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。
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.
[1] World Health Organization. Integrating palliative care and symptom relief into primary health care:a WHO guide for planners,implementers and managers[EB/OL]. (2018-12-16)[2023-02-23]. https://www.who.int/publications/i/item/integrating-palliative-care-and-symptom-relief-into-primary-health-care.
[2] 纪光伟, 黄英. 我国安宁疗护发展的现状与展望——兼谈整合安宁疗护模式的建立与实践[J].实用医学杂志,2021,37(12):1511-1515. DOI: 10.3969/j.issn.1006-5725.2021.12.001.
[3] 冯文慧. 我国高等学校学生生死观教育研究[D]. 北京:中共中央党校, 2021.
[4] 刘国莲,宁艳花著. 生命终末期护理管理[M]. 广州:中山大学出版社, 2019:302-305.
[5] 黄新娟, 李旭英, 李金花, 等. 高等医学院校安宁疗护教育的发展现状[J].中华护理教育,2020,17(2):171-174. DOI: 10.3761/j.issn.1672-9234.2020.02.017.
[6] Fernández-Martínez E, Martín-Pérez I, Liébana-Presa C, et al. Fear of death and its relationship to resilience in nursing students: a longitudinal study[J]. Nurse Educ Pract, 2021,55:103175. DOI: 10.1016/j.nepr.2021.103175.
[7] Xie L, Li Y, Ge W, et al. The relationship between death attitude and professional identity in nursing students from mainland China[J]. Nurse Educ Today, 2021,107:105150. DOI: 10.1016/j.nedt.2021.105150.
[8] Chua J, Shorey S. Effectiveness of end-of-life educational interventions at improving nurses and nursing students′ attitude toward death and care of dying patients: a systematic review and meta-analysis[J]. Nurse Educ Today, 2021,101:104892. DOI: 10.1016/j.nedt.2021.104892.
[9] Toma M, Dreischulte T, Gray NM, et al. Balancing measures or a balanced accounting of improvement impact: a qualitative analysis of individual and focus group interviews with improvement experts in Scotland[J]. BMJ Qual Saf, 2018,27(7):547-556. DOI: 10.1136/bmjqs-2017-006554.
[10] Colaizzi P. Psychological research as a phenomenologist views it[M]. Oxford,EnOxford University Press,1978:5-7.
[11] 黄宇昕, 唐四元, 鄢芳, 等. 体验式生死教育课程对大学生死亡态度的影响[J].中华护理教育,2021,18(5):420-424. DOI: 10.3761/j.issn.1672-9234.2021.05.008.
[12] Testoni I, Ronconi L, Cupit IN, et al. The effect of death education on fear of death amongst Italian adolescents: a nonrandomized controlled study[J]. Death Stud, 2020,44(3):179-188. DOI: 10.1080/07481187.2018.1528056.
[13] Wei LZ, Zhou SS, Hu S, et al. Influences of nursing students′ career planning, internship experience, and other factors on professional identity[J]. Nurse Educ Today, 2021,99:104781. DOI: 10.1016/j.nedt.2021.104781.
[14] Diver R, Quince T, Barclay S, et al. Palliative care in medical practice: medical students′ expectations[J]. BMJ Support Palliat Care, 2018,8(3):285-288. DOI: 10.1136/bmjspcare-2017-001486.