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视频角色扮演和引导反思对护理学生同理心、关爱行为和能力的影响:一项两群组前后测研究。

Effects of video-recorded role-play and guided reflection on nursing student empathy, caring behavior and competence: A two-group pretest-posttest study.

机构信息

Department of Nursing, MacKay Medical College, New Taipei City, Taiwan.

出版信息

Nurse Educ Pract. 2023 Feb;67:103560. doi: 10.1016/j.nepr.2023.103560. Epub 2023 Jan 23.

Abstract

AIM

The study examined the differences in nursing student empathy, caring behavior and competence between the experimental and control groups before and after educational intervention and to predict the factors affecting their core competencies.

BACKGROUND

Educating nursing students in empathy and caring behaviors before entering clinical practice is challenging.

DESIGN

We used a two-group pretest and post-test quasi-experimental design.

METHODS

First-year nursing students from medical schools in Taiwan participated in our study. Data were collected between March and May 2022. The learning method used with the intervention group was role-playing with videos and guided reflection. The control group was exposed to traditional curriculum. Empathy, caring behavior and competence were measured using the Jefferson Scale of Empathy- Healthcare Providers, the Caring Behaviors Scale and the Nursing Student Competence Scale.

RESULT

A total of 72 participants (40 in the experimental group and 32 in the control group) were included in the final statistical analysis. The response rate was 92%. Statistically significant differences in nursing student empathy, caring behavior and competence were observed between the experimental and control groups (p < .05). The η effect levels were 0.083, 0.223 and 0.270. Higher caring behavior scores were significantly associated with higher nursing student competence scores (β = 0.81, 95% CI:0.66-0.97).

CONCLUSIONS

Education based on video role-play and guided reflection improved empathy, caring behavior and nursing competence in first-year nursing students.

摘要

目的

本研究旨在比较教育干预前后实验组和对照组护生同理心、关怀行为和能力的差异,并预测影响其核心能力的因素。

背景

在临床实践之前对护理学生进行同理心和关怀行为的教育具有挑战性。

设计

我们采用了两组前后测准实验设计。

方法

来自台湾医学院的一年级护理学生参与了我们的研究。数据收集于 2022 年 3 月至 5 月之间。实验组采用角色扮演视频和引导反思的学习方法,对照组采用传统课程。使用杰斐逊同理心医疗保健提供者量表、关怀行为量表和护理学生能力量表来测量同理心、关怀行为和能力。

结果

共有 72 名参与者(实验组 40 名,对照组 32 名)被纳入最终的统计分析。应答率为 92%。实验组和对照组在护生同理心、关怀行为和能力方面存在显著差异(p<.05)。η效应水平分别为 0.083、0.223 和 0.270。更高的关怀行为得分与更高的护理学生能力得分显著相关(β=0.81,95%CI:0.66-0.97)。

结论

基于视频角色扮演和引导反思的教育提高了一年级护理学生的同理心、关怀行为和护理能力。

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