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

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]	赵文娟, 张晓菊, 来小彬, 沈志云, 张玉侠. 专职专科护士角色转换期真实工作体验的质性研究[J]. 中华护理教育, 2024, 21(7): 788-793.
[2]	李小花, 朱红, 杨丹, 郝玉芳, 李学靖. 角色榜样对护理专业学生职业认同影响质性研究的Meta整合[J]. 中华护理教育, 2024, 21(7): 841-848.
[3]	朱晓玲, 陈少华, 林彬彬, 王小燕, 许贵如, 徐钦, 邱萍萍, 林晓云, 宋继红. 助产专业本科生对助产综合实验课程情境模拟教学体验的研究[J]. 中华护理教育, 2024, 21(5): 562-568.
[4]	周雯露, 石玟, 王俊杰, 王睿. 护理本科生对高仿真模拟教学体验的Meta整合[J]. 中华护理教育, 2024, 21(3): 289-294.
[5]	谢颖, 高燕, 戴小红, 蒋妮娜, 肖雪军, 戴云云. 助产学课程主题情境教学实践[J]. 中华护理教育, 2024, 21(1): 53-56.
[6]	侯坤华, 白文辉, 李芊芊, 田亚杰, 王梅杰, 常淑莹, 马灵草, 刘纬华. 护理专业实习生经历患者死亡事件体验的系统评价[J]. 中华护理教育, 2023, 20(9): 1077-1083.
[7]	孙月萍, 周蓉, 蒙莉萍, 郭亚琼, 张彩虹, 郭洪花. 妊娠期糖尿病结构化教育临床实践促进与阻碍因素分析[J]. 中华护理教育, 2023, 20(9): 1100-1106.
[8]	钱湛, 林觐民, 杨晓婷, 朱慧. 儿童及青少年癌症患者重返学校体验的Meta整合[J]. 中华护理教育, 2023, 20(8): 974-980.
[9]	杨淑珍,郑海燕,郭萍,赵雷,杨小梅. 叙事医学教育提升助产专业本科生共情能力和人文关怀能力的效果研究[J]. 中华护理教育, 2023, 20(6): 672-677.
[10]	吴慧玲, 李卫涛, 吴丽萍. 胎儿异常妇女引产期间家庭支持内容的质性研究[J]. 中华护理教育, 2023, 20(6): 716-719.
[11]	姚峥,毛冬梅,张立力,刘益君,陈世艺,邓岚心,杨智慧. 妊娠期糖尿病患者疾病体验质性研究的Meta整合[J]. 中华护理教育, 2023, 20(6): 720-726.
[12]	章晓明,徐亦虹,潘红英,张熔熔,刘敏君,乔世娜,吴黎莉. 产妇分娩疼痛经历质性研究的Meta整合[J]. 中华护理教育, 2023, 20(6): 727-733.
[13]	王冰瑶, 付光蕾, 杨莹, 徐华秀, 肖春叶, 谭捷琳. 癌症患者使用移动医疗工具体验的Meta整合[J]. 中华护理教育, 2023, 20(5): 599-606.
[14]	李薇, 李敏, 李枋沄, 薛松梅. 微型探究式教学模式在本科助产学虚拟仿真实验项目中的应用[J]. 中华护理教育, 2023, 20(2): 140-145.
[15]	王亚珍, 王秀锋, 高娅妮, 陈丽颖, 张福康. 专科护士培训体验质性研究的Meta整合[J]. 中华护理教育, 2023, 20(12): 1433-1439.