A Study On The Mode Of "Realm Synthesis" About Humanities And Social Science Curriculum Of Nursing Baccalaureate Education In China

ObjectiveWith the changing of medical model and the deepgoing development of Systematic Holistic Nursing, the fields of nursing service are extending as well. In the meantime, the requirements of all-round qualities towards nursing staff are more rigorous than ever before. However, the quality of clinical nursing service is still unsatisfied nowadays,the main reason leading to this situation consist of the nursing stuff's knowledge structure, the quality of humanities and the viewpoint of value.As the cradle of nursing talents, the teaching quality of Humanities and Social Science will influence the development of nursing cause in China directly. The aim of this study is to put forward the "realm synthesis" mode of practice of Humanities and Social Science curriculum by using the theoretical review and drawing on the advanced experiences of Canada through comparison, in order to provide useful references to build up the mode of Humanities and Social Science curriculum with both internationalise and localization which can improve the students' knowledge structure and promote the quality of higher nursing education in China.Methods1. To analyze the theoretical basis and the meaning of philosophy and pedagogy of Humanities and Social Science curriculum setting-up via review of literature then reveal the purpose of this study.2. To compare the quantity,the category, the credit hours and the structure etc about Humanities and Social Science curriculum of nursing baccalaureate between China and Canada by using cross-sectional research, describe and deduce the result after processing the datum by statistical methods. Discuss the differences against the background of national condition between China and Canada.3. To put forward the "realm synthesis" mode of practice about Humanities and Social Science curriculum of nursing baccalaureate education in the light of theoretical analysis as well as the advanced experience of Canada.Results1. The theoretical and realistic foundation of Humanities and Social Science curriculum of nursing baccalaureate education in China includes: the educational principle of our country, the training goals of nursing baccalaureate education, the theory of human's all-round development of Marxism and the outcomes of Humanities and Social Science curriculum's reform of domestic and overseas medical universities. 2. There are difrferences as for forms and contents, credit hours and their proportion, curriculum's type , methods of teaching and evaluation between China and Canada. The curriculum of China present the trend of highly unified with the influence of "centralized mode", the type of curriculum are compulsory curriculum and restrictive selecctive curriculum mostly; Canada's curriculum is in the light of "autonomous mode", making lots of selective curricula is the characteristic of it. The total credit hours of whole program and the compulsory as well as the total curricula's credit hours of Humanities and Social Science in China are more than that of Canada; the ratio of restrictive selective curriculum of Humanities and Social Science and the total credit hours of Humanities and Social Science curriculum are lower than that of Canada. The conclusions talked above have significant difference (P < 0.05).The subject curriculum is superior in China, the integrated curriculum take the major position in Canada. Classroom instruction and written examination are the important methods of teaching and evaluation in China, that of Canada are various.3. Setting up the mode of Humanities and Social Science curriculum of nursing baccalaureate education in China according to the theory of "realm synthesis". This project divides the curriculum of Humanities and Social Science into 3 parts, include "nursing and human", "nursing and society" and "reflection about nursing practice", the former two are composed by 6 serial curriculum groups, the forms of these curricula are core curriculum and restrictive selective curriculum; the part of "reflection about nursing practice" realizes the combination of theory and practice of Humanities and Social Science by means of the way of active curriculum.Conclusions1. According to the outcomes of the comparison between China and Canada and the curriculum project of "realm synthesis", the proportion of tatal credit hours of Humanities and Social Science curriculum of China's nursing baccalaureate education should be 29%～32%; the ratio of compulsory curriculum to selective curriculum of Humanities and Social Science should be 4～6 : 1.2. For the sake of the contradiction between credit hours and the quantity of curriculum, we should reduce the subject curriculum and develop the integrated curriculum of Humanities and Social Science.3. The principles of setting-up the curriculum of Humanities and Social Science should be: human centralized, structure optimized, emphasis outstanding, reform continously, flexible and various.Further Study1. To verify the feasibility of the "realm synthesis" project and study the development of teaching material, the training of teacher and the methods of teaching and evaluation aboutHumanities and Social Science curriculum.2. The balance between Humanities and Social Science curriculum and specialized curriculum.