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姑息治疗中的创新教学策略:阅读关于晚期癌症患者生存体验的现象学文本。

Innovative teaching strategies in palliative care: Reading of a phenomenological text on the experience of living with advanced cancer.

机构信息

School of Nursing, University of Navarra, Pamplona, Navarra, Spain; IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Navarra, Spain.

Escoles Universitàries Gimbernat, Barcelona, Spain.

出版信息

Nurse Educ Today. 2021 Jun;101:104879. doi: 10.1016/j.nedt.2021.104879. Epub 2021 Mar 23.

Abstract

BACKGROUND

Pedagogical strategies in palliative care are diverse and mainly aimed to understand patients with advanced disease and improving their care. Phenomenological texts are stories intended to evoke lived experiences and help understand complex situations.

AIM

To determine what thoughts, experiences and feelings nursing students have when reading a phenomenological text about the experience of a person living with advanced cancer.

DESIGN AND METHOD

A descriptive qualitative study with palliative care students of the nursing degree at two university centres. The students reflected on a phenomenological text. A thematic analysis of the 14 reflections was performed. The reflections were analysed inductively and independently, and periodic sessions were held to discuss the identified categories and topics.

RESULTS

The students' writings showed that reading the phenomenological text caused them to reflect and feel moved and challenged. The impact on the students is grouped into three categories: the experience of the corporeality of patients with advanced disease makes students aware of the importance of the body; the disease as an individual transformative process challenges students; and the experiences of people with advanced cancer make students aware of the importance of how they care for patients and their families.

CONCLUSION

The reading of a phenomenological text on the experience of living with advanced cancer may be a teaching method that can generate experiences that promote reflective and experiential learning in nursing students. It seems to be a useful tool for teaching in subjects focusing on person-centred care.

摘要

背景

姑息治疗中的教学策略多种多样,主要旨在了解晚期疾病患者并改善他们的护理。现象学文本是旨在唤起生活经历并帮助理解复杂情况的故事。

目的

确定护理专业学生在读一篇关于晚期癌症患者体验的现象学文本时的想法、经验和感受。

设计和方法

在两个大学中心,对姑息治疗护理专业的学生进行描述性定性研究。学生对一篇现象学文本进行反思。对 14 份反思进行了主题分析。通过归纳和独立分析对反思进行分析,并定期举行会议讨论确定的类别和主题。

结果

学生的写作表明,阅读现象学文本使他们反思、感动和感到挑战。对学生的影响分为三类:晚期疾病患者身体体验使学生意识到身体的重要性;疾病作为个人转变过程挑战学生;晚期癌症患者的经历使学生意识到他们照顾患者和患者家属的重要性。

结论

阅读关于晚期癌症患者生活体验的现象学文本可能是一种教学方法,可以在护理学生中产生促进反思和体验式学习的体验。对于以以人为本的护理为重点的学科教学来说,这似乎是一种有用的工具。

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