首页|基于转化学习理论的护理伦理教学模式的构建及应用

基于转化学习理论的护理伦理教学模式的构建及应用

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目的 构建基于转化学习理论的护理伦理教学模式,并探讨其在高职护生中的应用效果。方法 通过文献查阅、头脑风暴及适用性评价构建包含教师与护生双向角色转换、分享式平等对话、课堂辩论式教学、真实案例讨论、考评方式创新的护理伦理教学模式。选取首都医科大学第一临床医学院2020级和2021级的46名高职护生为研究对象,将2020级的22名高职护生作为对照组,2021级的24名高职护生作为观察组。对照组采用传统的护理伦理教学模式,观察组在对照组基础上采用基于转化学习理论的护理伦理教学模式。护理伦理授课半年后,采用批判性思维问卷中文版(CTDI-CV)及护理职业价值观量表(NPVS-R)对2组护生批判性思维能力与护理职业价值观进行比较;并于第1节课开始前、最后1堂课结束后和课程结束半年后对观察组护生的批判性思维能力与护理职业价值观进行纵向比较。结果 护理伦理授课后半年,观察组CTDI-CV得分及NPVS-R得分明显高于对照组,差异有统计学意义(P<0。05);观察组纵向比较结果显示:最后1堂课结束后及课程结束后半年,CTDI-CV得分及NPVS-R得分较课程开始前有明显提升(P<0。05),最后1堂课结束后与课程结束后半年相比,差异无统计学意义(P>0。05)。结论 将基于转化学习理论的护理伦理教学模式应用于护理伦理教学中,可激发护生的学习积极性,提高护生批判性思维能力,促进高职护生对护理职业价值观的认同感。
Construction and application of teaching model of nursing ethics based on transformative learning theory
Objective To construct a teaching model of nursing ethics based on transformative learning theory,and explore its application effect in vocational nursing students.Methods Through literature review,brainstorming,and applicability evaluation,a teaching model of nursing ethics was constructed,including two-way role conversion between teachers and nursing students,sharing and equal dialogue,classroom debate teaching,real case discussion,and innovative evaluation methods.A total of 46 vocational nursing students from grade 2020 and grade 2021 in the First Clinical Medical College of Capital Medical University were selected as the research objects,with 22 vocational nursing students from grade 2020 as the control group and 24 vocational nursing students from grade 2021 as the ob-servation group.The control group was given the traditional teaching model of nursing ethics,while the observation group was given the nursing ethics teaching model based on transformative learning theory on the basis of the control group.After 6 months of nursing ethics teaching,the critical thinking ability and nursing professional values of nurs-ing students between 2 groups were compared by Critical Thinking Questionnaire-Chinese version(CTDI-CV)and Nursing Professional Values Scale(NPVS-R).Before the first class,after the last class,and half a year after the course,the critical thinking ability and nursing professional values of nursing students in the observation group were compared longitudinally.Results Half a year after the teaching of nursing ethics,the scores of CTDI-CV and NPVS-R of nursing students in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The longitudinal comparison of nursing students in the observa-tion group showed that the scores of CTDI-CV and NPVS-R after the end of the last class and half a year after the course were significantly higher than those before the beginning of the course(P<0.05),and there was no statistical significance between after the end of the last class and half a year after the course(P>0.05).Conclusion The appli-cation of nursing ethics teaching model based on transformational learning theory in the teaching of nursing ethics can stimulate the learning enthusiasm of nursing students,improve their critical thinking ability,and promote their rec-ognition of nursing professional values.

transformative learningnursing educationethiccritical thinkingoccupational values

高文慧、孙雪莲、程萌、梁潇

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首都医科大学宣武医院急诊科,北京 100053

转化学习 护理教学 伦理 批判性思维 职业价值观

首都医科大学教学改革项目

2022JYY453

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(8)
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