中华医学教育杂志

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (12): 892-896.DOI: 10.3760/cma.j.cn115259-20230223-00171

• 课程改革与建设 • 上一篇    下一篇

安宁疗护课程对临床医学和护理学专业本科生生死观与职业规划影响的探究

冯欣悦1, 张海月1, 楼妍2, 缪群芳3, 高雅婷4, 洪美容5   

  1. 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 311321;
    2杭州师范大学护理学院外科护理教研室,杭州 311121;
    3杭州师范大学附属医院临床心理科,杭州 310015;
    4浙江大学医学院附属邵逸夫医院肿瘤放疗科,杭州 310016;
    5杭州师范大学护理学院2020级护理学专业硕士研究生,杭州 311321
  • 收稿日期:2023-02-23 出版日期:2023-12-01 发布日期:2023-11-27
  • 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年度校教学建设和改革立项建设项目(HLXYJG202119)

Exploration of the impact of palliative care course on the life and death perspective and career planning for undergraduates majoring in clinical medicine and nursing

Feng Xinyue1, Zhang Haiyue1, Lou Yan2, Miao Qunfang3, Gao Yating4, Hong Meirong5   

  1. 1Master Degree Candidate, Nursing Major, Enrolled in 2021, School of Nursing, Hangzhou Normal University, Hangzhou 311121, China;
    2Department of Surgery Nursing, School of Nursing, Hangzhou Normal University, Hangzhou 311121, China;
    3Department of Clinical Psychology, Affiliated Hospital of Hangzhou Normal University, Hangzhou 310015, China;
    4Department of Radiotherapy for Tumors, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China;
    5Master Degree Candidate, Nursing Major, Enrolled in 2020, School of Nursing, Hangzhou Normal University, Hangzhou 311121, China
  • Received:2023-02-23 Online:2023-12-01 Published:2023-11-27
  • 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)

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摘要： 目的 探讨安宁疗护课程对临床医学和护理学专业本科生(以下简称医学生)生死观与职业规划的影响。方法 选择杭州师范大学21名选修安宁疗护课程的学生为研究对象,教学后进行小组访谈和个人深度访谈,对所得资料采用Colaizzi七步分析法整理和提炼主题。结果 安宁疗护课程促进医学生树立积极的生死观,包括触发对死亡的思考、提升与他人沟通死亡的信心、接受死亡准备相关行为、感悟生命价值。安宁疗护课程拓宽医学生职业规划的广度和深度,包括感知职业的多元角色功能、思考未来的职业发展。结论 安宁疗护课程可帮助医学生树立积极生死观、深化职业认知,从而对职业规划更加清晰。

关键词: 本科生, 临床医学, 护理学, 安宁疗护, 生死观, 职业规划, 质性研究

Abstract: Objective Explore the impact of palliative care course on the life and death perspective and career planning for undergraduates majoring in clinical medicine and nursing. Methods 21 students who chose to take palliative care course at Hangzhou Normal University were selected as the research subjects, group interviews and personal in-depth interviews were conducted after teaching. The obtained data were organized and extracted using the Colaizzi seven step analysis method. Results Palliative care course promotes medical students to develop a postive life-and-death view, including triggering thoughts about death,increasing confidence in communicating death to others, accepting the act of preparing for death, and perceiving the value of life. Palliative care course broadens the breadth and depth of medical students′ career planning, including perceiving the multiple role functions of careers and thinking about future professional development. Conclusions Palliative care course can help medical students develop a positive outlook on life and death and deepen their career awareness, leading to a clearer direction for career planning.

Key words: Undergraduate, Clinical medicine, Nursing, Palliative care, View of life and death, Career planning, Qualitative research

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