高职老年护理学第二课堂教学方案的设计与实践

doi:10.3761/j.issn.1672-9234.2023.12.007

摘要/Abstract

摘要：

目的设计高职老年护理学第二课堂教学方案并探讨实施效果。方法通过文献分析结合专家小组讨论确定以传统节气和疾病日为时间节点，设计在社区和养老机构对老年人进行疾病科普、健康评估、技能示教和竞答活动的高职老年护理学第二课堂教学方案。2021年3月—2022年7月，对76名选修该课程的学生实施第二课堂教学。教学前后采用Kogan老年态度量表和老年护理择业动机问卷进行调查，并于教学后调查学生对教学的满意度及分析学生的活动反思报告。结果 76名学生的课程成绩为（90.12±1.67）分，76名学生对课程形式和总体评价为满意，教学后学生Kogan老年态度量表得分为（143.38±15.74）分，老年护理择业动机的价值和期望问卷得分分别为（59.30±3.01）和（25.84±2.85）分，得分均高于教学前（129.49±15.91，51.19±4.43，19.92±3.24）（P<0.05）；学生反思报告得出5个主题：巩固了第一课堂所学知识和技能、提升了学习兴趣、增强了心理素质和人际沟通能力、改变了对老年人的刻板效应、加深了岗位认知和专业认同。结论高职老年护理学第二课堂构建科学合理，巩固了第一课堂的学习，学生对课程满意度高，改善了学生对于老年人的态度，提升了学生的从事老年护理工作的意愿。

关键词: 老年护理学, 态度, 第二课堂, 择业动机

Abstract:

Objective To design the second classroom of geriatric nursing in higher vocational colleges and explore the implementation effect. Methods The literatures analysis and Delphi method was used to determine the content of the second classroom of geriatric nursing in higher vocational colleges，which took the traditional solar term and disease day as the time node，and carried out science popularization of disease，health assessment，skill demonstration and recreational activities for the elderly in communities and pension institutions. A total of 76 students who selected the course were taught. Before and after the teaching，the Kogan’s Attitudes towards Old People Scale，the Geriatric Nursing Career Motivation Questionnaire，the students’ comprehensive scores and course satisfaction were used to compare. Through the text analysis of the students’ reflection report on the course activities，the teaching effectiveness was clarified. Results The course score of 76 students was （90.12±1.67） points. At the end of the course，the total score of the students’ attitude towards the elderly was （143.38±15.74） points. The value and expectation dimensions of the motivation of choosing a job in geriatric nursing were（59.30 ± 3.01） and（25.84±2.85） points，respectively. The scores were significantly higher than those before teaching（129.49±15.91，51.19±4.43，19.92±3.24）（P<0.05）. The analysis of students’ reflection report classified five themes namely，consolidated the knowledge and skills learned in the first classroom，enhanced the interest in learning，enhanced the psychological quality and interpersonal communication ability，changed the stereotype effect on the elderly，and deepened the post cognition and professional identity. Conclusion The construction of the second classroom of geriatric nursing in higher vocational colleges is scientific and reasonable，which consolidates the learning of the first classroom，and students are highly satisfied with the course. It is helpful in improving students’ attitude towards the elderly and enhanced students’ willingness to engage in geriatric nursing.

Key words: Geriatric Nursing, Attitude, The second classroom, Career motivation

徐凤麟, 牛振军, 刘玲华, 郑蓉, 原静民. 高职老年护理学第二课堂教学方案的设计与实践[J]. 中华护理教育, 2023, 20(12): 1446-1452.

XU Fenglin, NIU Zhenjun, LIU Linghua, ZHENG Rong, YUAN Jingmin. Curriculum design and practice of geriatric care practice in higher vocational colleges based on second classroom activities[J]. Chinese Journal of Nursing Education, 2023, 20(12): 1446-1452.

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参考文献 15

[1]	国务院. 中共中央国务院印发《中长期青年发展规划(2016-2025年)》[EB/OL]. [2023-04-05]. http://www.gov.cn/zhengce/2017-04/13/content_5185555.htm#1.
[2]	共青团中央教育部. 关于在高校实施共青团“第二课堂成绩单”制度的意见[EB/OL]. 2019-10-30). https://tw.xyu.edu.cn/info/1067/2406.htm.
[3]	任祥华. 大学第二课堂课程体系研究[D]. 曲阜: 曲阜师范大学, 2022.
	Ren XH. Research on the curriculum system of the second classroom in university[D]. Qufu: Qufu Normal University, 2022.
[4]	张玉红, 廖文梅, 王赟, 等. 高职妇科护理“课堂—见习”一体化教学的设计与实践[J]. 中华护理教育, 2020, 17(7):648-652.
	Zhang YH, Liao WM, Wang Y, et al. Design and practice of a teaching method combining classroom and practice together in Gynecology Nursing in a higher vocational college[J]. Chin J Nurs Educ, 2020, 17(7):648-652.
[5]	马春丽, 刘少华, 李武平. 混合式教学在高职基础护理学实训项目中的应用[J]. 中华护理教育, 2020, 17(11):985-988.
[6]	李小芒, 李慧敏, 黄姣娥, 等. 基于建构主义理论的内科护理学思政两课堂教学[J]. 护理学杂志, 2022, 37(8):54-57.
	Li XM, Li HM, Huang JE, et al. Application of two classrooms ideological and political theory education model based on constructivism theory for the course of internal medical nursing[J]. J Nurs Sci, 2022, 37(8):54-57.
[7]	郝玉芳, 周芬, 李小花, 等. 依托循证护理研究中心培养学生循证护理能力的实践与思考[J]. 中华护理教育, 2021, 18(10):875-878.
	Hao YF, Zhou F, Li XH, et al. Developing students’ evidence-based nursing ability relying on an Evidence-based Nursing Research Center:practice and reflections[J]. Chin J Nurs Educ, 2021, 18(10):875-878.
[8]	郭艳侠, 梁珣, 张敏. 翻转课堂结合对分课堂教学模式在老年护理学教学中的应用[J]. 护理学杂志, 2020, 35(15):72-74.
	Guo YX, Liang X, Zhang M. Application of flipped class combined with presentation-assimilation-discussion teaching mode in the course of Geriatric Nursing[J]. J Nurs Sci, 2020, 35(15):72-74.
[9]	董超群, 符丽燕, 高晨晨, 等. 任务驱动的参与体验教学对护生老年护理态度及择业动机的影响[J]. 护理学杂志, 2022, 37(5):58-61.
	Dong CQ, Fu LY, Gao CC, et al. Effect of task-driven,participatory-experiential teaching on nursing students’ attitude and career motivation toward elderly people[J]. J Nurs Sci, 2022, 37(5):58-61.
[10]	刘会, 李坚实, 卢瑛, 等. 高职护理专业养老志愿服务教学模式的实践[J]. 护理学杂志, 2019, 34(1):5-8.
	Liu H, Li JS, Lu Y, et al. The teaching practice of nursing volunteer service for the aged in higher vocational nursing program[J]. J Nurs Sci, 2019, 34(1):5-8.
[11]	刘云娥, 杨文丽, 马艳林, 等. 中文版Kogan老年态度量表的修订研究[J]. 中华护理杂志, 2014, 49(11):1294-1297.
	Liu YE, Yang WL, Ma YL, et al. Reliability and validity of the Chinese version of Kogan’s Attitudes towards Old People Scale[J]. Chin J Nurs, 2014, 49(11):1294-1297.
[12]	程敏, 范秀珍, 田彦, 等. 护生老年护理择业动机问卷的编制[J]. 中国实用护理杂志, 2014, 30(19):4-6.
	Cheng M, Fan XZ, Tian Y, et al. Development of questionnaire for career choice motivation of nursing students in the elderly[J]. Chin J Pract Nurs, 2014, 30(19):4-6.
[13]	李东雅, 陈偶英, 倪娟, 等. 护理硕士专业学位研究生中医护理技术课程“学校-医院-社区三方课堂”的实践[J]. 中华护理教育, 2021, 18(1):40-44.
	Li DY, Chen OY, Ni J, et al. Nursing Technology of Traditional Chinese Medicine:course construction and practice[J]. Chin J Nurs Educ, 2021, 18(1):40-44.
[14]	杨新恋, 赵梦遐, 孔令磷. 本科护生对老年人态度与其老年护理择业价值动机的相关性[J]. 中国老年学杂志, 2021, 41(11):2428-2430.
	Yang XL, Zhao MX, Kong LL. Correlation between undergraduate nursing students’ attitude towards the elderly and their value motivation of career choice in elderly nursing[J]. Chin J Gerontol, 2021, 41(11):2428-2430.
[15]	Al-Rawajfah OM, Al-Mugeed KA, Alaloul F, et al. COVID-19 knowledge,attitude,and precautionary practices among health professional students in Oman[J]. Nurse Educ Pract, 2021, 52:103041. doi: 10.1016/j.nepr.2021.103041