助产方向护理本科生心路历程的扎根理论研究

doi:10.3761/j.issn.1672-9234.2021.03.003

中华护理教育 ›› 2021, Vol. 18 ›› Issue (3): 208-213.doi: 10.3761/j.issn.1672-9234.2021.03.003

助产方向护理本科生心路历程的扎根理论研究

王金艳(),谷瑞芮,吴丽萍()

100144 北京市北京协和医学院护理学院（王金艳,吴丽萍）;北京大学第一医院（谷瑞芮）

收稿日期:2020-09-01 出版日期:2021-03-20 发布日期:2021-03-25
通讯作者: 吴丽萍
作者简介:王金艳：女,本科（硕士在读）,护师,E-mail：<email>wangjinyan2019@126.com</email>
基金资助:
北京协和医学院2018年教学质量工程项目(2018zlgc0124)

Exploration of psychological process of nursing undergraduates in midwifery by grounded theory

WANG Jin-yan(),GU Rui-rui,WU Li-ping()

School of Nursing Peking Union Medical College,Beijing,100144,China

Received:2020-09-01 Online:2021-03-20 Published:2021-03-25
Contact: Li-ping WU

摘要/Abstract

摘要：

目的探索助产方向护理本科生学习过程中的心路历程,为助产本科教学工作提供参考。方法对17名助产方向护理本科生进行半结构式访谈,应用扎根理论方法,通过不断比较、三级编码和撰写备忘录对获得的资料进行分析。结果助产方向护理本科生心路历程经历初识憧憬期、学习探索期、成长蜕变期和理性抉择期,内在动因、专业认识、专业情感、应对策略、外界因素5方面会影响学生心路历程的发展。结论依据学生心路历程的发展过程,鼓励学生基于兴趣拓展专业认识;建议学校完善专业培养方案,探索有效教学模式,帮助学生克服学习中的困难;呼吁政府政策支持,提供助产方向学生更多的就业选择,缓解助产人力资源失衡的现状。

关键词: 助产学, 教育,护理, 心理过程, 定性研究, 扎根理论

Abstract:

Objective To explore the psychological process of nursing undergraduates in midwifery. Methods A semi-structured interview was conducted on 17 nursing undergraduates in midwifery. The grounded theory method was used. The data were analyzed through constant comparison,three-level coding and memoranda writing. Results Nursing undergraduates in midwifery had 4 periods of psychological processes,including the initial stage of vision,stage of learning exploration,stage of growth and transformation,and stage of rational choice. Intrinsic motivation,professional cognition,professional emotion,coping strategies and external influence affect the development of students’ psychological process. Conclusion According to the students’ psychological process,we encourage students to develop profession knowledge based on interest,suggest schools adopt comprehensive measures to improve the professional training scheme and help students overcome difficulties in their studies,and call for policy supports from the government to provide students with more employment options and alleviate the imbalance of midwife human resources.

Key words: Midwifery, Education,Nursing, Mental Processes, Qualitative Research, Grounded theory

王金艳, 谷瑞芮, 吴丽萍. 助产方向护理本科生心路历程的扎根理论研究[J]. 中华护理教育, 2021, 18(3): 208-213.

WANG Jin-yan, GU Rui-rui, WU Li-ping. Exploration of psychological process of nursing undergraduates in midwifery by grounded theory[J]. Chinese Journal of Nursing Education, 2021, 18(3): 208-213.

图/表 2

参考文献 13

[1]	国家卫生部. 贯彻2011-2020年中国妇女儿童发展纲要实施方案[EB/OL]. (2012-02-17)[2020-08-20]. http://www.nhfpc.gov.cn/fys/s7900/201202/cffcb29c192d4e529c6290c280507df9.shtml.
[2]	周思美, 周璇, 夏佳玲, 等. 助产方向本科生专业认同与职业期望的调查研究[J]. 中国高等医学教育, 2017(1):65-67.
	Zhou SM, Zhou X, Xia JL, et al. Research on the professional identity and career expectation of midwifery undergraduates[J]. China High Med Educ, 2017(1):65-67.
[3]	Pryjmachuk S, Richards DA. Predicting stress in pre-registration midwifery students attending a university in Northern England[J]. Midwifery, 2008,24(1):108-122. doi: 10.1016/j.midw.2006.07.006
[4]	曹海华, 杨慧雅, 赵勤. 助产专业护理本科生专业承诺及其影响因素分析[J]. 护理管理杂志, 2016,16(6):400-402.
	Cao HH, Yang HY, Zhao Q. Status and influencing factors of professional commitment among midwifery undergraduates[J]. J Nurs Adm, 2016,16(6):400-402.
[5]	张丽丽, 赵珊, 许婧睿, 等. 助产专业本科毕业生就业现状的调查分析[J]. 天津护理, 2013,21(4):329-330.
	Zhang LL, Zhao S, Xu JR, et al. Investigation and analysis on employment status of midwifery nursing undergraduate[J]. Tianjin J Nurs, 2013,21(4):329-330.
[6]	李峥, 刘宇. 护理学研究方法[M]. 北京: 人民卫生出版社, 2019.
	Li Z, Liu Y. Research methods of nursing[M]. Beijing: People’s Medical Publishing House, 2019.
[7]	倪晓莎, 汪和美, 胡文奕, 等. 肺癌患者康复困扰的质性研究[J]. 中华护理教育, 2019,16(5):360-364.
	Ni XS, Wang HM, Hu WY, et al. Queries about cancer rehabilitation of patients with lung cancer:a qualitative study[J]. Chin J Nurs Educ, 2019,16(5):360-364.
[8]	周璇, 周思美, 李翠蝶, 等. 广东省首批助产方向本科生专业认同的质性研究[J]. 护理学报, 2017,24(13):68-71.
	Zhou X, Zhou SM, Li CD, et al. A qualitative study on the professional identity of the first batch of midwifery undergraduates in Guangdong Province[J]. J Nurs(China), 2017,24(13):68-71.
[9]	Robshaw M, Smith J. Keeping afloat:student nurses’ experiences following assignment referral[J]. Nurse Educ Today, 2004,24(7):511-520. doi: 10.1016/j.nedt.2004.06.004 pmid: 15465166
[10]	王亚婷, 曹梅娟. 同伴教育在护理教学中的应用研究进展[J]. 中华护理教育, 2016,13(10):782-785.
	Wang YT, Cao MJ. Research progress on the application of peer education in nursing teaching[J]. Chin J Nurs Educ, 2016,13(10):782-785.
[11]	陆虹. 助产专业在我国发展的思考与探索——从探索性研究到实践性改革[J]. 中国护理管理, 2017,17(1):10-12.
	Lu H. The exploration of midwifery development in China[J]. Chin Nurs Manag, 2017,17(1):10-12.
[12]	施凤, 马常兰, 王正值. 江苏省部分地区助产士结构与需求现况调查[J]. 护理研究, 2013,27(35):4012-4013.
	Shi F, Ma CL, Wang ZZ. Survey of status quo of midwives’ structure and demand in some areas in Jiangsu Province[J]. Chin Nurs Res, 2013,27(35):4012-4013.
[13]	Dixon L, Calvert S, Tumilty E, et al. Supporting New Zealand graduate midwives to stay in the profession:an evaluation of the Midwifery First Year of Practice programme[J]. Midwifery, 2015,31(6):633-639. doi: 10.1016/j.midw.2015.02.010 pmid: 25819705

[1]	董胜雯,张丽丽,于雅文,胡立志. 混合式教学与全程线上教学在助产学课程中应用效果比较[J]. 中华护理教育, 2021, 18(8): 706-709.
[2]	陈恬,胡韵,俞珮璐,施逸雯. 护理教师视角下基于合作博弈论的跨专业教育促进因素研究[J]. 中华护理教育, 2021, 18(8): 710-715.
[3]	方惠,樊少磊,伦冰,白桦,崔红霞,王璐. 河南省助产专科培训的实践[J]. 中华护理教育, 2021, 18(7): 634-637.
[4]	冯兰棱,樊落,李琳,李丹,王雪. 我国新入职护士培训真实体验质性研究的Meta整合[J]. 中华护理教育, 2021, 18(7): 600-605.
[5]	朱梦琦,楼艳,练正梅,吕雅飞. 病人参与护理床旁交接班真实体验及期待的质性研究[J]. 中华护理教育, 2021, 18(6): 551-555.
[6]	吕娜, 赵泽英, 钟永芳. 地方应用型本科院校护理专业学生完成毕业论文的体验研究[J]. 中华护理教育, 2021, 18(5): 433-437.
[7]	张丹妮,周佳欣,朱慧,陈肖敏. 乳腺癌患者配偶照护体验的质性研究[J]. 中华护理教育, 2021, 18(4): 363-368.
[8]	马晓璐,李小寒,王艳梅,宋冰,刘诗盈. 护理本科生临床实习中期对护患沟通体验的研究[J]. 中华护理教育, 2021, 18(3): 197-201.
[9]	吴映瑛,徐萌艳,应音,章瑶,何桂娟,屠乐薇. 床边教学法在助产学教学中的应用[J]. 中华护理教育, 2021, 18(3): 214-217.
[10]	李汶静,尹华英,周雅婷,谭巨丹. 儿科方向护理硕士专业学位研究生对临床师资准入标准及核心能力期望[J]. 中华护理教育, 2021, 18(2): 149-153.
[11]	禹小燕,李知音,唐莉,赵雨欣,李亚敏. 护理专业实习生在思政育人临床实践教学中的体验[J]. 中华护理教育, 2021, 18(11): 994-999.
[12]	常明明,屈清荣,张忠玲,李惠东,李婷. ICU高年资护士护理临终患者及经历患者死亡时的体验[J]. 中华护理教育, 2021, 18(10): 910-914.
[13]	邹燕,吴新刚. 同伴辅导在高职助产技术教学中的应用[J]. 中华护理教育, 2021, 18(10): 893-896.
[14]	吴丹丹, 王小燕, 许贵如, 胡蓉芳. 助产方向本科实习生对助产士角色体验和认知的研究[J]. 中华护理教育, 2021, 18(1): 74-77.
[15]	吉雅昕, 谷瑞芮, 吴丽萍. 我国助产专业和助产方向毕业生核心胜任力的调查研究[J]. 中华护理教育, 2020, 17(8): 724-728.

助产方向护理本科生心路历程的扎根理论研究

Exploration of psychological process of nursing undergraduates in midwifery by grounded theory

HTML阅读

PDF下载

赞

可视化

摘要/Abstract

引用本文

使用本文

图/表 2

参考文献 13

相关文章 15

Metrics

本文评价

推荐阅读 0