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开发一种新型的与同理心相关的视频反馈干预措施以提高护生的同理心准确性:一项试点研究。

Development of a novel empathy-related video-feedback intervention to improve empathic accuracy of nursing students: A pilot study.

作者信息

Lobchuk Michelle, Halas Gayle, West Christina, Harder Nicole, Tursunova Zulfiya, Ramraj Chantal

机构信息

University of Manitoba, Rady Faculty of Health Sciences, College of Nursing, 89 Curry Place, Winnipeg, Manitoba R3T 2N2, Canada.

University of Manitoba, Rady Faculty of Health Sciences, College of Medicine, P228-770 Bannatyne Avenue, Winnipeg, Manitoba R3E 0W3, Canada.

出版信息

Nurse Educ Today. 2016 Nov;46:86-93. doi: 10.1016/j.nedt.2016.08.034. Epub 2016 Sep 5.

Abstract

BACKGROUND

Stressed family carers engage in health-risk behaviours that can lead to chronic illness. Innovative strategies are required to bolster empathic dialogue skills that impact nursing student confidence and sensitivity in meeting carers' wellness needs.

PURPOSE

To report on the development and evaluation of a promising empathy-related video-feedback intervention and its impact on student empathic accuracy on carer health risk behaviours.

DESIGN

A pilot quasi-experimental design study with eight pairs of 3rd year undergraduate nursing students and carers.

METHODS

Students participated in perspective-taking instructional and practice sessions, and a 10-minute video-recorded dialogue with carers followed by a video-tagging task. Quantitative and qualitative approaches helped us to evaluate the recruitment protocol, capture participant responses to the intervention and study tools, and develop a tool to assess student empathic accuracy.

MAIN RESULTS

The instructional and practice sessions increased student self-awareness of biases and interest in learning empathy by video-tagging feedback. Carers felt that students were 'non-judgmental', inquisitive, and helped them to 'gain new insights' that fostered ownership to change their health-risk behaviour. There was substantial Fleiss Kappa agreement among four raters across five dyads and 67 tagged instances.

CONCLUSION

In general, students and carers evaluated the intervention favourably. The results suggest areas of improvement to the recruitment protocol, perspective-taking instructions, video-tagging task, and empathic accuracy tool.

摘要

背景

压力大的家庭护理人员会采取可能导致慢性病的健康风险行为。需要创新策略来提升共情对话技巧,这会影响护理专业学生满足护理人员健康需求时的信心和敏感度。

目的

报告一种有前景的与共情相关的视频反馈干预措施的开发与评估,以及它对学生在护理人员健康风险行为方面共情准确性的影响。

设计

一项试点准实验设计研究,涉及八对三年级本科护理专业学生和护理人员。

方法

学生参加换位思考教学和实践课程,与护理人员进行10分钟的视频对话,随后进行视频标注任务。定量和定性方法帮助我们评估招募方案,捕捉参与者对干预措施和研究工具的反应,并开发一种评估学生共情准确性的工具。

主要结果

教学和实践课程通过视频标注反馈提高了学生对偏见的自我认识以及学习共情的兴趣。护理人员认为学生“不评判”、好奇,并帮助他们“获得新见解”,从而促使他们自主改变健康风险行为。在五个二元组和67个标注实例中,四位评分者之间存在显著的弗莱希·卡帕一致性。

结论

总体而言,学生和护理人员对干预措施评价良好。结果表明在招募方案、换位思考指导、视频标注任务和共情准确性工具方面有待改进。

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