精神科護理學的另類教學－以社區精神復健護理為例

Alternative Teaching in Psychiatric Nursing: The Example of Community Psychiatric Rehabilitation

吳佳珍(Chia-Chen WU)

《護理雜誌》 68卷1期 (2021/02) Pp. 19-23

https://doi.org/10.6224/JN.202102_68(1).04

摘要

精神科護理學是一門較抽象的學科，學生理解本就不易，再加上社會對於精神疾病污名化的關係，影響學生學習動機及學習成效，也讓初次接觸精神科實習的護生產生莫大焦慮。因此如何於課堂中提升學生學習興趣，導正對精神病人的看法，進而減輕實習前焦慮，實屬重要。本文分享以另類的實際情境教學，設計讓學生在課堂內、實習前直接接觸病人之體驗學習策略，透過在社區穩定接受精神復健之病人的課室分享活動，讓學生有機會與精神病人互動，藉此引導學生實境體驗精神病人的患病歷程，以印證學理，接受與同理精神病人，並得以減輕實習前的焦慮。

關鍵字

精神科護理 ； 體驗學習 ； 護理教育

並列摘要

Psychiatric nursing is a relatively abstract thus difficult discipline for students to master. Moreover, the prevalent stigmatization of mental illness in society inhibits the learning motivation and effectiveness of nursing students in this discipline and increases the anxiety of these students during their initial psychiatric clinical practicum. The experiential learning strategy, which allows direct interactions between students and community-based patients enrolled in psychological rehabilitation programs, is discussed in this article. As patients share their illness journey in class, nursing students are better able to experience these patients' sufferings and thus in a better position to clarify related knowledge, develop empathy, and ease self-perceived anxiety prior to beginning their psychiatric clinical practicum.

並列關鍵字

psychiatric nursing ； experiential learning ； nursing education

參考文獻

郭鈺屏、李明峰、林靜蘭（2016）．運用幻聽模擬於改善護生精神健康知識、對精神疾病態度及社會距離之成效．精神衛生護理雜誌，11（1），19–26。[Kuo, Y.-P., Lee, M.-F., & Lin, E. C.-L. (2016). The effectiveness of using auditory hallucination simulation to improve nursing students' mental health literacy, attitude toward mental illness, and social distance. The Journal of Psychiatric Mental Health Nursing, 11(1), 19–26.] https://doi.org/10.6847/TJPMHN.201611_11(1).0002

郭鈺屏、洪瑞黛、黃財尉、許倍甄、蘇惠珍、林靜蘭（2014）．中文版精神疾病態度量表之信效度研究—以高中生為例．護理雜誌，61（6），48–56。[Kuo, Y.-P., Hung, J.-T., Huang, T.-W., Hsu, P.-C., Su, H.-C., & Lin, E. C.-L. (2014). Developing and testing the validity and reliability of the Chinese version attitudes toward mental illness scale in a sample of senior high school students. The Journal of Nursing, 61(6), 48–56.] https://doi.org/10.6224/JN.61.6.48

陳妙絹、廖珮君、石惠美（2003）．自我成長團體在護專精神科護理臨床實習應用之探討．長庚護理，14（3），226–233。[Chen, M.-C., Liao, P.-C., & Shih, W.-M. (2003). Self-growth group in clinical psychiatric nursing practice in a five-year nursing program. Chang Gung Nursing, 14(3), 226–233.] https://doi.org/10.6386/CGN.200309_14(3).0002

陸秀芳、江淑菀（2019）．台灣精神科護理教學融入翻轉教室經驗之探究．精神衛生護理雜誌，14（1），15–22。[Lu, S.-F., & Chiang, S.-W. (2019). Exploring the experience of integrating psychiatric nursing into the flipping classroom in Taiwan. The Journal of Psychiatric Mental Health Nursing, 14(1), 15–22.] https://doi.org/10.6847/TJPMHN.201906_14(1).02

黃惠滿、鄭夙芬（2018）．翻轉教室教學策略於護理教育課程之應用．護理雜誌，65（6），5–12。[Huang, H.-M., & Cheng, S.-F. (2018). Application of flipped classroom teaching strategy in nursing education. The Journal of Nursing, 65(6), 5–12.] https://doi.org/10.6224/JN.201812_65(6).02