School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, PR China.
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, PR China.
Nurse Educ Today. 2024 Mar;134:106095. doi: 10.1016/j.nedt.2024.106095. Epub 2024 Jan 19.
With the rising number of people with end-stage chronic diseases, the demand for hospice care has increased dramatically. As the future health professionals for the implementation of hospice care, undergraduate nursing students in mainland China still lack knowledge and skills of hospice care, thus hospice care education plays a vital role in its development.
To understand the effects of hospice care education on nursing students' death attitudes, end-of-life attitudes, humanistic care qualities, and their learning experiences.
This study used a mixed-methods design.
A University of Chinese Medicine in mainland China.
The first-year undergraduate nursing students (n = 65).
A mixed-methods study was conducted to evaluate the impact of a hospice care course from March to June 2021. The quantitative part included a quasi-experimental study designed with pre- and post-intervention measurements and the qualitative part included a descriptive qualitative study with semi-structured individual interviews.
The quantitative data revealed that after the course, nursing students experienced improvements in their death attitudes, end-of-life attitudes, and humanistic care qualities. Two categories were identified from the qualitative data. The category of "Gain from learning" included 4 themes (Confronting death and thinking about life; Understanding and agreeing with the idea of hospice care; Perceiving the humanistic spirit of medicine; Enhancing of the nursing discipline cognition and professional identity) and the category of "Course feedback" included 2 themes (Expressing recognition for the course arrangement; Making suggestions on the course optimization).
Hospice care education had a positive influence on nursing students. Students expressed satisfaction with the course arrangement. However, future hospice care courses should further optimize the curriculum designs by increasing the discussion of death-related topics, sharing more real clinical cases, recruiting students from different majors, and providing clinical practice, to provide high-quality nursing education for the development of hospice care.
随着终末期慢性疾病患者人数的增加，对临终关怀的需求大幅增加。作为实施临终关怀的未来卫生专业人员，中国大陆的本科护理学生仍然缺乏临终关怀知识和技能，因此临终关怀教育在其发展中起着至关重要的作用。
了解临终关怀教育对护理学生死亡态度、临终态度、人文关怀素质以及学习体验的影响。
本研究采用混合方法设计。
中国大陆的一所中医药大学。
一年级本科护理学生（n=65）。
2021 年 3 月至 6 月，采用混合方法研究评估临终关怀课程的效果。定量部分包括准实验研究，设计了干预前后测量；定性部分包括描述性定性研究，采用半结构式个体访谈。
定量数据显示，课程结束后，护理学生的死亡态度、临终态度和人文关怀素质均有所提高。定性数据中识别出两个类别。“学习收获”类别包括 4 个主题（直面死亡，思考人生；理解并认同临终关怀理念；感知医学人文精神；增强护理学科认知和专业认同感），“课程反馈”类别包括 2 个主题（对课程安排表示认可；对课程优化提出建议）。
临终关怀教育对护理学生产生了积极影响。学生对课程安排表示满意。然而，未来的临终关怀课程应进一步优化课程设计，增加与死亡相关话题的讨论，分享更多真实的临床案例，招募不同专业的学生，并提供临床实践，为临终关怀的发展提供高质量的护理教育。
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