遊戲式學習於護理教育應用－同理心桌遊教學

Applying Game-Based Learning in Nursing Education: Empathy Board Game Learning

10.6224/JN.201802_65(1).13

呂雀芬(Chueh-Fen Lu)；吳淑美(Shu-Mei Wu)；徐瑩媺(Ying-Mei Shu)；葉美玉(Mei-Yu Yeh)

同理心 ； 遊戲式學習 ； 桌遊 ； 護理教育 ； board game ； empathy ； gamed based learning ； nursing education

護理雜誌

65卷1期（2018 / 02 / 01）

96 - 103

繁體中文

知識的學習可透過課程、閱讀來獲得，技術則可透過重複練習來精熟，但情意的養成乃是教學者最大的挑戰。如何透過課程有效培養醫護教育中漸受重視的同理心，創新教學是可行的嘗試。本文分析台灣護理教育之同理心教學現況、探討同理心與遊戲式學習概念、介紹桌遊創意教具發展及檢討其教學運用。本教具採學習者中心的角度，讓學生享有主控權，模擬臨床個案角色，發展多元對話。藉遊戲化身機制與同儕演練而形成多重循環學習，學生能連結並演練同理能力的情感、認知與表達三要素。透過競爭性、互動性、故事性、即時具象化（concretization）回饋之機制設計，融入平權、同儕學習等教學元素，學生能體驗不同層次之被同理感受並深化同理心意義思辨，以達同理心創意教學之目的並實踐寓教於樂之教學理想。

Attending lectures and reading are two common approaches to acquiring knowledge, while repetitive practice is a common approach to acquiring skills. Nurturing proper attitudes in students is one of the greatest challenges for educators. Health professionals must incorporate empathy into their practice. Creative teaching strategies may offer a feasible approach to enhancing empathy-related competence. The present article focuses on analyzing current, empathy-related curriculums in nursing education in Taiwan, exploring the concepts of empathy and game-based learning, presenting the development of an empathy board game as a teaching aid, and, finally, evaluating the developed education application. Based on the learner-centered principle, this aid was designed with peer learning, allowing learners to influence the learning process, to simulate the various roles of clients, and to develop diverse interpersonal dialogues. The continuous learning loops were formed using the gamification mechanism and transformation, enabling students to connect and practice the three elements of empathy ability: emotion, cognition and expression. Via the game elements of competition, interaction, storytelling, real-time responses, concretizing feedback, integrated peer learning, and equality between teachers and students, students who play patient roles are able to perceive different levels of comfort, which encourages the development of insight into the meaning of empathy. Thereby, the goals of the empathy lesson is achievable within a creative game-based learning environment.

1. 許于仁、楊美娟（2016）．運用數位化桌遊探討理性情緒信念、同理心與情緒決策風格之關係．教育傳播與科技研究，115，59-72。[Hsu, Y. J., & Yang, M. C. (2016). Through rational emotive discuss empathy and emotional decision-making style relation on digital board game. Research of Educational Communications and Technology, 115, 59-72.] https://doi.org/10.6137/RECT.2016.115.04
   連結：
2. 趙梅如、鍾思嘉(2004)。觀點取替故事同理心量表的發展。中華輔導學報，15，39-60。
   連結：
3. 蕭佳純(2016)。教師創意教學發展之縱貫性研究。特殊教育研究學刊，41(1)，63-90。
   連結：
4. Abdul Jabbar, A. I.,Felicia, P.(2015).Gameplay engagement and learning in game-based learning: A systematic review.Review of Educational Research,85(4),740-779.
5. Brull, S.,Finlayson, S.(2016).Importance of gamification in increasing learning.The Journal of Continuing Education in Nursing,47(8),372-375.
6. Charlier, N.,De Fraine, B.(2013).Game-based learning as a vehicle to teach first aid content: A randomized experiment.Journal of School Health,83(7),493-499.
7. Cicchino, M. I.(2015).Using game-based learning to foster critical thinking in student discourse.Interdisciplinary Journal of Problem-Based Learning,9(2),article 4.
8. Cunico, L.,Sartroi, R.,Marognolli, O.,Meneghini, A. M.(2012).Developing empathy in nursing students: A cohort longitudinal study.Journal of Clinical Nursing,21(13-14),2016-2025.
9. Day-Black, C.,Merrill, E. B.,Konzelman, L.,Williams, T. T.,Hart, N.(2015).Gamification: An innovative teachinglearning strategy for the digital nursing students in a community health nursing course.ABNF Journal,26(4),90-94.
10. Dicheva, D.,Dichev, C.,Agre, G.,Angelova, G.(2015).Gamification in education: A systematic mapping study.Educational Technology & Society,18(3),75-88.
11. Karadag, R.(2015).Pre-service teachers' perceptions on game based learning scenarios in primary reading and writing instruction courses.Educational Sciences: Theory and Practice,15(1),185-200.
12. Maruca, A. T.,Diaz, D. A.,Kuhnly, J. E.,Jeffries, P. R.(2015).Enhancing empathy in undergraduate nursing students: An experiential ostomate simulation.Nursing Education Perspectives,36(6),367-371.
13. Misfeldt, M.(2015).Scenario based education as a framework for understanding students engagement and learning in a project management simulation game.Electronic Journal of e-Learning,13(3),181-191.
14. Narinasamy, I.,Mamat, W. H. W.(2013).Caring teacher in developing empathy in moral education.Malaysian Online Journal of Educational Sciences,1(1),1-18.
15. Richardson, C.,Percy, M.,Hughes, J.(2015).Nursing therapeutics: Teaching student nurses care, compassion and empathy.Nurse Education Today,35(5),e1-e5.
16. Rogers, C. R.(1957).The necessary and sufficient conditions of therapeutic personality change.Journal of Consulting Psychology,21(2),95-103.
17. Wheeler, K.,Marrett, E. A. M.,Lahey, E.(1996).A study of empathy as a nursing care outcome measure.International Journal of Psychiatric Nursing Research,3(1),281-289.
18. Yu, J.,Kirk, M.(2008).Measurement of empathy in nursing research: Systematic review.Journal of Advanced Nursing,64(5),440-454.
19. 王松韜、黃麗(2011)。護士同理心培訓國內外研究概況。健康研究，31(2)，145-148。
20. 吳紫伃、許竑彬(2011)。諮商中的同理心技術初探。台灣心理諮商季刊，3(2)，1-14。
21. 沈志中(2013)。論護病關係中之同理心、傳移與愛。源遠護理，7(1)，16-22。
22. 教育部（2016b）．全國高中高職五專資訊網． 取自http://203.72.29.166/search/index.php?no=3 [Ministry of Education, Taiwan, ROC. (2016b). Information network for high schools, vocational schools, and junior colleges. Retrieved from http://203.72.29.166/search/index.php?no=3]
23. 教育部（2016a）．105 學年度大學院校一覽表．取自https://ulist.moe.gov.tw/Home/Index [Ministry of Education, Taiwan, ROC. (2016a). List of universities and higher education colleges in 2016. Retrieved from https://ulist.moe.gov.tw/Home/Index]
24. 教育部(2002)。創造力教育白皮書。台北市=Taipei City:教育部顧問室=Advisory Office, Ministry of Education, Taiwan, ROC.。
25. 梁朝雲、陳德懷、楊叔卿、楊接期（2008）．「悅趣化數位學習」研究宣言．取自http://e-learning.nutn.edu.tw/sigView.aspx?Subject=「悅趣化數位學習」研究宣言(Manifesto of Research on Digital Game-based Learning)&Class=DIGITEL&TitleID=186 [Liang, C. Y., Chan, T. W., Young, S. C., & Yang, J. C. (2008). Manifesto of research on digital game-based learning. Retrieved from http://e-learning.nutn.edu.tw/sigView.aspx?Subject=「悅趣化數位學習」研究宣言(Manifesto of Research on Digital Game-based Learning)&Class=DIGITEL&TitleID=186]
26. 童麗錡、張麗君(2017)。情境模擬訓練對護理人員同理心之成效。台灣擬真醫學教育期刊，41(1)，12-23。
27. 黃惠君、葉玉珠(2008)。國中教師教學玩興、教學動機、教學快樂感受與創意教學之關係。教育與心理研究，31(2)，85-118。
28. 鄭榮峰、賴育民、Livneh, Hanoch、蔡宗益(2011)。傑佛遜同理心量表－醫護人員版之中文化及信效度檢定。護理雜誌，58(2)，41-48。
29. 謝茉莉、洪利穎(2014)。鷹架策略於醫病溝通教學之成效。北市醫學雜誌，11(3)，12-19。

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