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生死学省思:艺术是否能协助护生探索死亡议题?一项质化研究。

Memento Mori: Can art assist student nurses to explore death and dying? A qualitative study.

机构信息

University of Birmingham, School of Nursing, College of Medical and Dental Sciences, Birmingham B15 2TT, United Kingdom of Great Britain and Northern Ireland.

出版信息

Nurse Educ Today. 2020 Jun;89:104404. doi: 10.1016/j.nedt.2020.104404. Epub 2020 Mar 18.

Abstract

OBJECTIVE

To report how an art-based workshop assisted undergraduate nursing students to explore their experiences and beliefs about death and dying.

DESIGN

A descriptive qualitative study.

PARTICIPANTS

Year three adult nursing students studying on a full-time undergraduate pre-registration programme.

METHODS

Long answer questionnaires were completed by 48 undergraduate student nurses, all of whom had participated in the art-based workshop. Qualitative thematic analysis was used to identify, analyse and report themes identified.

RESULTS

Four themes were identified: (1) exploring experiences and beliefs, (2) the role of the art in supporting discussions, (3) the gallery environment, and (4) impact on practice. Participants valued the opportunity to 'slow down', fully examine, and be challenged by, the art prompting reflective and critical discussion. The calm and peaceful gallery environment, and the skilled facilitation increased participant confidence to share experiences and beliefs. Reflecting on the workshop participants reported the workshop increased their understanding of the complexities of care and of addressing these on an individual basis.

CONCLUSIONS

This shared experience encouraged open and honest discussion and reflection, enhanced critical thinking and the need for compassionate person, and family-centred palliative and end-of-life care. While this study focused on an educational strategy delivered to student nurses, it is an approach that could be used with other health and social care professionals. Close and critical observation of the selected art increased participant understanding and insight of the many experiences and interpretations of death and dying.

摘要

目的

报告一个基于艺术的工作坊如何帮助本科护理学生探索他们对死亡和濒死的体验和信念。

设计

描述性定性研究。

参与者

正在全日制本科预注册课程中学习的三年级成人护理专业学生。

方法

48 名本科护生完成了长答题问卷,他们都参加了基于艺术的工作坊。采用定性主题分析方法识别、分析和报告确定的主题。

结果

确定了四个主题:(1)探索体验和信念,(2)艺术在支持讨论中的作用,(3)画廊环境,以及(4)对实践的影响。参与者非常重视“慢下来”的机会,充分审视和挑战艺术,激发反思和批判性讨论。宁静祥和的画廊环境以及熟练的辅导增强了参与者分享经验和信念的信心。通过对工作坊的反思,参与者报告说,工作坊增加了他们对护理复杂性的理解,并能够在个人基础上解决这些问题。

结论

这种共同的体验鼓励了开放和诚实的讨论和反思,增强了批判性思维以及对富有同情心的人和以家庭为中心的姑息治疗和临终关怀的需求。虽然这项研究侧重于向护生提供的教育策略,但它也可以用于其他卫生和社会保健专业人员。对所选艺术的密切和批判性观察增加了参与者对死亡和濒死的许多体验和解释的理解和洞察力。

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