ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 >

2020 , Vol. 17 >Issue 6: 508 - 511

DOI: https://doi.org/10.3761/j.issn.1672-9234.2020.06.006

院校教育

以提升沟通能力为导向的健康评估教学改革

  • 张欣 ,
  • 尤丽丽 ,
  • 高娜 ,
  • 刘华平
展开
  • 100144 北京市 北京协和医学院护理学院护理基础学系（张欣，刘华平）；北京协和医院消化内科（尤丽丽），骨科（高娜）
张欣：女,博士,副教授,E-mail：zhangxin99@263.net

收稿日期: 2019-08-18

  网络出版日期: 2020-06-29

基金资助

北京协和医学院教育教学改革立项(2016z1gc0120)

收起

Teaching reform of Health Assessment based on communication ability

  • Xin ZHANG ,
  • Li-li YOU ,
  • Na GAO ,
  • Hua-ping LIU
Expand

Received date: 2019-08-18

  Online published: 2020-06-29

Fold

摘要

目的 探讨在健康评估课程中以提升能力为导向的教学改革对护理专业本科生沟通能力的影响。方法 对健康评估课程进行教学改革并在2017级129名护理本科生（试验组）中进行教学实践。教学改革主要包括：基于学生思维特征分组,在教学中应用标准化病人,学生以小组为单位采用“身份-现状-背景-评估-建议”专业沟通评价量规收集、传递病人信息。在教学后,应用职业素养评估问卷评价学生的沟通能力,以教学改革前的2016级86名护理本科生为对照组进行比较。结果 试验组职业素养评估得分为（4.80±0.28）分,对照组得分为（4.37±0.49）分,差异有统计学意义（t=9.121,P<0.001）。结论 以提升能力为导向的课程教学改革对学生护患和跨专业团队沟通能力起到积极作用。

关键词： 学生; 护理; 沟通能力; 健康评估

本文引用格式

张欣 , 尤丽丽 , 高娜 , 刘华平 . 以提升沟通能力为导向的健康评估教学改革[J]. 中华护理教育, 2020 , 17(6) : 508 -511 . DOI: 10.3761/j.issn.1672-9234.2020.06.006

Abstract

Objective To evaluate the effects of an ability-oriented teaching reform on nursing student's communication abilities in Health Assessment. Methods The teaching reform was conducted in 129 undergraduate students of grade 2017. Contents of the teaching reform included grouping students based on their thinking characteristics,standardized patient teaching,and case study through ISBAR tool. The communication ability was measured using Professionalism Assessment Questionnaire（PAQ） and compared with that of students in grade 2016.Results The score of PAQ in the experimental group（4.80±0.28） was significantly higher than that in the control group（4.37±0.49,t=9.121,P<0.001）. Conclusion Teaching reform of health assessment based on ability has a positive influence on building nursing students' nurse-patient and interprofessional communication abilities.

Key words： Students，Nursing; Communication ability; Health assessment

参考文献

[1] 教育部高等学校教学指导委员会. 普通高等学校本科专业类教学质量国家标准[M]. 北京:高等教育出版社,2018:811-812.
[2] 吕探云,孙玉梅.健康评估[M]. 3版. 北京:人民卫生出版社,2012.
[3] Grant MS,Jenkins LS.Communication education for pre-licensure nursing students:literature review 2002-2013[J]. Nurse Educ Today,2014,34(11):1375-1381.
[4] Müller M,Jürgens J,Redaèlli M,et al.Impact of the communication and patient hand-off tool SBAR on patient safety:a systematic review[J]. BMJ Open,2018,8(8):e022202.
[5] Yeh VJ,Sherwood G,Durham CF,et al.Designing and implementing asynchronous online deliberate practice to develop interprofessional communication competency[J]. Nurse Educ Pract,2019,35:21-26.
[6] 张欣,刘华平. 不同思维类型护理本科生健康评估能力和护患沟通能力的调查研究[J]. 中华护理教育,2017,14(10):774-777.
[7] Billings DM.Storytelling:a strategy for providing context for learning[J]. J Contin Educ Nurs,2016,47(3):109-110.
[8] De Meester K,Verspuy M,Monsieurs KG,et al.SBAR improves nurse-physician communication and reduces unexpected death:a pre and post intervention study[J]. Resuscitation,2013,84(9):1192-1196.
[9] Gonzalez L,Kardong-Edgren S.Deliberate practice for mastery learning in nursing[J]. Clin Simul Nurs,2017,13(1):10-14.
[10] Murdoch NL,Epp S,Vinek J.Teaching and learning activities to educate nursing students for interprofessional collaboration:a scoping review[J]. J Interprof Care,2017,31(6):744-753.
[11] Wakabayashi A,Baron-Cohen S,Wheelwright S,et al.Development of short forms of the empathy quotient(EQ-short)and the systemizing quotient(SQ-short)[J]. Pers Individ Differ,2006,41(5):929-940.
[12] Baron-Cohen S,Richler J,Bisarya D,et al.The systemizing quotient:an investigation of adults with Asperger syndrome or high-functioning autism,and normal sex differences[J]. Philos Trans R Soc Lond B Biol Sci,2003,358(1430):361-374.
[13] Foronda CL,Alhusen J,Budhathoki C,et al.A mixed-methods,international,multisite study to develop and validate a measure of nurse-to-physician communication in simulation[J]. Nurs Educ Perspect,2015,36(6):383-388.
[14] Zanetti M,Keller L,Mazor K,et al.Using standardized patients to assess professionalism:a generalizability study[J]. Teach Learn Med,2010,22(4):274-279.
[15] Institute of Medicine(US) Committee on Quality of Health Care in America. Crossing the quality chasm:a new health system for the 21st century[M]. Washington DC:National Academy Press,2001.
[16] Penprase B,Oakley B,Ternes R,et al.Do higher dispositions for empathy predispose males toward careers in nursing? A descriptive correlational design[J]. Nurs Forum,2015,50(1):1-8.
[17] Baron-Cohen S.The extreme male brain theory of autism[J]. Trends Cogn Sci(Regul Ed),2002,6(6):248-254.
[18] Powell-Laney S,Keen C,Hall K.The use of human patient simulators to enhance clinical decision-making of nursing students[J]. Educ Health(Abingdon),2012,25(1):11-15.
[19] van Dulmen S,Driesenaar JA,van Weert JC,et al. Patient VOICE:development of a preparatory,pre-chemotherapy online communication tool for older patients with cancer[J]. JMIR Res Protoc,2017,6(5):e85.
Options
文章导航

/

〈 〉