护生照顾老年精神分裂症住院病人的临床学习体会

Chia-Shan Wu, J. Rong, W. Liao, Hsun-Wen Chang, Wei-Na Hsu
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引用次数: 2

摘要

目的:年轻护生首次从事精神科护理实践存在诸多困难。为了帮助学生学习如何照顾老年精神疾病患者,本研究采用质性研究方法,探讨学生的认知,评估临床学习经验,并评估台湾地区护理学生照顾老年精神分裂症患者的经验。方法:本研究的数据来源于一项基于现象学方法的定性研究。本研究选取台湾某护理学院学生20人。对护理专业学生进行个别深度访谈,这些学生选自护理学院四年级副学士学位。所有参与者的平均年龄为18.7岁(±0.46)。结果:采用Colaizzi分析法对数据进行分析。获得了六个主要主题:(1)评估与精神疾病和老年病相关的临床问题;(2)准备并融入临床实习环境;(3)与老年患者建立关系;(4)参与临床学习,应用护理知识和技能;(5)塑造对老年精神分裂症患者的良好态度;(6)在实习过程中获得自信。结论:护生虽然缺乏老年精神科护理的临床知识和情境经验,但护理教师需要帮助护生更好地感知和评价其临床学习经验,并对住院老年精神分裂症患者的护理过程进行自我表达和反思。
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The Clinical Learning Experiences of Nursing Students Caring for Elderly Schizophrenia Inpatients
Aims: Young nursing students who are engaged in psychiatric nursing practice for the first time have many difficulties. In order to help students learn how to care for elderly patients with mental illness, this study explored student perceptions, evaluated clinical learning experiences using qualitative research methods, and assessed the experiences of student nurses in caring for elderly patients with schizophrenia in Taiwan.Methods: The data presented in this study were derived from an qualitative study based on a phenomenological approach. The 20 participants were selected from the students of a nursing college in Taiwan. Individual in-depth interviews were held with nursing students, these students were selected from the fourth-years of nursing college of associate degree. The mean age of all of the participants were 18.7(±0.46).Results: Colaizzi's analysis method was used to analyze the data. Six main themes were obtained: (1) Assessing clinical problems associated with psychiatric disorders and geriatric diseases; (2) Preparing for and engaging with the clinical internship environment; (3) Establishing relationships with elderly patients; (4) Participating in clinical learning and applying nursing knowledge and skills; (5) Shaping a good attitude towards elderly schizophrenia patients; (6) Gaining confidence in the internship process.Conclusions: Although nursing students lack clinical knowledge and situational experience in geriatric psychiatric nursing, nursing teachers need to help students be more perceptive and evaluate their clinical learning experiences, and to express themselves and reflect on the process of care delivery to hospitalized elderly patients with schizophrenia. 
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