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姑息治疗教育内容对本科护理专业学生临终关怀态度的影响。

The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students.

作者信息

Mallory Judy L

机构信息

Western Carolina University, Cullowhee, NC 28723, USA.

出版信息

J Prof Nurs. 2003 Sep-Oct;19(5):305-12. doi: 10.1016/s8755-7223(03)00094-2.

Abstract

Nurse educators have identified that historically nurses have not been prepared to care for dying patients. Research also has identified that nursing students have anxieties about death, dying, and caring for dying patients. Several factors have been identified as affecting nurses' and nursing students' attitudes toward care of the dying. Factors addressed in this research were current and previous death education. This research incorporated experiential learning using a model of death education and transformative learning theory. The educational experiences were geared to help students understand the skills needed to care competently and compassionately for the dying. The use of the End of Life Nursing Education Consortium (ELNEC) education package along with experiences at the hospice, the funeral home, the anatomy laboratory, and role play helped facilitate transformative learning in the nursing students. The study examined the effects of an educational experience to determine if a one-time educational experience provides sufficient, lasting effects in a 6-week format. Results of this study indicate that education can have a positive effect on nursing students' attitudes toward care of the dying. Nursing students in the intervention group had a significant positive increase in their attitudes toward care of the dying after the intervention. The attitude change increased slightly after a 4-week period.

摘要

护理教育工作者已经认识到,从历史上看,护士并未做好照顾临终患者的准备。研究还发现,护理专业学生对死亡、临终和照顾临终患者存在焦虑情绪。已确定有几个因素会影响护士和护理专业学生对临终护理的态度。本研究探讨的因素是当前和以往的死亡教育。这项研究采用了一种死亡教育模式和变革性学习理论进行体验式学习。这些教育体验旨在帮助学生理解为临终患者提供专业且富有同情心的护理所需的技能。使用临终护理教育联盟(ELNEC)的教育包,以及在临终关怀机构、殡仪馆、解剖实验室的经历和角色扮演,有助于促进护理专业学生的变革性学习。该研究考察了一种教育体验的效果,以确定一次为期6周的教育体验是否能产生充分、持久的影响。这项研究的结果表明,教育可以对护理专业学生对临终护理的态度产生积极影响。干预组的护理专业学生在干预后对临终护理的态度有显著的积极提升。在4周后,态度变化略有增加。

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