Human-caring based curriculum development for enhancing clinical nursing competence

本研究的目的是：（1）从文献回顾中阐明人文关怀和临床护理能力的概念;（2）通过分析国内外护理本科生的护理能力，确定护理能力的关键组成部分;（3）阐述日本红十字会广岛护理大学（JRCHCN）的人文关怀理论课程;（4）对体现JRCHCN课程精髓的基础核心课程“人文关怀理论课”和“基础护理临床课”的教学方法进行描述，并对教学方法进行评价。本研究透过文献回顾与访谈，探讨国际关怀研究者对JRCHCN课程的看法。同时，对该课程的基础核心课程、人文关怀理论课和基础临床实践课进行了定性和定量分析。 ...更多信息 在护理本科课程中，普遍使用关怀/人文关怀的概念作为课程的结构，并在一些特定的课程中强调关怀;然而，几乎没有一个明确解释课程是如何在课程中组织的，也没有明确的课程和课程结构之间的联系。本研究描述了独特的关怀课程，它也重视人的尊严和智慧，以及人道主义原则。此外，还介绍了基础核心课、“人文关怀理论”和“临床基础课”的教学方法。举例来说，我们鼓励学生在临床课程及日常生活中探索关怀体验的意义，并表达他们的感受。定性和定量分析结果显示，理论课与基础护理临床课相结合，学生对护理知识的理解和护理能力得到了提高。最后讨论未来研究方向及建议关怀教育方法。少

The purposes of this research were: (1) to clarify the concept of human caring and clinical nursing competence from literature reviews, (2) to identify the key components of caring curriculums by analyzing baccalaureate curriculums nationally and internationally, (3) to elaborate the human caring theory based curriculum of the Japanese Red Cross Hiroshima College of Nursing (JRCHCN), and (4) to describe the educational methods of "Human caring theory class" and "basic nursing clinical courses", which were the fundamental core courses and reflected the essence of the JRCHCN curriculum, and to evaluate those educational methods.Method: The integrative literature reviews and interviews with national/international caring researchers were conducted to elaborate the curriculum of JRCHCN. Also, qualitative and quantitative analyses were made to evaluate the curriculum's fundamental core courses; the human caring theory class and basic clinical practicum courses.Findings and Conclusions: It wa … More s common in baccalaureate nursing curriculums to use a concept of caring/human caring as a construct of the curriculum and to emphasize caring in some specific courses; however, almost none clearly explained how courses were organized within the curriculum, nor articulate connections among courses and the constructs of the curriculum. This research described the unique caring curriculum, which also valued on human dignity and wisdom, and humanitarian principles. In addition, educational methods of the fundamental core courses, "human caring theory" and "basic clinical courses" were described. For example, students were encouraged to explore the meaning of their caring experience not only in their clinical courses but also in their daily living, and to express their feelings. The qualitative and quantitative analysis revealed that students deepen their understanding and caring competence by synthesizing theory class and basic nursing clinical courses. Future research directions and recommended caring educational methods were discussed. Less