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护理学报 ›› 2022, Vol. 29 ›› Issue (10): 25-29.doi: 10.16460/j.issn1008-9969.2022.10.025

• 护理教育 • 上一篇    下一篇

平行病历在护理本科生临床见习教学中的应用研究

彭宇, 张宇涵, 伊静, 郭中献, 刘洋, 沙丽艳   

  1. 大连医科大学附属第二医院 护理部,辽宁 大连 116023
  • 收稿日期:2021-10-03 出版日期:2022-05-25 发布日期:2022-06-09
  • 通讯作者: 沙丽艳（1964-）,女,辽宁大连人,硕士,主任护师。E-mail：slydl2007@163.com
  • 作者简介:彭宇（1996-）,男,黑龙江密山人,硕士研究生学历。
  • 基金资助:
    2021年度辽宁省普通高等教育本科教学改革研究项目（541）

Effect of Parallel Medical Records in Nursing Clinical Teaching for Nursing Undergraduates

PENG Yu, ZHANG Yu-han, YI Jing, GUO Zhong-xian, LIU Yang, SHA Li-yan   

  1. Dept. of Nursing Administration, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, China
  • Received:2021-10-03 Online:2022-05-25 Published:2022-06-09

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摘要： 目的 探讨平行病历在护理临床见习教学中的应用效果。方法 选取于辽宁省某三级甲等医院临床见习的2018级、2019级护理本科生作为研究对象并分别设为对照组与观察组。对照组采用传统见习教学,观察组在对照组基础上安排撰写平行病历,记录患者的就医故事、体验及心理感受,完成后集体分享讨论,并要求观察组护理本科生记录平行病历书写感受并提炼主题。教学培训后采用杰弗逊共情能力量表-护生版、医学生沟通技能态度量表对2组实施评价。结果 培训结束后,观察组共情能力总分及观点采择、情感护理、换位思考3个维度得分均高于对照组（P<0.05）;且沟通技能正性态度显著高于对照组（P<0.05）。于平行病历体会报告中提炼出共情、态度与技能3个主题。结论 将平行病历引入护理临床见习教学,有助于提升护理本科生的共情能力,改善沟通技能态度,提高临床见习质量。

关键词: 护理本科生, 临床见习, 平行病历, 共情能力

Abstract: Objective To explore the application effect of parallel medical records in nursing clinical teaching for nursing undergraduates. Methods Nursing Undergraduates of grade 2018 and 2019 having clinical practice in a tertiary grade-A hospital in Liaoning Province were selected and divided into control group and observation group. Conventional clinical practice was conducted in the control group. In the observation group, additional to conventional clinical practice, students received standardized training and were required to write parallel medical records to record the patients' stories, and their experience and feelings. They also shared the stories in their parallel medical records and their writing experience then extracted the theme. The Jefferson Sympathy Scale-Nursing Understudy Version and the Therapeutic Understudy Communication Aptitudes and Demeanor Scale were used to assess the teaching effect in the two groups. Results The total score of sympathy and the score of perspective taking, emotion care, and empathy in the observation group were higher than those in the control group (P<0.05). The score of positive attitude toward communicative skills in the observation group was significantly higher than that in the control group (P<0.05). Three themes of empathy, attitude and skill were extracted from the experience report of parallel medical record. Conclusion Parallel medical records in clinical teaching is effective for promoting the empathy and communication competence of nursing undergraduates thus to improve the teaching effect of clinical practice.

Key words: nursing undergraduate, clinical practice, parallel medical record, empathy

中图分类号: 

  • R47
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