中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (10): 796-800.DOI: 10.3760/cma.j.cn115259-20250123-00095

• 医学教育评估 • 上一篇    

基于标准化病人视角对护理学专业学生人文关怀能力评价的混合研究

朱雪梅1, 苏涵2, 高学琴1, 杜欣1, 崔岩1   

  1. 1哈尔滨医科大学附属第二医院临床护理学教研室,哈尔滨 150081;
    2锦州医科大学医疗学院护理学系,锦州 121010
  • 收稿日期:2025-01-23 发布日期:2025-09-28
  • 通讯作者: 苏涵, Email: Suh0409@163.com
  • 基金资助:
    2019年黑龙江省高等教育教学改革研究项目(SJGY20190437)

A mixed-methods study on the evaluation of the caring ability of nursing students from the perspective of standardized patients

Zhu Xuemei1, Su Han2, Gao Xueqin1, Du Xin1, Cui Yan1   

  1. 1Teaching and Research Section of Clinical Nursing, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, China;
    2Nursing Department, Medical College of Jinzhou Medical University, Jinzhou 121010, China
  • Received:2025-01-23 Published:2025-09-28
  • Contact: Su Han, Email: Suh0409@163.com
  • Supported by:
    2019 Higher Education Teaching Reform Research Project of Heilongjiang Province (SJGY20190437)

摘要: 目的 基于标准化病人(standardized patient,SP)视角,对护理学专业学生的人文关怀能力进行评价,探索其存在的问题并提出应对策略。方法 2023年6至7月,采用整群抽样法,以哈尔滨某医科大学2019级护理学专业58名学生为调查对象,采用解释性序列设计的混合研究方法,对客观结构化临床考试中SP对学生人文关怀能力分数进行描述性分析。根据评价结果对SP进行一对一半结构式访谈。结果 SP对学生人文关怀能力评分结果显示,与其他考站相比,学生在护理技能操作和执行医嘱考站的评分较低,分别为(17.40±1.19)分(满分20分)、(7.74±0.98)分(满分10分)。根据访谈结果共提炼出3个主题:①学生感知与判断患者关怀、情绪需求不足;②学生沟通缺乏灵活性;③专业技能操作水平与人文关怀能力同等重要且相互影响。结论 学生在感知判断他人关怀需求和情绪需求方面的能力和沟通能力有待提升。学生的专业技能操作水平与人文关怀能力相互影响,未来可以对此进行深入研究与探索。在制定教育改革策略方案时,应当充分考虑学生情绪智力、沟通能力、专业技能操作水平与人文关怀能力之间相互影响的关系与机制。

关键词: 教育, 护理, 标准化病人, 护理学专业学生, 人文关怀, 解释性序列研究

Abstract: Objective From the perspective of standardized patients (SP), this study evaluates the humanistic care ability of nursing students, explores the existing problems, and proposes corresponding solutions.Methods From June to July 2023, a mixed research method based on interpretive sequence design was adopted. Using cluster sampling, 58 students from the 2019 class of the nursing major at a certain medical university in Harbin were selected as the survey subjects. Descriptive analysis was conducted on the scores of students' humanistic care ability in the Objective structured clinical examination. Based on the evaluation results, one-on-one semi-structured interviews were conducted with the SPs.Results The SPs' evaluation scores on students' humanistic care competence showed that compared with other OSCE stations, students scored lower at the nursing skill operation station and the medical order execution station, with scores of (17.40±1.19) points (full score: 20 points) and (7.74±0.98) points (full score: 10 points) respectively. Three themes were extracted from the interview results: (1)Students perceive and judge that patients lack care and emotional needs; (2)Lack of flexibility in students' communication with patients; (3)The level of professional skill operation and humanistic care competence are equally important and mutually influential.Conclusions Nursing students need to improve their abilities to perceive and judge others' care needs and emotional needs, as well as their communication skills. There is a mutual influence between students' professional skill operation level and humanistic care competence. In the future, in-depth research and exploration can be conducted in this field. When formulating nursing education reform strategies, full consideration should be given to the interaction relationships and mechanisms among students' emotional intelligence, communication skills, professional skill operation level, and humanistic care competence.

Key words: Education, nursing, Standardized patients, Nursing students, Humanistic care, Explanatory sequential research  ,  ,  

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