医学生安宁疗护模拟教学效果的质性研究

doi:10.3760/cma.j.cn115259-20220913-01160

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (9): 701-706.DOI: 10.3760/cma.j.cn115259-20220913-01160

医学生安宁疗护模拟教学效果的质性研究

徐毓露¹, 冯欣悦¹, 张海月¹, 邵赣琴², 范亚峰³, 楼妍⁴

¹杭州师范大学护理学院2021级护理学专业硕士研究生,杭州 311121;
²杭州师范大学附属医院预防保健办公室,杭州 310015;
³杭州师范大学护理学院实验中心,杭州 311121;
⁴杭州师范大学护理学院外科护理教研室,杭州 311121

收稿日期:2022-09-13 出版日期:2023-09-01 发布日期:2023-08-29
通讯作者: 楼妍, Email: lygreen0924@hotmail.com
基金资助:
2020年杭州师范大学医学院教学改革项目(YXYJG202002);杭州师范大学2021年度教学建设和改革立项项目(HLXYJG202119)

A qualitative study on effect of simulation teaching among medical students in palliative care course

Xu Yulu¹, Feng Xinyue¹, Zhang Haiyue¹, Shao Ganqin², Fan Yafeng³, Lou Yan⁴

¹Master Degree Candidate, Nursing Major, Enrolled in 2021, School of Nursing, Hangzhou Normal University, Hangzhou 311121, China;
²Preventive Health Office, Affiliated Hospital of Hangzhou Normal University, Hangzhou 310015, China;
³Experimental Center, School of Nursing, Hangzhou Normal University, Hangzhou 311121, China;
⁴Department of Surgery Nursing, School of Nursing, Hangzhou Normal University, Hangzhou 311121, China

Received:2022-09-13 Online:2023-09-01 Published:2023-08-29
Contact: Lou Yan, Email: lygreen0924@hotmail.com
Supported by:
Teaching Reform Project of Hangzhou Normal University School of Medicine in 2020 (YXYJG202002) ; Teaching Reform Project of Hangzhou Normal University in 2021 (HLXYJG202119)

摘要/Abstract

摘要： 目的设计并实施医学生安宁疗护模拟教学,了解其教学效果。方法在临床真实案例基础上,以美国国家护理联盟仿真模拟框架为指导设计和实施医学生安宁疗护模拟教学。采用质性研究方法,2022年1至2月,对参加安宁疗护模拟教学的21名杭州师范大学医学生进行半结构式访谈,根据Colaizzi 7步分析法分析资料并提炼主题。结果经过分析提炼出3大主题,即模拟教学提升学生对安宁疗护内涵的认知,包括理解全人照护内涵,领悟全家照护理念,增强全队照护意识;模拟教学为安宁疗护技能提供训练场景,包括提高身体照护技能,提升沟通技巧;安宁疗护模拟教学需要优化,包括丰富案例情景和增加训练次数,增加对操作技能的指导。结论模拟教学有助于医学生理解安宁疗护内涵,提高安宁疗护实践技能,后期可通过多学科团队合作、充实技能教学模块等进一步提升教学效果。

关键词: 医学生, 模拟教学, 安宁疗护, 质性研究

Abstract: Objective To design and implement a simulation teaching among medical students in palliative care course and to explore its teaching effect. Methods Based on real clinical cases, a simulation teaching of palliative care course for medical students was designed and implemented under the guidance of the American National League for Nursing Simulation Framework. By using qualitative research method, from January to February, 2022, 21 medical students who participated in simulation teaching of palliative care course in Hangzhou Normal University were selected as study participants for semi-structured interview. Data were analyzed and themes were extracted according to the 7-step analysis method of Colaizzi. Results Three main themes were extracted from the data. Simulation teaching enhances the students' cognitive level of palliative care, including understanding the meaning of holistic care, comprehending the notion of whole-family care, and reinforcing the team-work awareness. Simulation teaching provides scenarios for the application of palliative care skills, including consolidating the physical care skills and improving communication skills. Suggestions for optimizing simulation teaching, including enriching case scenarios, increasing the simulation training sessions, and increasing guidance on operational skills. Conclusions Simulation teaching can help medical students understand the connotation of palliative care and improve palliative practice skills. In the future teaching, it can be further improved by multidisciplinary teamwork and enriching the modules of skills to enhance the teaching effect.

Key words: Students,medical, Simulation teaching, Palliative care, Qualitative research

中图分类号:

徐毓露, 冯欣悦, 张海月, 邵赣琴, 范亚峰, 楼妍. 医学生安宁疗护模拟教学效果的质性研究[J]. 中华医学教育杂志, 2023, 43(9): 701-706.

Xu Yulu, Feng Xinyue, Zhang Haiyue, Shao Ganqin, Fan Yafeng, Lou Yan. A qualitative study on effect of simulation teaching among medical students in palliative care course[J]. Chinese Journal of Medical Education, 2023, 43(9): 701-706.

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医学生安宁疗护模拟教学效果的质性研究

A qualitative study on effect of simulation teaching among medical students in palliative care course

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