medical Ethics

摘　　要：目的探讨“医患冲突”背景下辩论式伦理教学在本科护理实习生教育中的应用效果。方法选取2022年1月—2023年7月在滨州医学院烟台附属医院实习的128例护理学专业实习生作为研究对象,采用历史性对照研究,根据随机信封法将2022年6月—2022年12月的本科护理实习生作为干预组共64例,2023年1月至2023年7月的本科护理实习生分为对照组共64例,最终干预组和对照组各60例本科护理实习生完成研究。对照组采用传统护理伦理教学模式;干预组采用基于“医患冲突”背景下的辩论式伦理教学,干预前后采用护生伦理敏感性量表、护生职业认同量表、临床护理教师评价量表评价教学效果。结果研究结果表明,干预后干预组护理实习生伦理敏感性、职业认同感以及临床护理教师评价得分均高于对照组,差异具有统计学意义(P<0.05)。结论基于“医患冲突”背景下的辩论式伦理教学能够提高护理实习生伦理敏感性、职业认同感及临床护理教师评价,并显著提高临床护理伦理带教效果。Objective:To explore the application effect of debate-style ethics teaching among undergraduate nursing interns under the background of“doctor-patient conflicts”.Method:A total of 128 nursing interns,who interned in Yantai Affiliated Hospital of Binzhou Medical University from January 2022 to July 2023,were selected as the research subjects.Using the historical controlled study and according to the random envelope method,undergraduate nursing interns from June 2022 to December 2022 were divided into the intervention group with a total of 64 cases,and undergraduate nursing interns from January 2023 to July 2023 were divided into the control group with a total of 64 cases.Finally,60 undergraduate nursing interns both the intervention group and the control group completed this study.The control group adopted the traditional nursing ethics teaching mode,while the intervention group adopted debate-style ethics teaching based on the background of“doctor-patient conflicts”.The teaching effect was evaluated by using the Ethical Sensitivity Questionnaire for Nursing Students,the Professional Identity Questionnaire for Nursing Students,and the Clinical Nursing Instructors before and after the intervention.Result:The research results showed that the scores of ethical sensitivity,professional identity,and clinical nursing instructors of nursing interns in the intervention group were higher than those in the control group after the intervention,and the differences were statistically significant(P<0.05).Conclusion:Debate-style ethics teaching based on the background of“doctor-patient conflicts”can improve the ethical sensitivity,professional identity,and clinical nursing instructors of nursing interns,as well as significantly improve the effectiveness of clinical nursing ethics mentoring.

关 键 词：医患冲突 辩论式 护理伦理 护理实习生 

分 类 号：R-052[医药卫生]