團體音樂治療活動融入老人護理課程──大學生對老人的態度與服務意願之影響

The effects of integrate group music therapy activities into gerontological nursing course on students' attitudes and willingness to work with older adults

護理學生普遍存在對老人的負向態度，如何教導學生面對人口老化所需的照護人力及照護品質考驗著所有護理教育工作者。本研究目的旨在調查中部某科技大學護理系大二學生，在經過創新的護理教育，以團體音樂活動融入老人護理教育課程之前、後，學生對老人態度與服務意願有無改變，以期做為未來老人護理教育課程安排之參考。採取立意取樣、單組前、後測之介入的研究設計，共計40位學生，在經過一學期，約18週，完成以音樂活動介入高齡者休聞運動設計與應用的老人護理選修課程，並以老人態度與服務老人意願問卷進行前、後測比較。結果顯示：以團體音樂活動融入老人護理教育課程將增加學生服務老人意願。而學生對老人態度在課程介入之前後雖未有達到統計意義，但學生對老人的態度與服務老人意願則呈現正相關。

Nursing students generally have a negative attitude toward older adults. Preparing nurses to meet the care needs of an expanding aging population is a challenge for nursing educators. The purpose of the current study was to explore whether incorporating music therapy into a practical geriatric nursing course at a nursing home cultivates positive attitudes toward older adults, raises students' willingness to work with older adults, and increases their interest in specializing in gerontological nursing after graduation. Forty second-year nursing students in a 4-year baccalaureate program from central Taiwan were enrolled. Students in the elective gerontological nursing course met 2 hours per week for 18 weeks and learned how to design health-promoting activities for older adults. The attitudes toward older adults and willingness to work with older adults were measured at beginning of the course and 18 weeks after the course completed. Results suggested music can be integrated into a gerontological nursing course to enhance students motivation to learn, empathize, and approach older adults.