安宁疗护师资培训中学员真实体验的质性研究

doi:10.3761/j.issn.1672-9234.2026.06.005

中华护理教育 ›› 2026, Vol. 23 ›› Issue (6): 670-675.doi: 10.3761/j.issn.1672-9234.2026.06.005

• 专题策划——安宁疗护教育与人才培养 • 上一篇下一篇

安宁疗护师资培训中学员真实体验的质性研究

张雨虹¹(), 董巍², 万永慧¹, 张青³, 周炜¹, 邱艳茹¹^,^*()

¹ 武汉大学人民医院肿瘤中心武汉市 430072
² 世界健康基金会武汉办公室武汉市 430070
³ 武汉大学护理学院武汉市 430071

收稿日期:2025-12-07 出版日期:2026-06-15 发布日期:2026-06-18
通讯作者: *邱艳茹，E-mail：qiuyanru_rm@whu.edu.cn
作者简介:张雨虹：女，本科（硕士在读），主管护师，E-mail：2316135204@qq.com
第一联系人：作者贡献声明
张雨虹：资料收集及分析、文本撰写及修改；董巍：资料管理与收集；万永慧：研究指导、文本写作指导；张青、周炜：资料分析；邱艳茹：研究构思及指导、文本修改及审阅、基金提供者。
基金资助:
武汉大学护理专项科研培育基金(LCHL202311)

A qualitative study on the authentic experiences of trainees participating in a hospice care train-the-trainer program

ZHANG Yuhong¹(), DONG Wei², WAN Yonghui¹, ZHANG Qing³, ZHOU Wei¹, QIU Yanru¹^,^*()

¹ Cancer Center， Renmin Hospital of Wuhan University， Wuhan 430072， China
² Project HOPE， Wuhan Foundation， Wuhan 430070， China
³ School of Nursing， Wuhan University， Wuhan 430071， China

Received:2025-12-07 Online:2026-06-15 Published:2026-06-18
Contact: *QIU Yanru，E-mail：qiuyanru_rm@whu.edu.cn
Supported by:
Nursing Special Research Training Fund of Wuhan University(LCHL202311)

摘要/Abstract

摘要：

目的探讨参与临终护理教育联盟安宁疗护师资培训学员的真实体验，从主观体验角度了解学员学习与实践中的深层障碍与情感动力，为优化安宁疗护师资培训提供参考。方法采用目的抽样法，选择参与2024年临终护理教育联盟安宁疗护师资培训的学员作为研究对象，使用Colaizzi现象学7步法分析资料。结果共访谈了12名学员。最终提炼出4个主题，包括理念与现实间的落差；从学习者到传播者的角色延伸；本土情境中的实践调适；双重反馈下的职业意义确证。结论临终护理教育联盟安宁疗护师资培训对学员的影响并非停留于知识获得，而是呈现出由认知失衡、角色延伸、实践调适到意义确证逐步推进的动态转化过程。安宁疗护师资培训的作用不仅在于知识传授，更在于促进学员在本土文化与临床情境中完成角色建构与职业认同强化。未来建议培训基于学员体验优化培训方案设置与支持体系，以提升培训的有效性与本土化水平。

关键词: 安宁疗护, 临终护理教育联盟, 师资培训, 质性研究

Abstract:

Objective To explore the authentic experiences of trainees participating in the End-of-Life Nursing Education Consortium（ELNEC） hospice care train-the-trainer program，and to understand the deep-seated barriers and emotional motivations in their learning and practice from a subjective perspective，thereby providing insights for optimizing palliative care educator training. Methods Using purposive sampling method，trainees who participated in the training in 2024 were selected as the research objects，and the Colaizzi phenomenological seven-step method was used for analysis. Results A total of 12 trainees were interviewed. Finally，four themes emerged，including the gap between ideals and reality，role extension from learner to disseminator，practical adaptation in local contexts，and significance corroboration of career under dual feedback. Conclusion The influence of the ELNEC train-the-trainer program is not limited to knowledge acquisition，but shows a dynamic transformation process from cognitive imbalance，role extension，practice adjustment to significance confirmation. The effect of hospice care trainer training is not only about knowledge transmission，but also about promoting the trainees to complete role construction and strengthen professional identity in the local culture and clinical contexts. It is recommended that future training should optimize the curriculum and support system based on the experience of trainees，so as to improve effectiveness and localization.

Key words: Hospice Care, End-of-Life Nursing Education Consortium, Train-the-Trainer Program, Qualitative Study

张雨虹, 董巍, 万永慧, 张青, 周炜, 邱艳茹. 安宁疗护师资培训中学员真实体验的质性研究[J]. 中华护理教育, 2026, 23(6): 670-675.

ZHANG Yuhong, DONG Wei, WAN Yonghui, ZHANG Qing, ZHOU Wei, QIU Yanru. A qualitative study on the authentic experiences of trainees participating in a hospice care train-the-trainer program[J]. Chinese Journal of Nursing Education, 2026, 23(6): 670-675.

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安宁疗护师资培训中学员真实体验的质性研究

A qualitative study on the authentic experiences of trainees participating in a hospice care train-the-trainer program

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