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
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论著

叙事教育在培养护理本科生职业态度中的应用

  • 陶莹 ,
  • 李丽萍
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  • 201203 上海市 上海中医药大学护理学院
陶莹:女,博士,讲师,E-mail:taoying52@163.com

收稿日期: 2020-04-04

  网络出版日期: 2020-12-30

The effects of narrative pedagogy on professional attitude of nursing undergraduates

  • Ying TAO ,
  • Li-ping LI
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  • School of Nursing,Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China

Received date: 2020-04-04

  Online published: 2020-12-30

摘要

目的 探讨以叙事教育培养护理本科生职业态度的有效性和可行性。方法 选取32名大学三年级护理本科生,于2018年9月—2019年3月开展叙事教育课外学习项目。叙事教育包括吸收故事经验、构建现实意义和传播榜样精神3个阶段。将学生分为5个小组,每组配1名指导教师引导学生参与叙事教育,配1名榜样导师与学生分享她们的职业故事。叙事教育前后采用护士职业态度量表对32名学生进行测评;叙事教育后,对11名学生进行访谈,深入了解叙事教育如何对其护士职业态度产生影响。结果 叙事教育后,学生职业态度量表得分(5.87±0.84)高于之前(5.11±1.01),差异有统计学意义(t=4.705,P<0.001)。访谈资料提炼了3个主题和6个次级主题,分别为转变专业学习态度(促进学生学习积极性、提升中医护理学习兴趣)、缩小院校教育与临床实践差异(加深对职业的理解、架设理论与实践的桥梁)、发展健康职业人际关系(树立职业榜样、培养团队合作意识)。结论 叙事教育有助于培养护理专业学生积极的职业情感。

本文引用格式

陶莹 , 李丽萍 . 叙事教育在培养护理本科生职业态度中的应用[J]. 中华护理教育, 2020 , 17(12) : 1061 -1066 . DOI: 10.3761/j.issn.1672-9234.2020.12.001

Abstract

Objective To explore the effects and feasibility of narrative pedagogy on professional attitude of nursing undergraduates. Methods The year 3 nursing students were recruited(n=32),and participated in a narrative education program from September 2018 to March 2019. Three stages were included in this narrative education program:experiences learning of old stories,construction of new stories and dissemination of models’ spirits. Students were allocated to five groups and each group was facilitated by a mentor and a role model expert. Pre- and post-test were applied to evaluate the effectiveness of this narrative education program on professional attitude of these students. At the end of the educational program,11 nursing students were interviewed by semi-structured interviews to explore their professional attitudes. Results The score of professional attitudes of students was(5.87±0.84) after the intervention,which was significantly higher than that before the intervention(5.11±1.01)(P<0.001). Three major themes and 6 sub-themes emerged from the data including attitude change towards knowledge acquisition(promotion of students’ learning enthusiasm,development of studying interests on traditional Chinese medicine nursing);bridging gaps between university education and clinical practice(deepening understanding of nursing roles,linking theory with clinical practice),and developing positive human relationship(establishing positive role model,increasing awareness of teamwork). Conclusion Narrative pedagogy can improve the active professional attitude of nursing students.

参考文献

[1] 吴雅文, 姜安丽, 李树珍. 护理学情感教学评价工具的研究[J]. 中国高等医学教育, 2000(1):58-60.
[2] Johnson M, Cowin LS, Wilson I, et al. Professional identity and nursing:contemporary theoretical developments and future research challenges[J]. Int Nurs Rev, 2012,59(4):562-569.
[3] Diekelmann N. Narrative pedagogy:heideggerian hermeneutical analyses of lived experiences of students,teachers,and clinicians[J]. Adv Nurs Sci, 2001,23(3):53-71.
[4] Diekelmann N. Reawakening thinking:is traditional pedagogy nearing completion?[J]. J Nurs Educ, 1995,34(5):195-196.
[5] Conle C. An anatomy of narrative curricula[J]. Educ Res, 2003,32(3):3-15.
[6] 向眉. 布鲁纳叙事教育思想及其启示[J]. 课程·教材·教法, 2014,34(11):115-120.
[7] Drake SM, Bebbington J, Laksman S, et al. Developing an integrated curriculum using the Story Model[M]. Toronto: OISE Press, 1992.
[8] Thrower EJB. Oral histories of nurse-midwives in Georgia,1970-1989:blazing trails,building fences,raising towers[J]. J Midwifery Women’s Heal, 2018,63(6):693-699.
[9] 李峥, 刘宇. 护理学研究方法[M]. 北京: 人民卫生出版社, 2012: 255-272.
[10] 王宁, 徐江华, 熊晓美. 叙事教育在本科实习护生职业态度培养中的应用[J]. 护理学报, 2017,24(14):9-13.
[11] 王洋. 吉林省高校护生职业态度与自我价值感、社会适应性的相关性研究[D]. 延吉:延边大学, 2010.
[12] 孟亚, 周新明, 王培席. 实习前本科护生职业态度调查[J]. 护理研究, 2012,26(16):1474-1475.
[13] 王惠婷, 李壮苗. 中医院校护理本科生学习适应性的调查研究[J]. 中华护理教育, 2014,11(12):923-926.
[14] 何丽亚, 董彩梅, 肖霞. 湖南省护理专业学生职业认同现状及影响因素研究[J]. 中华护理教育, 2017,14(4):314-318.
[15] 方永奇, 景学安, 王君林, 等. 医学生早期接触临床教学的实践和探索[J]. 中国高等医学教育, 2013(6):73-74.
[16] 王玉莉, 绳杰清, 祝苗苗. 本科在校护生与实习护生职业态度的比较分析[J]. 全科护理, 2014,12(7):586-587.
[17] Chan M, Pratt D, Poole G, et al. Professional paradox:identity formation in qualified doctors pursuing further training[J]. Med Educ, 2018,52(3):302-313.
[18] Heinrich KT. Create a tradition:teach nurses to share stories[J]. J Nurs Educ, 1992,31(3):141-143.
[19] 吴琳凤, 刘永兵, 孙凯旋, 等. 护理本科生职业态度及影响因素研究[J]. 护理管理杂志, 2019,19(7):500-504.
[20] Cruess RL, Cruess SR, Boudreau JD, et al. Reframing medical education to support professional identity formation[J]. Acad Med, 2014,89(11):1446-1451.
[21] Buckley S, Zamora J. Effects of participation in a cross year peer tutoring programme in clinical examination skills on volunteer tutors’ skills and attitudes towards teachers and teaching[J]. BMC Med Educ, 2007,7,Article number:20.
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