收稿日期: 2022-07-25
网络出版日期: 2023-05-27
基金资助
重庆医科大学智慧医学重点项目(ZHYX2019003)
A social constructivim-based curriculum design for Comprehensive Geriatric Assessment Techniques for undergraduate nursing programs
目的 构建本科护理专业老年综合评估技术课程教学方案。 方法 以社会建构主义理论为支撑,遵循泰勒模式四步骤及文献分析法进行课程方案设计,通过德尔菲法选取16名老年护理专家对课程方案进行2轮评价。结果 16名专家的权威系数为0.91。2轮专家函询肯德尔和谐系数分别为0.192和0.161,显著性检验的χ2值分别为202.07和154.68(均P<0.001)。老年综合评估技术课程共12个学时,采用线上线下混合式教学模式。课程内容包括一般医学评估、躯体功能评估、老年综合征评估和社会评估4个模块。第二轮函询,课程内容的各条目重要性赋值均数为4.67~5.00,变异系数为0~0.13。 结论 老年综合评估技术课程教学方案设计方法科学,内容贴近临床实际,可与老年护理学理论课程搭配授课,实现老年护理知识与专业技能的全面培养。
王苑 , 丁福 , 邱丹 , 杨紫樱 , 赵月 . 本科护理专业老年综合评估技术课程的构建[J]. 中华护理教育, 2023 , 20(5) : 549 -553 . DOI: 10.3761/j.issn.1672-9234.2023.05.007
Objective To construct a curriculum program of Comprehensive Geriatric Assessment Techniques for undergraduate nursing. Methods The curriculum program design was supported by Social Constructivism theory,following the four steps of Taylor’s model and the literature analysis method,and 16 geriatric nursing experts were selected to conduct two rounds of evaluation of the curriculum program through the Delphi technique. Results The Kendall’s W for the two rounds of expert correspondence on each item were 0.192,0.161,the χ2 value of Kendall’s W coefficient significance test was 202.07 and 154.68(P<0.001),respectively. The Comprehensive Geriatric Assessment Techniques curriculum consists of 12 credit hours and uses a mixed teaching mode of online and offline. The curriculum content includes four modules:general medical assessment,physical function assessment,geriatric syndrome assessment and social assessment. In the second round of consultation,the averages value of importance assessment of each curriculum content item was 4.67 to 5.00,and coefficients of variation were 0 to 0.13. Conclusion The curriculum program is designed scientifically and the content is close to the clinical practice,which can be used in teaching together with the theoretical courses of geriatric nursing to realize the comprehensive training of geriatric nursing knowledge and professional skills.
| [1] | 陈旭娇, 严静, 王建业, 等. 中国老年综合评估技术应用专家共识[J]. 中华老年病研究电子杂志, 2017, 4(2):1-6. |
| [1] | Chen XJ, Yan J, Wang JY, et al. Expert consensus on the application of comprehensive assessment technology for the elderly in China[J]. Chin J Geriatr Res Electron Ed, 2017, 4(2):1-6. |
| [2] | Parker SG, McCue P, Phelps K, et al. What is Comprehensive Geriatric Assessment(CGA)? An umbrella review[J]. Age Ageing, 2018, 47(1):149-155. |
| [3] | Dhesi J, Moonesinghe SR, Partridge J. Comprehensive geriatric assessment in the perioperative setting;where next?[J]. Age Ageing, 2019, 48(5):624-627. |
| [4] | Ellis G, Gardner M, Tsiachristas A, et al. Comprehensive geriatric assessment for older adults admitted to hospital[J]. Cochrane Database Syst Rev, 2017, 9(9):CD006211. |
| [5] | Panza F, Solfrizzi V, Lozupone M, et al. An old challenge with new promises:a systematic review on comprehensive geriatric assessment in long-term care facilities[J]. Rejuvenation Res, 2018, 21(1):3-14. |
| [6] | Gardner M, Shepperd S, Godfrey M, et al. Comprehensive Geriatric Assessment in hospital and hospital-at-home settings:a mixed-methods study[J]. Health Serv Deliv Res, 2019, 7(10):1-206. |
| [7] | 郑爱喜, 谢霖, 肖厚平, 等. 我国老年综合评估护理模式的研究进展[J]. 全科护理, 2017, 15(27):3365-3368. |
| [8] | 唐德海, 郭新伟, 覃健荣. “泰勒模式”孕生历路的价值审读[J]. 高教论坛, 2019(8):15-21. |
| [9] | 陈琦, 刘儒德. 当代教育心理学[M]. 3版. 北京: 北京师范大学出版社, 2019:143-151. |
| [10] | Lee KC, Yu CC, Hsieh PL, et al. Situated teaching improves empathy learning of the students in a BSN program:a quasi-experimental study[J]. Nurse Educ Today, 2018, 64:138-143. |
| [11] | Erbil DG. A review of flipped classroom and cooperative learning method within the context of vygotsky theory[J]. Front Psychol, 2020, 11:1157. |
| [12] | Groot F, Jonker G, Rinia M, et al. Simulation at the frontier of the zone of proximal development:a test in acute care for inexperienced learners[J]. Acad Med, 2020, 95(7):1098-1105. |
| [13] | 李亦菲, 朱小蔓. 新课程三维目标整合的KAPO模型[J]. 天津师范大学学报(基础教育版), 2010, 11(1):1-10. |
| [13] | Li YF, Zhu XM. KAPO model in the integration of three-dimension objectives[J]. J Tianjin Norm Univ Elem Educ Ed, 2010, 11(1):1-10. |
| [14] | 江虹, 王花玲, 刘炳炳. 本科老年护理人才培养体系的探索与实践[J]. 护理研究, 2017, 31(4):495-496. |
| [14] | Jiang H, Wang HL, Liu BB. Exploration and practice on training system of gerontological nursing undergraduate personnel[J]. Chin Nurs Res, 2017, 31(4):495-496. |
| [15] | Kendall MG, Babington SB. The problem of m rankings[J]. Ann Math Stat, 1939, 10(3):275-287. |
| [16] | McPherson S, Reese C, Wendler MC. Methodology update:Delphi studies[J]. Nurs Res, 2018, 67(5):404-410. |
| [17] | 秦海霞, 覃勤, 张铃羚, 等. 基于CiteSpace的老年综合评估在护理领域研究现状及热点分析[J]. 全科护理, 2022, 20(26):3606-3610. |
| [18] | Duggleby W, Ploeg J, McAiney C, et al. Study protocol:pragmatic randomized control trial of an Internet-based intervention(My tools 4 care) for family carers[J]. BMC Geriatr, 2017, 17(1):181. |
/
| 〈 |
|
〉 |