Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective Practice Competency and Humanistic Caring Ability: A Quasi-experimental Study

IF 2.9 3区 医学 Q2 NURSING
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-11-10 DOI:10.1016/j.anr.2025.09.005
Dong-Lan Ling , Ka Yan Ho , Jing-Da Pan , Chang Zhang , Wen-Ting Xu , Ke-Lan Lin , Ting Mao , Jin Li , Hao Chen , Shu-Fang Zhang , Hong-Li Liu , Liu-Yuan Zeng , Hong-Jing Yu
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引用次数: 0

Abstract

Purpose

To examine the effectiveness of a practice-based reflection training programme in enhancing reflective practice competency and humanistic caring ability among undergraduate nursing interns.

Methods

A convenience sample of 95 undergraduate nursing interns from a tertiary hospital was recruited to join a quasi-experimental study. Participants in the control group (n = 48) underwent a traditional training programme between September 2021 and April 2022. Those in the intervention group (n = 47) participated in a practice-based reflection training programme that contained 8 sessions between September 2022 and April 2023. The two groups were compared in terms of their levels of reflective practice competency measured by the Nursing Reflective Practice Questionnaire (NRPQ) and humanistic caring ability measured by the Nursing Humanistic Caring Assessment Tool (NHCAT). Additionally, each intern in the intervention group submitted a reflective essay on humanistic caring which was analyzed by content analysis.

Results

After the intervention, the intervention group showed statistically significantly higher mean scores compared to the control group for reflective practice competency (160.94 ± 11.02 vs 147.60 ± 13.95, p < .001) and humanistic caring ability (124.02 ± 7.35 vs 115.52 ± 8.31, p < .001). By content analysis of 45 reflective essays, the most commonly reported theme related to humanistic care was “responsibility” (present in 38 essays, mentioned 153 times), followed by “empathy” (present in 36 essays, mentioned 149 times) and “communication skills/competence” (present in 32 essays, mentioned 125 times).

Conclusions

The practice-based reflection training programme was shown to be effective to enhance reflective practice competency and humanistic caring ability among undergraduate nursing interns in China. Further studies are needed to examine its long-term impacts on nursing interns.
基于实践的本科护理实习生反思性实践能力与人文关怀能力训练:准实验研究。
目的:探讨以实践为基础的反思训练方案对提高本科护理实习生反思实践能力和人文关怀能力的效果。方法:选取某三级医院95名本科护理实习生进行准实验研究。对照组的参与者(n = 48)在2021年9月至2022年4月期间接受了传统的培训计划。干预组(n = 47)在2022年9月至2023年4月期间参加了一项以实践为基础的反思培训计划,该计划包括8次培训。采用护理反思性实践问卷(NRPQ)和护理人文关怀评估工具(NHCAT)分别对两组患者的反思实践能力和人文关怀能力进行比较。此外,每位干预组实习生都提交了一篇关于人文关怀的反思文章,并通过主题分析进行分析。结果:干预后,干预组在反思实践能力得分(160.94±11.02比147.60±13.95,p < 0.001)和人文关怀能力得分(124.02±7.35比115.52±8.31,p < 0.001)上均显著高于对照组。通过对45篇反思性论文的主题分析,与人文关怀相关的最常见的主题是“责任”(出现在38篇文章中,提到153次),其次是“同理心”(出现在36篇文章中,提到149次)和“沟通技巧/能力”(出现在32篇文章中,提到125次)。结论:以实践为基础的反思训练方案能有效提高本科护理实习生的反思实践能力和人文关怀能力。其对实习护士的长期影响有待进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
32
审稿时长
45 days
期刊介绍: Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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