道德现场教学法在护理伦理学教学中的实践

Implementation of moral field teaching in Nursing Ethics

目的 探讨道德现场教学法在护理伦理学教学中的实践效果。方法 采用便利抽样法选取本科护理学专业8个班级的护生344人,以抽签法随机抽取1~2合班和5~6合班为对照组(174人),采用常规案例教学法进行护理伦理学教学;3~4合班和7~8合班为试验组(170人),采用道德现场教学法融入案例教学。课程结束后,比较两组理论考核成绩,并采用道德敏感性量表和批判性思维能力量表进行效果评价。结果 教学后试验组护理伦理学理论考核成绩、道德敏感性和批判性思维能力得分显著高于对照组(均P<0.05)。结论 将道德现场融入护理伦理学课程,不仅能够显著提升护生的伦理学理论成绩,而且能够切实增强护生的道德敏感性,还有助于培养其批判性思维能力,使他们能够全面、深入地分析护理伦理问题。

Objective To explore the implementation effect of moral field teaching in Nursing Ethics.Methods A total of 344 undergraduate nursing students from eight classes were selected by convenience sampling method,then class 1 and 2 were integrated and class 5 and 6 were integrated,totally 174 students were regarded as a control group,who were taught by using traditional case-based learning in Nursing Ethics;and class 3 and 4 were integrated and class 7 and 8 were integrated,totally 170 students were taken as an experimental group,who were taught by incorporating moral field teaching into case-based learning in Nursing Ethics.At the end of the course,the theoretical examination score of the two groups were compared,and the Chinese version of Moral Sensitivity Questionnaire for Nursing Students(MSQ-ST)and the Chinese Critical Thinking Disposition Inventory(CTDI-CV)were used to evaluate the teaching effect.Results After the teaching,in the experimental group,the theoretical examination score of Nursing Ethics,the scores of MSQ-ST and CTDI-CV were significantly higher than those in the control group(all P<0.05).Conclusion Incorporating moral field into teaching of Nursing Ethics can not only significantly improve nursing students′theoretical examination score,but also enhance their moral sensitivity and cultivate their critical thinking ability,so as to help them analyze nursing ethics problem comprehensively and deeply.