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学生护士对 HIV 自检的体验式学习:一项定性研究。

Experiential learning of HIV self-test among student nurses: A qualitative study.

机构信息

Department of Nursing, National Taipei University of Nursing and Health Science, No.365, Ming-te Road, Peitou District, Taipei City, Taiwan.

Department of Nursing, Mackay Medicine, Nursing and Management College, No.92, Shengjing Rd., Beitou Dist., Taipei City 112, Taiwan.

出版信息

Nurse Educ Today. 2019 Aug;79:111-116. doi: 10.1016/j.nedt.2018.11.012. Epub 2018 Nov 16.


DOI:10.1016/j.nedt.2018.11.012
PMID:31121340
Abstract

BACKGROUND: There is increasing demand for HIV self-tests, and nurses play an important role in counselling and assisting in the testing process. Traditional lecture-based nursing education has not typically focused on self-testing procedures, and there is little understanding of clients' experiences of self-testing. OBJECTIVES: To understand the experiential learning (EL) of student nurses during the process of self-testing for HIV. DESIGN: This study used a qualitative design. SETTINGS: A college in northern Taiwan. PARTICIPANTS: We recruited a purposive sample of 30 nursing students. METHODS: The OraQuick self-test was used as the self-testing tool in this study. After participants used the OraQuick self-test, they underwent a semi-structured interview during the post-test counselling period. All interview data were subjected to line-by-line content analysis. RESULTS: We extracted nine themes of nursing students' experiences during experiential learning of HIV self-test. In the pre-test stage, they recalled possible risk behaviors for HIV infection, decided to complete the self-test alone or asked for significant others to accompany them, and endured emotional fluctuations immediately prior to the test. When waiting for the test results, they felt isolated from the outside world. Some participants also began questioning the accuracy and safety of the test, and either viewed the results immediately or later on. In the post-test stage, some participants reported being uncertain about the results. Participants reported a greater understanding of the personal impact of testing and revealed their needs for support. Some identified a sense of loss and linked this to the rapid and direct delivery of test results. CONCLUSIONS: Our results can be used to guide HIV-related education courses and prevention programs. Experiential learning has the potential to improve HIV pre and post-test counselling, as nurses develop both clinical knowledge and personal insight of the testing process.

摘要

背景:人们对 HIV 自检的需求日益增加,护士在咨询和协助检测过程中发挥着重要作用。传统的基于讲座的护理教育通常不注重自检程序,也不太了解客户的自检体验。

目的:了解学生护士在 HIV 自检过程中的体验式学习(EL)。

设计:本研究采用定性设计。

地点:中国台湾北部的一所学院。

参与者:我们招募了 30 名护理专业学生作为研究对象。

方法:本研究使用 OraQuick 自测试剂作为自检工具。参与者使用 OraQuick 自测试剂后,在测试后咨询期间接受了半结构化访谈。所有访谈数据均进行了逐行内容分析。

结果:我们从护理学生的体验中提取了 9 个主题,这些主题是在 HIV 自我检测的体验式学习过程中产生的。在预测试阶段,他们回忆了可能感染 HIV 的风险行为,决定独自完成自检或寻求重要他人的陪伴,并在测试前经历情绪波动。在等待测试结果时,他们感到与外界隔绝。一些参与者还开始质疑测试的准确性和安全性,要么立即查看结果,要么稍后查看。在测试后阶段,一些参与者报告对结果不确定。参与者报告说对测试的个人影响有了更多的了解,并表达了他们对支持的需求。一些人感到失落,并将其与测试结果的快速和直接传递联系起来。

结论:我们的研究结果可以用于指导与 HIV 相关的教育课程和预防计划。体验式学习有可能改善 HIV 检测前后的咨询,因为护士在了解检测过程的临床知识的同时,也能深入了解个人的感受。

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引用本文的文献

[1]
'You're only there on the phone'? A qualitative exploration of community, affect and agential capacity in HIV self-testing using a smartphone app.

Sociol Health Illn. 2021-3

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