叙事教育在护理教学查房中的应用研究.doc

叙事教育在护理教学查房中的应用研究 ［ ］目的探讨叙述教育在护理教学查房中的应用效果。方法将 2014年6月?2015年4月我院护理实习生45人设为对照组，采用常 规护理教学查房；2015年6月?2016年4月我院护理实习生45人设 为观察组，采用叙事教育下的护理教学查房。我院自行制定柯氏模型 为导向的护生综合能力评价表从护生的反映层、学习层、行为层、结 果层进行比较。结果两组护生实习结束时在反映层、学习层、行为层、 结果层的比较观察组均优于对照组，差异具存统计学意义(P〈0.05)。 结论叙事教育能够有效的提高护生临床综合护理能力，以叙事教育为 背景的护理教学查房值得临床广泛推广。 和著作权归原 所有， 匕 ［关键词］叙事教育；护理；教学查房；柯氏模型 ［ ］G64 ［ ］A ［ ］2095-0616 (2017) 07-41-04 Study on the application of narrative education in nursing teaching ward round XIE Qiong ZHANG Jianrong HUANG Yanfang Department of Pediatrics， Houjie Hospital , Dongguan 523945， China [Abstract] Objective To explore the application effect of narrative education in nursing teaching ward round. Methods 45 nursing interns from June 2014 to Apirl 2015 in our hospital were selected as control group. They were treated with routine nursing teaching ward round. 45 nursing interns from June 2015 to April 2016 were selected as observation group. They were treated with narrative education in nursing teaching ward round. Evaluation model of comprehensive ability of nursing students in our hospital was used to compare them from the reflection level, learning level, behavior level and result layer of nursing students. Results The comparison on reflection level, learning level ， behavior level and result layer ， the observation group was better than the control group, and the difference had statistical significance (P0. 05) . Conclusion Narrative education can effectively improve the clinical nursing ability of nursing students. The nursing teaching ward round with narrative education is worth popularizing widely. [Key words] Narrative education； Nursing； Teaching rounds； Cole model 叙事教育（narrative pedagogy）于20世纪90年代引入护理教 育领域，是指教师通过教师本人、学生、临床护士、患者或者借助信 息媒体（如影视、文学、艺术作品等）讲述故事，在对话讨论中解释、 分析、重构故事背后的深层意义，达到人文关怀教育目的一种教学方 法［1］。国外学者Kirkpatrick和Brown在老年护理的教学中，组织学 生倾听老年人讲他们以前的故事，让学生对老年护理右了新的使命感 ［2］。Severtsen指出叙事使学生反思关怀和被关怀的体验，帮助学生 理解什么是关怀［3］。如何让护理实习生在临床实践的过程中不断提高 职业素养、职业能力、职业成就感，一直是护理教育所研究、探讨的 问题。2015年6月，我院开展了以叙事教育为背景