叙事教育在精神心理照护学课程中的实践

Practice of the narrative education in Mental and Psychological Care

目的探讨叙事教育在精神心理照护学课程中的教学效果。方法选取南方医科大学2016级131名护理本科生为试验组,运用叙事教育开展教学改革;2015级146名护理本科生为对照组,采用传统教学模式。课程结束后比较两组学生考核成绩,并调查试验组学生对课程的满意度及收获。结果课后试验组学生形成性考核、终结性考核及总评成绩均高于对照组,差异均有统计学意义(P<0.001)。试验组中96.2%的学生较满意课程的叙事教育各部分教学活动及其比重,主要收获包括“对精神疾病患者的歧视减少”“人文关怀理念增强”“自主学习与发散性思维能力提升”3个主题。结论叙事教育有助于促进学生形成关怀理念、减少对精神疾病患者的歧视、培养其自主学习能力及发散性思维,可进一步推广。

Objective To explore the effects of narrative education in Mental and Psychological Care.Methods A total of 131 nursing undergraduates of grade 2016 in Southern Medical University were selected and assigned to the experimental group.Narrative education was used in this group.Another 146 nursing undergraduates in grade 2015 were selected and assigned to the control group.Routine education was used in the control group.At the end of the course,the assessment results of the two groups were compared and the satisfaction level of students in the experimental group were investigated.Results The scores of formative assessment,summative assessment and total evaluation in the experimental group were higher than those in the control group(P<0.001).96.2%of the students in the experimental group were satisfied with the narrative education and teaching activities of the curriculum.The main achievements included three themes:the reduction of discrimin action,the enhancement of caring concept,and the improvement of autonomous learning and divergent thinking.Conclusion Narrative education can help students form the concept of caring,reduce the discrimin action of mental illness patients,cultivate their self-learning ability and divergent thinking,which can be further promoted.