暑期小学期临床实践教学对康复治疗学专业学生共情能力培养的实践研究OA
Effect of summer short-term clinical practice teaching on empathy ability in rehabilitation therapy students
目的 探索以"暑期小学期"为载体的集中式临床实践教学模式,并通过混合研究方法验证其在提升康复治疗学专业学生共情能力和沟通效能方面的有效性. 方法 2025年6月至7月,选取南昌医学院康复治疗学专业大二学生40例,在暑期小学期开展为期1周的沉浸式临床实践教学.采用行动研究范式,结合单组前后测实验设计和质性研究方法.量性研究采用中文版《杰弗逊共情量表-医学生版》(JSE-HP)评估共情能力变化.质性研究通过半结构化焦点小组访谈和结构化反思日记,深入挖掘学生在共情认知、情感整合和职业认同方面的体验与转变. 结果 教学干预后,学生JSE-HP总分和各维度(观点采择、怜悯关怀、换位思考)得分均明显提升(t<-3.69,P<0.01).质性分析提炼出诊疗范式重构、情感-认知整合和专业认同升华3个核心主题. 结论 以"临床浸润-叙事反思-跨学科协作-形成性评价"为架构的暑期小学期临床实践教学模式,有效实现了共情能力的具身化培养,不仅弥合理论与临床鸿沟的实践桥梁,更是推动学生从技术执行者向人文关怀者角色转型的教育催化场.该模式契合WHO康复胜任力架构,为医学人文教育的系统化改革提供了可复制、可推广的实践方案.
Objective To explore an centralized clinical practice teaching model delivered via a summer short-term semester,and to examine its effectiveness on empathy and communication efficacy among undergraduate students majoring in re-habilitation therapy through a mixed-methods design. Methods From June to July,2025,forty second-year rehabilitation therapy undergraduates from Nanchang Medical Col-lege participated in a one-week immersive clinical practice during the summer short-term semester.An action re-search framework integrating a one-group pre-post experimental design and qualitative research methods were adopted.Quantitative data were collected using the Chinese-Adapted Jefferson Scale of Empathy-Medical Stu-dent Version(JSE-HP)to assess changes in empathy.Qualitative data were obtained through semi-structured fo-cus group interviews and structured reflective journals to investigate students'experiences and transformations in empathic cognition,emotional integration and professional identity. Results After the teaching intervention,students demonstrated significant improvements in the total score of JSE-HP and all subdimensions(perspective taking,compassionate care and standing in the patient's shoes)(t<-3.69,P<0.01).Qualitative analysis yielded three core themes:reconstruction of clinical reasoning paradigms,emotional-cognitive integration and elevation of professional identity. Conclusion Summer short-term semester clinical practice model,structured around"clinical immersion,narrative reflec-tion,interprofessional collaboration and formative assessment",effectively facilitates embodied cultivation of empathy.This model not only bridges the gap between theory and clinical practice,but also serves as an educa-tional catalyst for students'transformation from technical performers to humanistic caregivers.It aligns with the core concepts of the World Health Organization rehabilitation competency framework,offering a replicable and scalable approach to advancing systematic reform in medical humanities education.
胡龙;余航
南昌医学院,江西 南昌市 330052南昌健源康复医院,江西 南昌市 330006
医药卫生
康复治疗学共情能力实践教学暑期小学期医学人文教育康复胜任力架构
rehabilitation therapyempathypractical teachingsummer short-term semestermedical humanities educationrehabilitation competency framework
《中国康复理论与实践》 2026 (1)
117-124,8
南昌医学院校级教学改革研究项目(No.NYJG-20240002) Supported by Nanchang Medical College Teaching Reform Research Project(No.NYJG-20240002)
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