收稿日期: 2023-10-20
网络出版日期: 2024-06-13
基金资助
北京协和医学院2022年本科教育教学改革项目(2022-zlgc0127)
Application of action research in nursing undergraduate clinical teaching:a scoping review
目的 全面综合分析国内外行动研究在护理本科生临床教学中的应用现状,旨在为临床护理教育者开展行动研究提供参考。 方法 基于Arksey和O’Malley范围综述方法学框架,检索Scopus、PubMed、Web of Science、Cochrane Library、CINAHL、中国知网、万方知识数据服务平台、维普网、中国生物医学文献数据库9个中英文数据库,检索时限为建库至2024年1月24日,并由2名研究者对行动研究在护理本科生临床教学中应用的研究进行回顾分析及信息提取。 结果 共纳入18篇文献,行动研究应用于护理本科生临床教学的多个方面,包括创新临床教学及考核方式、构建临床教学指导方案、探究优质教学方法的应用效果;纳入文章的研究模式、观察策略、评价工具等均有一定的差异,且行动研究实施过程中存在不足之处。 结论 行动研究在国内外护理本科生临床教学中应用广泛,并能切实解决临床教学问题,但行动实施过程规范性欠佳,学生参与度有待加强,行动研究的效果评价亦需要进一步研究。
涂旭莲 , 吴丽萍 , 张菲 , 谢雨斐 , 谢婉 . 行动研究在护理本科生临床教学中应用的范围综述[J]. 中华护理教育, 2024 , 21(6) : 751 -757 . DOI: 10.3761/j.issn.1672-9234.2024.06.018
Objective To describe and analyze the application status of action research in clinical teaching of nursing undergraduate at home and abroad,in order to provide references for clinical nursing educators to carry out action research. Methods Based on the Arksey and O’Malley scoping review methodological framework,nine Chinese and English databases were searched,including Scopus,PubMed,Web of Science,Cochrane Library,CINAHL,CNKI,Wanfang,VIP and SinoMed. The search period was set from databases’ establishment to January 24,2024. After literature searching,two researchers independently screened and extracted data,analyzed and discussed the included literature. Results A total of 18 literatures were included. The action research was applied in many aspects of clinical teaching including innovating clinical teaching and assessment methods,constructing clinical teaching guidance programs,and exploring the application effect of high-quality teaching methods. In the process of action research,there were some differences in research models,observation strategies and evaluation tools. Conclusion Action research is widely used in the clinical teaching of nursing undergraduates at home and abroad and can effectively solve the problems of clinical teaching. Meanwhile,the standardization of the implementation process of action is not good,the participation of students needs to be strengthened,and the quality and effect evaluation of action research need to be further studied.
Key words: Education; Nursing; Clinical teaching; Scoping review; Action research
| [1] | Corey SM. Action research to improve school practices[M]. New York: Bureau of Publications,Teachers College,Columbia University, 1953. |
| [2] | 范罗丹, 余华, 陈红, 等. 行动研究法在护理教育领域中的应用现状[J]. 中国继续医学教育, 2022, 14(6):154-158. |
| [3] | 李姗姗. 本科护理学专业《护理教育学》教材体系优化的探索[J]. 中国中医药现代远程教育, 2022, 20(3):37-39. |
| [4] | 叶国英, 沈开忠, 葛炜, 等. 内外科护理学课程理论与临床实践同步实施与教学效果评价[J]. 中华医学教育杂志, 2009, 29(5):67-70. |
| [5] | 杨倮, 郭红, 刘幼华, 等. 行动研究法在国内外护理领域应用的研究进展[J]. 护理研究, 2020, 34(7):1209-1213. |
| [6] | 刘明, 田金徽. 优化范围性综述的制订方法[J]. 英国医学杂志中文版, 2022, 25(7):399-402. |
| [7] | Arksey H, O’Malley L. Scoping studies:towards a methodolo-gical framework[J]. Int J Soc Res Methodol, 2005, 8(1):19-32. |
| [8] | 刘春玲, 章雪玲. 思政教育融入临床护理实践教学全过程的实践研究[J]. 全科护理, 2022, 20(18):2586-2588. |
| [9] | 赵滨滨, 张丹琦, 代培方, 等. 基于简化OSCE模式在护理本科生手术室实践教学中的应用[J]. 新教育时代电子杂志, 2022(37): 160-163. |
| [10] | 庞淼, 隋树杰, 朱雪梅. 基于实践教学改革提高护理本科生临床实践能力的行动研究[J]. 中国高等医学教育, 2021(5):50-51. |
| [11] | 杨乐, 洪艳燕, 卞玉花, 等. 行动研究法在护理本科生临床教学中的优势[J]. 中国中医药现代远程教育, 2020, 18(20):8-10. |
| [12] | 李丽, 王清. 基于行动研究法在神经内科护生带教中的应用效果观察[J]. 现代临床护理, 2018, 17(12):56-61. |
| [13] | 张慧颖. 基于WBL培养本科护生核心能力的行动研究[D]. 郑州: 郑州大学, 2018. |
| [14] | 刘璇, 张妍, 勘薇. 基于OSCE引导模式下临床护理实践教学改革路径探析[J]. 人人健康, 2016(4):248. |
| [15] | 朱雪梅, 仰曙芬, 吴玉华, 等. OSCE引导的临床护理实践教学改革的行动研究[J]. 护理研究, 2015, 29(2):212-214. |
| [16] | 张晓云, 周兰姝, 朱大乔, 等. 基于临床的模块化PBL教学模式在成人护理学教学中的探索与应用[J]. 护理研究, 2014, 28(5):621-623. |
| [17] | 李小红, 孙继红, 高凤莉, 等. 组织实施护理 PBL 教学查房的行动研究[J]. 中华现代护理杂志, 2013, 48(35):4382-4385. |
| [18] | 李娟, 胡琛, 张晓云, 等. 基于角色扮演和PBL的护理本科生问诊教学行动研究[J]. 中华护理教育, 2011, 8(5):205-207. |
| [19] | Liang HF, Wu KM, Hung CC, et al. Resilience enhancement among student nurses during clinical practices:a participatory action research study[J]. Nurse Educ Today, 2019, 75:22-27. |
| [20] | Adamson E, King L, Foy L, et al. Feedback in clinical prac-tice:enhancing the students’ experience through action resear-ch[J]. Nurse Educ Pract, 2018, 31:48-53. |
| [21] | Asadizaker M, Abedsaeedi Z, Abedi H, et al. Design and eva-luation of reform plan for local academic nursing challenges using action research[J]. Asian Nurs Res, 2016, 10(4):263-270. |
| [22] | Paul F. An exploration of student nurses’ thoughts and expe-riences of using a video-recording to assess their performance of cardiopulmonary resuscitation(CPR) during a mock objec-tive structured clinical examination(OSCE)[J]. Nurse Educ Pract, 2010, 10(5):285-290. |
| [23] | Blum CA. Development of a clinical preceptor model[J]. Nurse Educ, 2009, 34(1):29-33. |
| [24] | Chien WT, Chan SWC, Morrissey J. The use of learning con-tracts in mental health nursing clinical placement:an action research[J]. Int J Nurs Stud, 2002, 39(7):685-694. |
| [25] | Chan SW, Chien WT. Implementing contract learning in a clinical context:report on a study[J]. J Adv Nurs, 2000, 31(2):298-305. |
| [26] | 杨红军, 赵舸争, 梁陶媛, 等. 临床护理带教教学方法的应用现状分析[J]. 中国医刊, 2023, 58(10):1156-1160. |
| [27] | Sperstad R, Pehler SR, Ackerson S, et al. Student voices during action research impact outcomes in nursing quality impro-vement project[J]. J Nurs Educ, 2020, 59(1):42-45. |
| [28] | Bramble M, Maxwell H, Einboden R, et al. Exploring and im-proving student engagement in an accelerated undergraduate nursing program through a mentoring partnership:an action research study[J]. Int J Nurs Educ Scholarsh, 2018, 15(1):/j/ijnes.2018.15.issue-/j/ijnes.2018.15.issu1/ijnes-2017-0090/ijnes-2017-0090.xml. |
| [29] | Csiernik R, O’Regan T, Forchuk C, et al. Nursing students’ perceptions of participatory action research[J]. J Nurs Educ, 2018, 57(5):282-286. |
| [30] | 张新海, 李瑶瑶. 教育定量研究和定性研究:对立与调和[J]. 现代教育科学, 2020(3):28-33. |
/
| 〈 |
|
〉 |