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基于中国情境下关怀理论框架的关怀教学模式的设计与测试:一项混合方法研究

The design and testing of a caring teaching model based on the theoretical framework of caring in the Chinese Context: a mixed-method study.

作者信息

Guo Yujie, Shen Jie, Ye Xuchun, Chen Huali, Jiang Anli

机构信息

School of Nursing, Second Military Medical University, Shanghai 200433, PR China.

出版信息

Nurse Educ Today. 2013 Aug;33(8):912-8. doi: 10.1016/j.nedt.2012.08.005. Epub 2012 Sep 2.

Abstract

AIM

This paper aims to report the design and test the effectiveness of an innovative caring teaching model based on the theoretical framework of caring in the Chinese context.

BACKGROUND

Since the 1970's, caring has been a core value in nursing education. In a previous study, a theoretical framework of caring in the Chinese context is explored employing a grounded theory study, considered beneficial for caring education.

METHODS

A caring teaching model was designed theoretically and a one group pre- and post-test quasi-experimental study was administered to test its effectiveness. From Oct, 2009 to Jul, 2010, a cohort of grade-2 undergraduate nursing students (n=64) in a Chinese medical school was recruited to participate in the study. Data were gathered through quantitative and qualitative methods to evaluate the effectiveness of the caring teaching model.

RESULTS

The caring teaching model created an esthetic situation and experiential learning style for teaching caring that was integrated within the curricula. Quantitative data from the quasi-experimental study showed that the post-test scores of each item were higher than those on the pre-test (p<0.01). Thematic analysis of 1220 narratives from students' caring journals and reports of participant class observation revealed two main thematic categories, which reflected, from the students' points of view, the development of student caring character and the impact that the caring teaching model had on this regard.

CONCLUSIONS

The model could be used as an integrated approach to teach caring in nursing curricula. It would also be beneficial for nursing administrators in cultivating caring nurse practitioners.

摘要

目的

本文旨在报告基于中国情境下关怀理论框架的创新型关怀教学模式的设计及效果测试。

背景

自20世纪70年代以来,关怀一直是护理教育的核心价值观。在之前的一项研究中,采用扎根理论研究方法探索了中国情境下的关怀理论框架,认为这对关怀教育有益。

方法

从理论上设计了一种关怀教学模式,并进行了一组前后测的准实验研究以测试其效果。2009年10月至2010年7月,招募了一所中国医学院校的64名本科二年级护理专业学生参与该研究。通过定量和定性方法收集数据,以评估关怀教学模式的效果。

结果

关怀教学模式为关怀教学创造了一种审美情境和体验式学习方式,并将其整合到课程中。准实验研究的定量数据表明,各项目的后测分数均高于前测(p<0.01)。对学生关怀日志中的1220篇叙述以及参与课堂观察报告进行的主题分析揭示了两个主要主题类别,从学生的角度反映了学生关怀品质的发展以及关怀教学模式在这方面的影响。

结论

该模式可作为护理课程中教授关怀的一种综合方法。它对护理管理人员培养有关怀意识的执业护士也有益处。

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