Brown Karen M, Bright Leslie M
Nursing, Miami University, 205-Q Thesken Hall, 4200 N University Blvd., Middletown, OH 45042, United States.
Nursing, Miami University, University Hall, 1601 University Blvd., Hamilton, OH 45011, United States.
Nurse Educ Pract. 2017 Nov;27:29-35. doi: 10.1016/j.nepr.2017.08.013. Epub 2017 Aug 18.
Innovative teaching strategies develop nurses' knowledge, skills, and attitudes while simultaneously integrating the art of caring and transforming attitudes toward adults over age 65. The study's purpose was to explore students' experiences and attitudes toward older adults with cognitive and/or physical limitations as well as the effects on students' knowledge and skills during a baccalaureate nursing, course which included a service-learning experience. Service-learning synthesizes meaningful community service, academic instruction, and reflection. Participants included baccalaureate students enrolled in a service-learning nursing course focused on older adults. This retrospective, qualitative, phenomenological study used reflective journals and an online survey to explore baccalaureate nursing students' experiences toward older adults with cognitive and/or physical limitations. Themes included initial attitudes of anticipation, apprehension, anxiety, and ageist stereotypes. Final attitudes included a "completely changed perspective" of caring, compassion, and respect indicative of a rewarding, "life-changing" experience. Participants cited enhanced learning, especially in the areas of patient-centered care, collaboration, communication, advocacy, empathy, assessment skills, and evidence-based practice. This innovative teaching strategy led to transformed attitudes toward older adults, reduced fear of older adult populations, an increased desire to work with older adults, and the ability to form a transpersonal, caring relationship while enhancing nursing knowledge and skills.
创新教学策略在培养护士知识、技能和态度的同时，也将关怀艺术融入其中，并转变对65岁以上成年人的态度。该研究的目的是探讨学生在本科护理课程（其中包括服务学习经历）中对有认知和/或身体限制的老年人的体验和态度，以及对学生知识和技能的影响。服务学习将有意义的社区服务、学术指导和反思结合在一起。参与者包括参加以老年人为重点的服务学习护理课程的本科学生。这项回顾性、定性、现象学研究使用反思日记和在线调查来探究本科护理专业学生对有认知和/或身体限制的老年人的体验。主题包括最初的期待、担忧、焦虑和年龄歧视刻板印象等态度。最终态度包括对关怀、同情和尊重的“完全改变的看法”，这表明是一次有意义的、“改变人生”的经历。参与者提到学习有所增强，尤其是在以患者为中心的护理、协作、沟通、宣传、同理心、评估技能和循证实践等方面。这种创新教学策略导致对老年人的态度转变，减少了对老年人群体的恐惧，增加了与老年人合作的愿望，并在增强护理知识和技能的同时，有能力建立一种超越个人的关怀关系。
