继续医学教育2025，Vol.39Issue(7)：73-79,7.DOI:10.3969/j.issn.1004-6763.2025.07.017
Gibbs反思循环圈视角下新生儿重症监护室(NICU)护理本科实习生的反思性实践体验质性研究
A Qualitative Study on Reflective Practice Experience of Undergraduate Nursing Interns in Neonatal Intensive Care Unit(NICU)from the Perspective of Gibbs Reflec-tive Circle
摘要
Abstract
Objective To analyze the reflective journals written by undergraduate nursing interns during their neo-natal intensive care unit(NICU)internship,to explore in depth their reflective practice experiences,to identify com-mon issues,and to provide a theoretical basis for optimiz-ing the internship program.Methods Using the phenome-nological qualitative research method,the reflective jour-nals of 24 NICU student nurses were read in depth,and the data were analyzed using the Colaizzi method.Results Three core themes were extracted:perceived theory-prac-tice gap(including specialty operational challenges,pene-tration of tacit nursing knowledge,and differences in educa-tion and training),negative psychological experiences(e.g.,high levels of nervousness,low self-efficacy,and fear of feedback),and positive experiences of reflective practice for nursing students(shifts in clinical thinking,increased professional identity,and enhanced self-expecta-tions).Conclusions Undergraduate nursing students per-ceive differences between theoretical teaching and clinical practice in NICU clinical practice and are prone to negative psychological experiences.Therefore,it is recommended to strengthen the construction of the teaching team,imple-ment tacit knowledge sharing,conduct evidence-based nursing teaching,combine scientific research findings,rich nursing clinical experience,and patients'needs,and active-ly guide students into clinical practice to effectively avoid the gap between theory and practice and pay attention to students'psychological health.At the same time,reflective practice teaching is carried out to gradually build a nursing teaching system that meets the training needs of NICU nursing students.关键词
新生儿重症监护室/护理本科实习生/反思性实践/质性研究Key words
neonatal intensive care unit/undergraduate nursing interns/reflective practice/qualitative research分类
医药卫生引用本文复制引用
李建芳,司徒妙琼,甘慧容,李嘉莹,杨薇..Gibbs反思循环圈视角下新生儿重症监护室(NICU)护理本科实习生的反思性实践体验质性研究[J].继续医学教育,2025,39(7):73-79,7.基金项目
中山大学附属第一医院柯麟护理人才培育项目(KLHL2024CE01) （KLHL2024CE01）
中山大学本科教学改革研究项目(12220011-220914) （12220011-220914）
