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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (17): 10-14.doi: 10.16460/j.issn1008-9969.2020.17.010

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Effect of Case Analysis Combined with Scene Simulation on Ethical Decision-making Competence of Higher Vocational Nursing Students

ZHU Lei1, ZHANG Zhi-bin2, NIU Qian1   

  1. 1. Wuxi Higher Health Vocational Technology School, Wuxi 214028, China;
    2. Changzhou Hygiene Health Vocational Technology College, Changzhou 213002, China
  • Received:2020-04-03 Online:2020-09-10 Published:2020-10-15

Abstract: Objective To explore the effect of case analysis combined with scene simulation on ethical decision-making competence of five-year higher vocational nursing students.Methods From August 2017 to January 2019, 268 five-year nursing students from six classes in our school were selected by stratified random sampling method and randomly divided into control group and intervention group. In the course of Nursing Ethics, traditional teaching method was applied in the control group, and case analysis combined with scene simulation in the intervention group, and the teaching lasted for 1 academic year. Before and after of the intervention, the questionnaire of the Judgement of the Nursing Decision was used to measure the ability of ethic decision-making of the students and teaching effect was assessed in the intervention group.Results After the intervention, the score of nursing ethics decision-making in the intervention group was 313.96±24.07, higher than that in the control group 307.64±23.89, indicating statistical significance (t=2.154, P<0.05). Conclusion Case analysis combined with scene simulation is helpful to improve nursing ethics decision-making ability of five-year higher vocational nursing students, and its effect is better than that of traditional teaching method.

Key words: scene simulation, case analysis, five-year higher vocational, nursing student, ethical decision-making

CLC Number: 

  • R47
[1] 徐玉林,李善玲.实施延续护理护士核心能力的研究进展[J].护理学报,2017,24(12):24-27.DOI:10.16460/j.issn1008-9969.2017.12.024.
[2] 吴敏娟,张邢炜,冯国和,等.伦理决策测量工具及其应用和护理启示[J].护理学报,2015,22(18):18-21. DOI:10.16460/j.issn1008-9969.2015.18.018.
[3] Hartmann DJ, Van VT, Fuqua W.Coding Ethical Decision-making in Research[J]. Sci Eng Ethics,2017,23(1):121-146.DOI:10.1007/s11948-016-9756-3.
[4] Sari D, Baysal E, Celik GG.Ethical Decision Making Levels of Nursing Students[J].Pak J Med Sci,2018,34(3):724-729.DOI:https://doi.org/10.12669/pjms.343.14922.
[5] 朱娅鸽,杜芬静,杨慧玲,等.关于医院护士伦理决策能力的相关影响因素研究[J].中国医学伦理学, 2016,29(1):167-170.
[6] 朱磊,蒋祥虎,牛倩.292名5年制高职护生实习前后护理伦理决策能力的现状分析[J].全科护理, 2020,18(18):2261-2265.DOI:10.12104/j.issn.1674-4748.2020.18.026.
[7] Alba B.Factors that Impact on Emergency Nurses’ Ethical Decision-making Ability[J].Nurs Ethics, 2018, 25(7):855-866.DOI:0.1177/0969733016674769.
[8] Storaker A, Nåden D, Sæteren B.Hindrances to Achieve Professional Confidence:The Nurse’s Participation in Ethical Decision-making[J].Nurs Ethics,2019,26(3):715-727. DOI:10.1177/0969733017720827.
[9] 潘发明. 医学统计方法及其SPSS软件实现[M].北京:中国科学技术大学出版社,2018:119.
[10] 时忠丽,李美荣,张霞.本科护生实习不同阶段临床护理伦理决策能力的调查[J].护理学报,2015, 22(4):21-23.DOI:10.16460/j.issn1008-9969.2015.04.021.
[11] 罗玉莲. 护理伦理再教育对实习护生伦理认知与决策能力的干预效果评价[J].中国实用护理杂志, 2017,33(25):1987-1991.DOI:10.3760/cma.j.issn.1672-7088.2017.25.018.
[12] Kaposy C, Brunger F, Maddalena V.The Use of Ethics Decision-making Frameworks by Canadian Ethics Consultants:A Qualitative Study[J].Bioethics.2016,30(8):636-642. DOI:10.1111/bioe.12262.
[13] 费雯雯. 不同学历护生护理伦理决策能力现状及其影响因素分析[J].护理研究,2015,29(8B):3317-3319. DOI:10.3969/j.issn.10096493.2015.26.043.
[14] 唐淑美,陈晓静,宋立业,等.临床护士护理伦理决策能力与情绪控制水平的相关性分析[J]. 中华现代护理杂志,2018,24(29):3518-3522.DOI:10.3760/cma.j.issn.1674-2907.2018.29. 010.
[15] 鲍淑红. 临床护士护理伦理决策能力发展现状及影响因素研究[J].中华现代护理杂志, 2016,22(32):4676-4678. DOI:10.3760/cma.j.issn.1674-2907.2016.32.025.
[16] 朱磊,牛倩,徐森.临床带教老师护理伦理决策能力及影响因素研究[J].护理研究, 2017,31(24):2991-2994. DOI:10.3969/j.issn.1009-6493.2017.24.013.
[17] 王慧凤,孟德敏,赵阳阳.遭受医疗暴力事件急诊ICU护士的护理伦理决策能力与创伤后应激障碍的相关性[J].临床研究,2019,27(12):162-165.
[18] 朱磊,蒋祥虎,牛倩,等.五年制高职在校护生伦理决策能力现状及其影响因素分析[J].现代临床护理,2019,18(2):68-73. DOI:10.3969/j.issn.1671-8283.2019.02.014.
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