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本科护理专业学生了解尊严的过程解析:一项扎根理论研究。

Explaining the process of learning about dignity by undergraduate nursing students: A grounded theory study.

作者信息

Franco Hugo, Caldeira Sílvia, Nunes Lucília

机构信息

Instituto Politécnico de Setúbal.

Universidade Católica Portuguesa.

出版信息

Nurs Ethics. 2025 Mar;32(2):498-513. doi: 10.1177/09697330241265409. Epub 2024 Jul 24.

DOI:10.1177/09697330241265409
PMID:39047054
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11800701/
Abstract

BACKGROUND

The learning process about dignity and how undergraduate nursing students experience and use this ethical knowledge is an under-represented field in nursing research. To overcome the lack of conceptual clarity, it is important to understand what processes and dimensions students develop to support this learning outcome.

OBJECTIVE

This study aimed to explain the process of learning about dignity by undergraduate nursing students.

RESEARCH DESIGN AND METHODS

A qualitative study was conducted using the grounded theory method.

PARTICIPANTS AND RESEARCH CONTEXT

Data was collected through free reports and in-depth semi-structured interviews with 20 participants. A focus group was held for the selective coding. Sampling began purposefully and evolved into theoretical. Reflective and theoretical memos were generated from the data collection and constant comparison. Data analysis was performed using qualitative data analysis software using Corbin and Strauss' method.

ETHICAL CONSIDERATIONS

The research was approved by a specialized research ethics committee from a Health School.

FINDINGS

The process of learning about dignity by undergraduate nursing students revealed 'recognition of dignity' as the core category, supported by five main categories: 'proto-conscience of dignity', 'pathway to nursing', 'consciousness of dignity', 'ways of learning', and 'becoming capable'. These categories illustrate the processes and dimensions involved in nursing students' concept translation of dignity learning, allowing a theory to emerge.

CONCLUSIONS

The 'Recognition of Dignity' theory aims to contribute to developing educational, training, and supervision processes for nursing programs. It seeks to enhance the ethical and moral development of undergraduate nursing students by helping them understand the concept of dignity and its fundamental importance in nursing.

摘要

背景

关于尊严的学习过程以及本科护理专业学生如何体验和运用这种伦理知识,在护理研究中是一个研究较少的领域。为克服概念清晰度的不足,了解学生为支持这一学习成果所发展的过程和维度很重要。

目的

本研究旨在解释本科护理专业学生学习尊严的过程。

研究设计与方法

采用扎根理论方法进行定性研究。

参与者与研究背景

通过对20名参与者的自由报告和深入半结构化访谈收集数据。举行了一次焦点小组进行选择性编码。抽样开始是有目的的,后来演变为理论性抽样。从数据收集和持续比较中生成反思性和理论性备忘录。使用定性数据分析软件,采用科尔宾和施特劳斯的方法进行数据分析。

伦理考量

该研究获得了一所健康学校的专门研究伦理委员会的批准。

研究结果

本科护理专业学生学习尊严的过程揭示了“尊严的认知”为核心类别,由五个主要类别支持:“尊严的原初意识”、“护理之路”、“尊严意识”、“学习方式”和“变得有能力”。这些类别说明了护理专业学生尊严学习概念转化所涉及的过程和维度,从而形成了一种理论。

结论

“尊严的认知”理论旨在为护理专业的教育、培训和监督过程的发展做出贡献。它试图通过帮助本科护理专业学生理解尊严的概念及其在护理中的根本重要性,来促进他们的伦理和道德发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c249/11800701/84f06033fdc6/10.1177_09697330241265409-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c249/11800701/84f06033fdc6/10.1177_09697330241265409-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c249/11800701/84f06033fdc6/10.1177_09697330241265409-fig1.jpg

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本文引用的文献

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Promoting dignity in nursing education - How educators manoeuvre to promote dignity.在护理教育中促进尊严——教育者如何巧妙地促进尊严。
J Prof Nurs. 2024 Jan-Feb;50:111-120. doi: 10.1016/j.profnurs.2023.12.003. Epub 2023 Dec 27.
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Defining dignity in higher education as an alternative to requiring 'Trigger Warnings'.将高等教育中的尊严定义为替代“触发警告”的要求。
Nurs Philos. 2024 Jan;25(1):e12474. doi: 10.1111/nup.12474.
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Reflections of nursing students on the care of the person's dignity at the end of life: A qualitative study.
护理专业学生对临终患者尊严照护的思考:一项质性研究。
Nurse Educ Today. 2024 Feb;133:106067. doi: 10.1016/j.nedt.2023.106067. Epub 2023 Dec 6.
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Transforming nursing education in response to the Future of Nursing 2020-2030 report.应对《2020-2030 年护理未来报告》,转变护理教育。
Nurs Outlook. 2022 Nov-Dec;70(6 Suppl 1):S20-S31. doi: 10.1016/j.outlook.2022.02.007.
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Discovering dignity through experience: How nursing students discover the expression of dignity.通过体验发现尊严:护理学生如何发现尊严的表达。
Nurs Ethics. 2022 Feb;29(1):194-207. doi: 10.1177/09697330211012042. Epub 2021 Sep 15.
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Dignity in nursing: A synthesis review of concept analysis studies.护理中的尊严:概念分析研究的综合综述。
Nurs Ethics. 2021 Aug;28(5):734-749. doi: 10.1177/0969733020961822. Epub 2020 Nov 28.
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Gifts of wise women: A reflection on enduring ideas in nursing that transcend time.智慧女性的馈赠:对超越时代的护理永恒理念的反思。
Nurs Outlook. 2020 May-Jun;68(3):355-364. doi: 10.1016/j.outlook.2020.01.004. Epub 2020 Mar 3.
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Dignity at stake: Caring for persons with impaired autonomy.尊严面临威胁:关爱自主性受损的人。
Nurs Ethics. 2020 Feb;27(1):104-115. doi: 10.1177/0969733019845128. Epub 2019 May 19.
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Concept synthesis of dignity in care for elderly facility residents.老年护理机构居民尊严关怀的概念综合
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Concept analysis of human dignity in patient care: Rodgers' evolutionary approach.患者护理中人类尊严的概念分析:罗杰斯的进化方法。
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