通过精神科病房实践研究护理专业学生的自我反思体验:IPA

Ju Eun Hong, Jung A Son
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摘要

目的 本研究旨在通过确认和描述护生内省体验的语义结构,深入了解这些体验的性质。方法 本研究是一项定性研究,采用解释性现象学分析(IPA)的再研究方法,揭示护生在精神科病房实践中感知和体验内容的主观意义。研究对象为庆尚北道某大学的 10 名三年级护理专业学生,他们都经历过精神科病房实习。数据收集时间为 2019 年 7 月 20 日至 9 月 20 日。数据采用IPA进行分析。结果 在研究结果方面,得出了 10 个次主题和 3 个分主题。第一个上主题是 "对精神病学的偏见之墙",与现有实践不同,对精神病人有偏见,甚至对自己不信任。第二个上层主题是 "批评和不理解的体验"。研究参与者在第一次面对精神病人时经历了各种复杂的情绪和思想变化,并将其命名为 "对病人的观察和理解"。第三个上层主题是 "在精神科实践中成长"。研究参与者表示,他们通过自我反思的过程感受到了不同,他们与患者的关系也发生了积极的变化。结论 研究结果表明,护理专业大学生自我反思体验的实质不仅有助于学生的积极成长,而且通过提出精神科护理学的教育目标,为更多分层次实践教育课程的开发提供了依据。因此,应在研究成果的基础上,努力开发能够促进护理专业学生自我反思的教学资料和课程资料。
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A Study on the Self-reflection Experience of Nursing Students through Psychiatric Ward Practice: IPA
Objectives This study is to understand in-depth the nature of these experiences by confirming and describing the semantic structure of nursing students' introspection experiences. Methods This study is a qualitative study to reveal the subjective meaning of perceived and experienced contents in the psychiatric ward practice of nursing students using the Interpretive Phenomenological Analysis(IPA) re-search method. The subjects of this study were 10 third-year nursing students who experienced the practice of psychiatric wards at one university in Gyeongsangbuk-do. The data were collected from July 20 to September 20, 2019. Data were analyzed using IPA. Results As for the research results, 10 sub-themes and three sub-themes were derived. The first upper theme was ‘A wall of prejudice against psychiatry’, which was different from the existing practice, had prejudice against psychiatric patients, and even had distrust of oneself. The second upper theme is ‘Experience of criticism and un-derstanding’. The study participants experienced various and complex changes of emotions and thoughts while facing psychiatric patients for the first time, and named them ‘observation and understanding of patients’. The third upper theme is ‘Growth through psychiatric practice’. Participants in the study reported that they felt different through the process of self-reflection and that their relationship with patients changed positively. Conclusions The result suggests that, the essence of nursing college students' self-reflection experience not only helps students grow positively, but also provides the basis for the development of the curriculum for more sub-stantial practical education by presenting educational goals of psychiatric nursing. Therefore, efforts should be made to develop educational and program data that can promote self-reflection of nursing students based on the research results.
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