以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (10): 25-29.doi: 10.16460/j.issn1008-9969.2022.10.025

• 护理教育 • 上一篇    下一篇

平行病历在护理本科生临床见习教学中的应用研究

彭宇, 张宇涵, 伊静, 郭中献, 刘洋, 沙丽艳   

  1. 大连医科大学附属第二医院 护理部,辽宁 大连 116023
  • 收稿日期:2021-10-03 出版日期:2022-05-25 发布日期:2022-06-09
  • 通讯作者: 沙丽艳（1964-）,女,辽宁大连人,硕士,主任护师。E-mail：slydl2007@163.com
  • 作者简介:彭宇（1996-）,男,黑龙江密山人,硕士研究生学历。
  • 基金资助:
    2021年度辽宁省普通高等教育本科教学改革研究项目（541）

Effect of Parallel Medical Records in Nursing Clinical Teaching for Nursing Undergraduates

PENG Yu, ZHANG Yu-han, YI Jing, GUO Zhong-xian, LIU Yang, SHA Li-yan   

  1. Dept. of Nursing Administration, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, China
  • Received:2021-10-03 Online:2022-05-25 Published:2022-06-09

PDF (PC)

365

赞

摘要： 目的 探讨平行病历在护理临床见习教学中的应用效果。方法 选取于辽宁省某三级甲等医院临床见习的2018级、2019级护理本科生作为研究对象并分别设为对照组与观察组。对照组采用传统见习教学,观察组在对照组基础上安排撰写平行病历,记录患者的就医故事、体验及心理感受,完成后集体分享讨论,并要求观察组护理本科生记录平行病历书写感受并提炼主题。教学培训后采用杰弗逊共情能力量表-护生版、医学生沟通技能态度量表对2组实施评价。结果 培训结束后,观察组共情能力总分及观点采择、情感护理、换位思考3个维度得分均高于对照组（P<0.05）;且沟通技能正性态度显著高于对照组（P<0.05）。于平行病历体会报告中提炼出共情、态度与技能3个主题。结论 将平行病历引入护理临床见习教学,有助于提升护理本科生的共情能力,改善沟通技能态度,提高临床见习质量。

关键词: 护理本科生, 临床见习, 平行病历, 共情能力

Abstract: Objective To explore the application effect of parallel medical records in nursing clinical teaching for nursing undergraduates. Methods Nursing Undergraduates of grade 2018 and 2019 having clinical practice in a tertiary grade-A hospital in Liaoning Province were selected and divided into control group and observation group. Conventional clinical practice was conducted in the control group. In the observation group, additional to conventional clinical practice, students received standardized training and were required to write parallel medical records to record the patients' stories, and their experience and feelings. They also shared the stories in their parallel medical records and their writing experience then extracted the theme. The Jefferson Sympathy Scale-Nursing Understudy Version and the Therapeutic Understudy Communication Aptitudes and Demeanor Scale were used to assess the teaching effect in the two groups. Results The total score of sympathy and the score of perspective taking, emotion care, and empathy in the observation group were higher than those in the control group (P<0.05). The score of positive attitude toward communicative skills in the observation group was significantly higher than that in the control group (P<0.05). Three themes of empathy, attitude and skill were extracted from the experience report of parallel medical record. Conclusion Parallel medical records in clinical teaching is effective for promoting the empathy and communication competence of nursing undergraduates thus to improve the teaching effect of clinical practice.

Key words: nursing undergraduate, clinical practice, parallel medical record, empathy

中图分类号: 

  • R47
[1] Rita Charon,郭莉萍,王玥,等.叙事医学:尊重疾病有关的故事[J].中国医学伦理学,2019,32(2):143-146;159. DOI:10.12026 /j.issn.1001-8565.2019.02.02.
[2] 丽塔·卡伦. 叙事医学:尊重疾病的故事[M]. 北京:北京大学医学出版社,2015.
[3] 乔雪,郝玉芳,张淑萍. 护理心理学实践教学的探索与思考[J].中华护理教育,2021,18(7):630-633. DOI:10.3761/j.issn.1672-9234.2021.07.011.
[4] 邱志军,刘可,姜娜,等.湖南省高职护生共情现状的调查研究[J].中国实用护理杂志,2011,27(1):68-71. DOI:10.3760/cma.j.issn.1672-7088.2011.01.034.
[5] 任佩姝,孙建萍,闫肖卿,等.沟通技能态度量表中文版的信度和效度研究[J].中华护理教育,2012,9(5):215-217. DOI:10.3761/j.issn.1672-9234.2012.05.007.
[6] 迟源,王静静,李红玉.情绪智力在护生共情与人文关怀能力间的中介效应[J].解放军护理杂志,2020,37(9):22-25. DOI:10.3969/j.issn.1008-9993.2020.09.006.
[7] 邓钊,仇海燕,杜红娣,等.老年人模拟体验教学对老年科新入职护士共情能力的影响[J].护理研究, 2020, 34(10):1828-1830. DOI:10.12102/j.issn.1009-6493.2020.10.032.
[8] 王金艳,吴丽萍,邢丽莉,等.297名助产士共情能力调查分析[J].护理学报,2020,27(14):5-8. DOI:10.16460/j.issn1008
-9969.2020.14.005.
[9] Lamiani G, Dordoni P, Vegni E, et al.Caring for Critically Ill Patients: Clinicians' Empathy Promotes Job Satisfaction and Does Not Predict Moral Distress[J].Front Psychol, 2020,10:2902. DOI:10.3389/fpsyg.2019.02902.
[10] 郑云慧. 平行病历在护理本科生临床实习中的应用[J].中华护理杂志,2019,54(11):1693-1696. DOI:10.3761/j.issn.0254-1769.2019.11.019.
[11] 肖瑶,常晓波,胡丹,等.医患沟通技能测评工具国内外研究进展[J].医学与哲学,2021,42(8):64-67. DOI:10.12014/j.issn.1002-0772.2021.08.13.
[12] 范彩云,赖丽君,杨静.行动学习法在护理礼仪与人际沟通教学的应用[J].护理学杂志,2020,35(2):85-87. DOI:10.3870/j.issn.1001-4152.2020.02.08.
[13] 徐剑鸥,罗彩凤,钟梦诗,等.标准化沟通在护理本科生床旁教学中的应用[J].中国护理管理,2019, 19(4):559-563. DOI:10.3969/j.issn.1672-1756.2019.04.016.
[14] 俞申妹,冯佳,张秋霞,等.六步爱心沟通法微视频教材在新入职护士沟通能力培训中的应用[J].中华护理杂志,2019,54(11):1697-1701.DOI:10.3761/j.issn.0254-1769.2019.11.020.
[15] Allenbaugh J, Corbelli J, Rack L, et al.A Brief Communication Curriculum Improves Resident and Nurse Communication Skills and Patient Satisfaction[J]. J Gen Intern Med,2019, 34(7):1167-1173.DOI:10.1007/s11606-019-04951-6.
[1] 汪张毅, 赵浩梅, 王月, 王朝, 庞晓丽. 天津市2 057名护生灵性照护认知现状及影响因素分析[J]. 护理学报, 2021, 28(18): 1-6.
[2] 张树芳, 李珏锦, 胡晓林. 护理本科生职业精神现状及影响因素分析[J]. 护理学报, 2020, 27(23): 10-13.
[3] 向薇, 张平. “云教学”模式下护生学习倦怠的影响因素分析[J]. 护理学报, 2020, 27(20): 7-11.
[4] 王金艳, 吴丽萍, 邢丽莉, 龚晶晶. 297名助产士共情能力调查分析[J]. 护理学报, 2020, 27(14): 5-8.
[5] 殷彩欣, 刘美玲, 林艳, 杨秋梅. 687名儿科护士共情能力水平分析[J]. 护理学报, 2019, 26(7): 53-56.
[6] 冯红, 徐一元, 丁淑贞, 袁理. 护理本科生职业成熟度与学业情绪的关系研究[J]. 护理学报, 2019, 26(2): 5-8.
[7] 黎慧,印怡臻,王安妮,张静平. 职业倦怠在护士应对方式与共情能力间的中介作用分析[J]. 护理学报, 2018, 25(8): 5-8.
[8] 王向荣, 南亚星, 乔桂圆, 王凌. 巴林特小组活动对本科护生共情能力的影响[J]. 护理学报, 2018, 25(23): 68-70.
[9] 王正君,周郁秋,孙玉静,杨爽,高源. 自我效能和家庭功能对护理本科生心理弹性影响的简单效应分析[J]. 护理学报, 2017, 24(17): 1-4.
[10] 孙柳,王艳玲,刘俐惠,邓颖,吴芳琴. 本科护生病情观察课程临床见习实践与效果[J]. 护理学报, 2017, 24(11): 6-9.
[11] 曹海华,王欣鹃. 护理本科生临床实习适应不良现状及影响因素分析[J]. 护理学报, 2016, 23(11): 34-38.
[12] 张丽伟,关红,潘亚丽,王丽娜,王秋节,张来军,韩婷婷. 以团队为基础教学模式在本科护生临床见习中的应用效果[J]. 护理学报, 2016, 23(10): 16-19.
[13] 王婷,王维利,栾贝贝,洪静芳,朱宇,张晶晶. 护理本科生科研能力培养模式及应用效果的行动研究[J]. 护理学报, 2015, (9): 5-8.
[14] 陈瑞霞,朱记芬,张阳,祝巾玉,谢银辉. 护理本科生角色认知与临床实践行为的关系研究[J]. 护理学报, 2015, (24): 46-49.
[15] 陈红涛,雷芬芳,邓翠珍,樊玉花,董彩梅. 体验式教学对专科护生共情能力的影响[J]. 护理学报, 2015, (15): 4-6.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!