Zhang Huiling, Qin Qin, Hu Kecui, Yuan Yamei, Hao Shujie, Shi Xiao, Lu Meng, Yu Shuang, Shi Hui, Xia Zheyuan
Key Laboratory of Geriatric Nursing and Health, School of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Clin Teach. 2025 Aug;22(4):e70110. doi: 10.1111/tct.70110.
To investigate the effectiveness of narrative medicine in teaching traditional Chinese medicine (TCM) nursing, using the ADDIE model (analysis, design, development, implementation and evaluation), and to evaluate its impact on students' course performance, narrative nursing competence, and empathy levels.
To evaluate the effectiveness of narrative medicine in TCM nursing education through a randomised controlled trial, focusing on its impact on students' course performance, narrative nursing competence, and empathy levels.
A total of 120 nursing students from two classes were recruited for the study. One class, consisting of 60 students, served as the control group and received standard instruction in the nursing of traditional Chinese medicine course. The other class, also comprising 60 students, acted as the experimental group where narrative medicine was integrated into the TCM nursing curriculum based on the ADDIE model. The course scores, responses from the Narrative Nursing Knowledge-Attitude-Behavior Questionnaire scores and Jefferson Empathy Scale (JSE) scores were compared.
The experimental group demonstrated significantly higher scores in overall performance (87.65 ± 8.42 vs. 79.34 ± 4.23, p < 0.01), narrative nursing knowledge and practice (98.54 ± 4.73 vs. 80.3 ± 4.51, p < 0.01) and JSE scores (118.27 ± 8.13 vs. 105.47 ± 6.24, p < 0.01) compared with the control group.
The study demonstrates that the narrative medicine teaching method based on the ADDIE model effectively enhances the educational outcomes of TCM nursing, significantly improving students' narrative nursing competence and empathy levels. These findings suggest that incorporating narrative medicine may have a positive influence on students' academic performance and empathy levels. This approach provides new insights for nursing education and offers valuable references for advancing the practice and research.
运用ADDIE模型(分析、设计、开发、实施和评估)探究叙事医学在中医护理教学中的有效性,并评估其对学生课程成绩、叙事护理能力和共情水平的影响。
通过随机对照试验评估叙事医学在中医护理教育中的有效性,重点关注其对学生课程成绩、叙事护理能力和共情水平的影响。
招募了来自两个班级的120名护理专业学生参与研究。其中一个班级的60名学生作为对照组,接受中医护理课程的标准教学。另一个班级的60名学生作为实验组,基于ADDIE模型将叙事医学融入中医护理课程。比较两组的课程成绩、叙事护理知识-态度-行为问卷得分和杰斐逊共情量表(JSE)得分。
与对照组相比,实验组在整体成绩(87.65±8.42对79.34±4.23,p<0.01)、叙事护理知识与实践(98.54±4.73对80.3±4.51,p<0.01)以及JSE得分(118.27±8.13对105.47±6.24,p<0.01)方面均显著更高。
该研究表明,基于ADDIE模型的叙事医学教学方法有效提高了中医护理的教育效果,显著提升了学生的叙事护理能力和共情水平。这些发现表明,融入叙事医学可能对学生的学业成绩和共情水平产生积极影响。这种方法为护理教育提供了新的见解,并为推进实践和研究提供了有价值的参考。