Ghasab Shirazi Morvarid, Pourghane Parand, Mehrabian Fardin
Department of Midwifery, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Social Determinants of Health Research Center and Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
J Educ Health Promot. 2024 Jul 11;13:235. doi: 10.4103/jehp.jehp_948_23. eCollection 2024.
Narratives can provide a framework to teach the concepts of patient-centered care to the students. This article describes the experiences of midwifery students from employing of purposive storytelling as a teaching strategy in the education program.
This qualitative study used an in-depth interview method to collect the experiences of midwifery students engaged in a narrative medicine training program. The narrative-based teaching activities focused on three patients to teach four themes (clinical manifestations, treatment options, prevention strategies, and ethics), and related to MMR (maternal mortality rate) concept offered to students from Guilan University of Medical Sciences in 2022-2023. At the end of the course, all students were invited to provide experiences regarding the teaching method. Conventional content analysis was performed simultaneously with data collection. Four-dimension criteria (Lincoln and Guba) were used to evaluate the rigor of the findings.
Data analysis led to the extraction of three main categories and eight sub-categories: effective learning (extended learning, a safe learning environment, and boosted motivation for midwifery role), challenges on the way of learning (contagious sadness, shattered cohesion, and executive monopoly), and challenges on the way of performance improvement (the necessity of interdisciplinary education and the inevitability of a strong foundation).
Narrative-based teaching may improve the learning experience of students, but it is not possible to train all the course content by this method, and it should ideally be a supplement to other educational methods, such as lecturing.
叙事可为向学生传授以患者为中心的护理理念提供一个框架。本文描述了助产专业学生在教育项目中采用有目的的讲故事作为教学策略的经历。
本定性研究采用深入访谈法收集参与叙事医学培训项目的助产专业学生的经历。基于叙事的教学活动聚焦于三名患者,以教授四个主题(临床表现、治疗选择、预防策略和伦理),并与2022 - 2023年向吉兰医科大学学生提供的孕产妇死亡率(MMR)概念相关。课程结束时,邀请所有学生分享对教学方法的体验。在收集数据的同时进行常规内容分析。采用四维标准(林肯和古巴)评估研究结果的严谨性。
数据分析得出三个主要类别和八个子类别:有效学习(拓展学习、安全的学习环境以及增强对助产角色的动力)、学习过程中的挑战(传染性悲伤、凝聚力瓦解和执行垄断)以及绩效提升过程中的挑战(跨学科教育的必要性和坚实基础的必然性)。
基于叙事的教学可能会改善学生的学习体验,但无法通过这种方法教授所有课程内容,理想情况下,它应作为讲座等其他教育方法的补充。