护理本科生对护理实践课程思政元素获得感的质性研究
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女,硕士,主任护师,教育护士

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广东省临床教学基地教学改革研究项目(2021JD105);广东省“新医科”教学改革项目(150);广州市教学成果培育项目(2023128541)


Sense of gain of ideological and political elements in nursing practice among undergraduate nursing students:a qualitative study
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    目的 探讨护理本科生对护理实践课程思政元素的获得感,为护理实践课程思政元素获得感评价指标的构建和思政教育方案的完善提供参考。方法 采用描述性质性研究方法,选取完成护理实践的护理本科生为访谈对象,基于思政教育获得感理论框架制订访谈提纲,采用半结构式焦点小组访谈法,每组8~9人,信息饱和时,共访谈25名护理本科生。访谈内容通过定向内容分析法进行编码和主题提炼。结果 提炼出5个主题和18个亚主题,包括认知理解(法治意识、人文关怀、职业道德、沟通能力)、情感认同(敬畏感、成就感、温暖感)、意志坚定(坚持规范操作、保持冷静、坚守职业道德、同理心沟通)、实践感悟(规范操作、详细解释、个性化护理、保护隐私)和课程改进建议(增加跨专业小组讨论、增加临床情景模拟演练、增加护理伦理和法律知识教育)。结论 护理本科生在护理实践中对课程思政元素的获得感表现为多维度的积极体验,护理实践能有效促进护理本科生对课程思政元素的理解、认同、坚定和感悟。今后尚需针对护生提出的多项改进建议继续完善课程。

    Abstract:

    Objective To explore the sense of gain of ideological and political elements in nursing practice among undergraduate nur-sing students, and to provide a reference for the construction of evaluation indexes of access to ideological and political elements and the improvement of ideological and political education programs in nursing practice.Methods A descriptive qualitative study was designed to select nursing undergraduates who had completed the nursing professional practice, and an interview outline was formulated based on the theoretical framework of ideological and political education′s sense of gain, then semi-structured focus group interviews were conducted, with 8-9 students in each group, and totally 25 nursing undergraduates were interviewed when information reaching saturation.The interview data were coded and themes were refined through directed content analysis.Results Five themes and 18 sub-themes were distilled:cognitive understanding (awareness of the rule of law, humanistic care, professional ethics, communication skills), affective identification (sense of awe, sense of accomplishment, sense of warmth), firm volition (adherence to standardized practice, keeping calm, adherence to professional ethics, empathetic communication), practical insights (standardized practice, detailed explanations, personalized care, protection of privacy), and suggestions for curricular improvement (increasing the number of interprofessional group discussions, more simulated clinical scenario exercises, and more education on nursing ethics and legal knowledge).Conclusion The sense of gain of ideological and political elements in nursing professional practice among undergraduate nursing students is a multidimensional positive experience, and the course design effectively promote nursing students′ understanding, identification, firmness, and perceptions of the ideological and political elements.It is necessary to improve the course in the future in response to the suggestions from the interns.

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章雪玲,王文婷,罗涵琦,江丽仙,黄美凌,罗太珍.护理本科生对护理实践课程思政元素获得感的质性研究[J].护理学杂志,2025,(19):82-85+110

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  • 收稿日期:2025-03-15
  • 最后修改日期:2025-06-17
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  • 在线发布日期: 2025-11-11