An empirical study on enhancing nursing students’ caring ability through integrated curriculum ideological-political and narrative pedagogy
“课程思政+叙事教学法”赋能护生关怀能力发展的实证研究

摘要

目的 探索“课程思政+叙事教学法”在《基础护理学》课程中对护生关怀能力的提升效果。方法 采用自身前后对照设计，选取云南省某高校50名护生作为研究对象，以《基础护理学》课程为依托，按照“叙事导入—情境讨论—角色扮演—反思总结”四步教学法教学，构建“知识点—思政目标—叙事载体”三位一体资源库，采用关怀能力量表（CAI）评估干预前后护生在认知、勇气、耐心三个维度的能力变化。结果 干预后护生关怀能力总分及各维度得分均高于干预前得分（P＜0.05）。结论 “课程思政+叙事教学法”模式首次实现护理教育中职业信念、伦理规范与专业技能的系统性整合，为破解“重技能轻人文”困境提供可复制方案，助力培养兼具技术与人文素养的护理人才。

Abstract

Objective To investigate the effectiveness of the “Curriculum Ideological and Political + Narrative Teaching Method” in enhancing nursing students’ caring ability, addressing the challenges of fragmented ideological-political integration and the disconnect between humanistic and technical training in nursing education.
Methods A quasi-experimental pretest-posttest design was adopted. Fifty nursing students from a university in Yunnan Province were recruited. The four-step teaching approach (“narrative introduction - situational discussion - role-playing - reflection & summary”) was implemented across the Basic Nursing course. A trinity resource library integrating knowledge points, ideological-political objectives, and narrative carriers was constructed, incorporating materials on professional beliefs, ethical norms, and scientific spirit. Changes in caring ability across cognition, courage, and patience dimensions were evaluated using the Caring Ability Inventory (CAI).
Results Post-intervention, the total CAI score and scores on all sub-dimensions (cognition, courage, patience) showed significant increases (P < 0.05).
Conclusion   This model represents the first systematic integration of professional beliefs, ethical norms, and clinical skills in nursing education. It achieves this by leveraging narrative-driven emotional triggering, deep systematic integration of ideological-political elements, and a “practice-reflection” closed loop. This approach provides a replicable solution to the “skills-over-humanities” dilemma, effectively cultivating nursing talents proficient in both technical skills and humanistic literacy.