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LGBTQIA+ healthcare content in pre-registration nursing and midwifery curricula: A cross-sectional study 注册护士和助产士预科课程中的 LGBTQIA+ 医疗保健内容:横断面研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-20 DOI: 10.1016/j.nedt.2024.106363
Mengting Huang, Jacqueline Allen, Ensieh Fooladi

Background

Nurses and midwives are expected to provide inclusive care for LGBTQIA+ populations. However, there is a paucity of knowledge on how well-prepared nursing and midwifery graduates are for this aspect of their role.

Aim

To explore LGBTQIA+ content in pre-registration nursing and midwifery curricula in Australia.

Design

Cross-sectional study.

Settings

Australian higher education institutions offering 86 pre-registration nursing and midwifery programs.

Sample

Publicly available pre-registration nursing and midwifery course programs in Australia as presented in the online course handbooks of 25 randomly selected educational institutions.

Methods

A LGBTQIA+ terminology matrix was developed to guide data extraction from subject titles, synopses, and learning outcomes. Explicit terms were those strongly associated with LGBTQIA+. Implicit terms were those indirectly associated with LGBTQIA+. Explicit and implicit LGBTQIA+ terms were analyzed for frequencies. Poisson regression was used to compare counts of LGBTQIA+ terms by course, subject, and university.

Results

Among the 1093 subjects, no subject titles included explicit terms and 6 (0.55 %) titles included implicit LGBTQIA+ terminology. Explicit LGBTQIA+ terminology was identified in 54 (4.9 %) subject synopses and implicit terminology was found in 323 (29.6 %) subject synopses. Explicit LGBTQIA+ terms were identified in 14 (1.3 %) learning outcomes while implicit terms were found in 323 (29.6 %) learning outcomes. Group of Eight universities were more likely to use explicit and implicit LGBTQIA+ terminology than non-Group of Eight universities (p < 0.001; p = 0.035). Undergraduate programs included more LGBTQIA+ terminology than postgraduate programs (p = 0.019; p < 0.001). Core subjects were more likely to include LGBTQIA+ content than elective subjects (p < 0.001).

Conclusion

Explicit LGBTQIA+ terminology was minimal indicating limited overall content. The study results alert nursing and midwifery educators to take a targeted approach to teaching and learning with a LGBTQIA+ focus to support future nurses and midwives with quality knowledge and skills and ensure equitable and safe care for LGBTQIA+ people.

背景人们期望护士和助产士为 LGBTQIA+ 群体提供包容性护理。目的探讨澳大利亚注册前护理和助产士课程中的LGBTQIA+内容。样本在随机抽取的25所教育机构的在线课程手册中公开提供的澳大利亚注册前护理和助产课程项目。方法开发了一个LGBTQIA+术语矩阵,用于指导从科目标题、概要和学习成果中提取数据。显性术语指与 LGBTQIA+ 有密切联系的术语。隐含术语是与 LGBTQIA+ 间接相关的术语。对显性和隐性 LGBTQIA+ 术语进行频率分析。结果在 1093 个研究对象中,没有一个研究对象的题目包含显性术语,6 个(0.55%)题目包含隐性 LGBTQIA+ 术语。在 54 个(4.9%)科目概要中发现了明确的 LGBTQIA+ 术语,在 323 个(29.6%)科目概要中发现了隐含术语。在 14 项(1.3%)学习成果中发现了明确的 LGBTQIA+ 术语,而在 323 项(29.6%)学习成果中发现了隐含术语。八校联盟大学比非八校联盟大学更有可能使用明确和隐含的 LGBTQIA+ 术语(p < 0.001; p = 0.035)。与研究生课程相比,本科课程包含更多的LGBTQIA+术语(p = 0.019; p < 0.001)。核心科目比选修科目更有可能包含 LGBTQIA+ 内容(p < 0.001)。结论明确的 LGBTQIA+ 术语极少,表明总体内容有限。研究结果提醒护理和助产教育工作者采取有针对性的教学方法,以LGBTQIA+为重点,为未来的护士和助产士提供高质量的知识和技能支持,确保为LGBTQIA+人群提供公平、安全的护理。
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引用次数: 0
The effect of social skills-based blended education on social adjustment, self-esteem and social skills among new nursing students: An experimental study 基于社交技能的混合教育对护理新生的社会适应、自尊和社交技能的影响:一项实验研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-19 DOI: 10.1016/j.nedt.2024.106362
Gashin Saeedi , Meimanat Hosseini , Malihe Nasiri , Parvaneh Vasli

Introduction

Social adjustment, self-esteem and social skills may influence students' professionalization and academic success. The aim of this study was to determine the effect of a social skills-based blended education on the social adjustment, self-esteem and social skills of new nursing students.

Methods

First-year undergraduate nursing students in Tehran, Iran, participated in this experimental study in 2023. Participants were selected from two classrooms, one as a control group (26 people) and the other as an intervention group (26 people). The study instruments included the California Personality Test, the Coopersmith Self-Esteem Inventory and the Teenage Inventory of Social Skills. The social skills-based blended education was delivered in 10 sessions of blended education (traditional and virtual education). Data were collected at three stages including baseline, immediately and one month after the intervention. A significance level of 0.05 was used.

Results

According to the results, the average score of social adjustment and social skills of the students in the intervention group increased significantly from baseline to one month after the intervention (P < 0.001). In the control group, this variable did not increase significantly. The results of the two-way repeated measures ANOVA (comparing the effect of time and group) showed that social skills-based blended education can improve the overall average score of students' social adjustment and social skills (P < 0.001 and P = 0.01 respectively), but it had no significant effect on their self-esteem.

Conclusion

The findings can be used by managers and educational planners to design and implement social skills-based blended education in order to improve the social adjustment and social skills of new nursing students.

引言 社会适应、自尊和社交技能可能会影响学生的职业化和学业成功。本研究旨在确定基于社交技能的混合教育对护理专业新生的社会适应、自尊和社交技能的影响。参与者从两个教室中选取,一个作为对照组(26 人),另一个作为干预组(26 人)。研究工具包括加利福尼亚性格测试、库珀史密斯自尊量表和青少年社交技能量表。以社交技能为基础的混合教育通过混合教育(传统教育和虚拟教育)分 10 次进行。数据收集分为三个阶段,包括基线、干预后立即和一个月。结果显示,干预组学生的社会适应和社会技能平均得分从基线到干预后一个月都有显著提高(P< 0.001)。对照组的这一变量没有明显增加。双向重复测量方差分析(比较时间和组别的影响)结果表明,基于社会技能的混合教育能提高学生的社会适应和社会技能的总平均分(分别为 P < 0.001 和 P = 0.01),但对他们的自尊没有明显影响。
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引用次数: 0
Are nursing students ready to respond to disasters? A study on self-efficacy of nursing students to apply psychological first aid 护理专业学生做好应对灾难的准备了吗?关于护理专业学生应用心理急救的自我效能的研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-19 DOI: 10.1016/j.nedt.2024.106367
Nurhayat Kılıç Bayageldi , Dilek Kaloğlu Binici

Background

Psychological first aid (PFA) is an effective initial response to disasters. Nursing students are an important human resource for supporting health services during and after disasters. Improving nursing students' PFA application competencies is necessary for both themselves and aid providers.

Aim

This study aimed to determine sernior nursing students' self-efficacy in psychological first aid application in disaster situations.

Design

This was a descriptive cross-sectional study.

Setting and participants

A total of 536 senior nursing students who had received undergraduate nursing education in Turkey participated in this study.

Methods

Data were collected between March and June 2022, using an online questionnaire comprising a “Personal Information Form” and “PFA Application Self-Efficacy Scale.” The data obtained were analyzed using descriptive statistics, independent samples t-test, Mann–Whitney U test, one-way analysis of variance, Kruskal–Wallis test, multiple comparison tests, and linear regression analysis.

Results

The average age of the senior nursing students was 21.82 ± 2.23 years. Overall, 89.6 % of the students had not received PFA service from any institution. Furthermore, 91.4 % had not received PFA training at any institution. The students' mean score on the PFA application self-efficacy scale was 123.37 ± 22.92. Students who received PFA training had high average scores.

Conclusions

It is necessary to develop senior nursing students' self-efficacy in PFA application. In this context, it is recommended that systematic training, including training on the application of PFA, be conducted regularly along with applied studies on disaster response situations.

背景心理急救(PFA)是应对灾难的有效初步措施。护理专业学生是灾中和灾后支持医疗服务的重要人力资源。本研究旨在确定高年级护理学生在灾难情况下应用心理急救的自我效能感。研究地点和参与者共有 536 名在土耳其接受本科护理教育的高年级护理学生参与了本研究。研究方法在 2022 年 3 月至 6 月期间,使用由 "个人信息表 "和 "心理急救应用自我效能感量表 "组成的在线问卷收集数据。采用描述性统计、独立样本 t 检验、Mann-Whitney U 检验、单因素方差分析、Kruskal-Wallis 检验、多重比较检验和线性回归分析对所获得的数据进行分析。总体而言,89.6% 的学生未在任何机构接受过 PFA 服务。此外,91.4% 的学生未在任何机构接受过 PFA 培训。学生们在 PFA 应用自我效能感量表上的平均得分为 123.37 ± 22.92。接受过 PFA 培训的学生平均得分较高。在此背景下,建议定期开展系统培训,包括 PFA 应用培训,以及灾难响应情况下的应用研究。
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引用次数: 0
Developmental trajectories of professional preparedness among senior nursing students during clinical placement: A longitudinal study 高年级护理学生在临床实习期间的专业准备发展轨迹:纵向研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-14 DOI: 10.1016/j.nedt.2024.106360
Xin Liu , Nancy A. Aguila , Xiao-Yan Lan , Chun-Hui Pan , Qing-Lan Li , Yan-Ni Wu , Hua Lin
<div><h3>Background</h3><p>Newly graduated nurses' lack of professional competence is associated with inadequate preparation during their clinical placement as nursing students. Clinical placement is a critical stage in the development of nursing students' professional preparedness. However, research on the trajectory of nursing students' professional preparedness during clinical placement has not yielded findings with the same specificity.</p></div><div><h3>Objectives</h3><p>The aim of this study is to estimate differences in professional preparedness levels at different clinical placement stages, to identify distinct patterns of professional preparedness trajectories during clinical placement, and to evaluate predictors of these trajectory group memberships.</p></div><div><h3>Design</h3><p>A quantitative longitudinal study.</p></div><div><h3>Settings</h3><p>Participants were recruited on a voluntary basis using convenience sampling at a tertiary hospital in Nanning, China.</p></div><div><h3>Participants</h3><p>224 senior nursing students were initially invited to participate in the study. A total of 178 nursing students successfully completed the follow-up assessments at baseline, as well as at 1 month, 4 months, and 8 months into their clinical placement.</p></div><div><h3>Methods</h3><p>Participants completed four online surveys, during which their professional preparedness level was measured using the Perceived Professional Preparedness questionnaire for senior nursing students. Professional preparedness scores at different time points were compared using one-way repeated measures ANOVA and latent growth model. Group-based trajectory model was applied to identify professional preparedness trajectories. Multiple logistic regression was adopted to determine the predictors of trajectory group memberships.</p></div><div><h3>Results</h3><p>The entire sample of Senior nursing students experienced a significant increase in professional preparedness during clinical placement. The best-fitting group-based trajectory model delineated three distinct trajectories: low-slowly increase trajectory (27.53 % of sample), moderate-rapidly increase trajectory (47.19 % of sample) and a high-stably increase trajectory (25.28 % of sample). Male, good and excellent academic performance, and very high degree of professional interest are the predictors of the moderate-rapidly increase trajectory. While male, good and excellent academic performance, high and very high degree of professional interest and participating in medical-related part-time employment are the predictors of the high-stable increase trajectory.</p></div><div><h3>Conclusions</h3><p>Senior nursing students exhibit different levels of professional preparedness throughout their clinical placement. Simultaneously, three different trajectories were identified among the sample of nursing students. Therefore, in future research, greater attention should be directed towards the professional preparedness lev
背景刚毕业的护士缺乏专业能力与护理专业学生在临床实习期间准备不足有关。临床实习是培养护生专业准备能力的关键阶段。本研究旨在估测不同临床实习阶段护生专业准备水平的差异,识别临床实习期间护生专业准备的不同轨迹模式,并评估这些轨迹组成的预测因素。共有 178 名护理专业学生成功完成了基线、临床实习 1 个月、4 个月和 8 个月的随访评估。采用单因素重复测量方差分析和潜在增长模型对不同时间点的专业准备得分进行比较。采用基于群体的轨迹模型来识别职业准备度轨迹。结果整个高职护理专业学生的专业准备度在临床实习期间都有显著提高。基于群体的最佳拟合轨迹模型划分出三种不同的轨迹:低速增长轨迹(占样本的 27.53%)、中速增长轨迹(占样本的 47.19%)和高速稳定增长轨迹(占样本的 25.28%)。男性、良好和优秀的学习成绩以及极高的专业兴趣是中度快速增长轨迹的预测因素。结论高职护生在整个临床实习过程中表现出不同程度的专业准备。同时,在护理学生样本中发现了三种不同的轨迹。因此,在今后的研究中,应更加关注具有不同轨迹的护生的专业准备水平,并优先考虑早期识别和有针对性的干预措施。
{"title":"Developmental trajectories of professional preparedness among senior nursing students during clinical placement: A longitudinal study","authors":"Xin Liu ,&nbsp;Nancy A. Aguila ,&nbsp;Xiao-Yan Lan ,&nbsp;Chun-Hui Pan ,&nbsp;Qing-Lan Li ,&nbsp;Yan-Ni Wu ,&nbsp;Hua Lin","doi":"10.1016/j.nedt.2024.106360","DOIUrl":"10.1016/j.nedt.2024.106360","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Newly graduated nurses' lack of professional competence is associated with inadequate preparation during their clinical placement as nursing students. Clinical placement is a critical stage in the development of nursing students' professional preparedness. However, research on the trajectory of nursing students' professional preparedness during clinical placement has not yielded findings with the same specificity.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;The aim of this study is to estimate differences in professional preparedness levels at different clinical placement stages, to identify distinct patterns of professional preparedness trajectories during clinical placement, and to evaluate predictors of these trajectory group memberships.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;A quantitative longitudinal study.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Settings&lt;/h3&gt;&lt;p&gt;Participants were recruited on a voluntary basis using convenience sampling at a tertiary hospital in Nanning, China.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;p&gt;224 senior nursing students were initially invited to participate in the study. A total of 178 nursing students successfully completed the follow-up assessments at baseline, as well as at 1 month, 4 months, and 8 months into their clinical placement.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Participants completed four online surveys, during which their professional preparedness level was measured using the Perceived Professional Preparedness questionnaire for senior nursing students. Professional preparedness scores at different time points were compared using one-way repeated measures ANOVA and latent growth model. Group-based trajectory model was applied to identify professional preparedness trajectories. Multiple logistic regression was adopted to determine the predictors of trajectory group memberships.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;The entire sample of Senior nursing students experienced a significant increase in professional preparedness during clinical placement. The best-fitting group-based trajectory model delineated three distinct trajectories: low-slowly increase trajectory (27.53 % of sample), moderate-rapidly increase trajectory (47.19 % of sample) and a high-stably increase trajectory (25.28 % of sample). Male, good and excellent academic performance, and very high degree of professional interest are the predictors of the moderate-rapidly increase trajectory. While male, good and excellent academic performance, high and very high degree of professional interest and participating in medical-related part-time employment are the predictors of the high-stable increase trajectory.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;Senior nursing students exhibit different levels of professional preparedness throughout their clinical placement. Simultaneously, three different trajectories were identified among the sample of nursing students. Therefore, in future research, greater attention should be directed towards the professional preparedness lev","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"142 ","pages":"Article 106360"},"PeriodicalIF":3.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interdisciplinary reflection by higher education academics using teaching squares: A scoping review 高等教育学者利用教学广场进行跨学科反思:范围审查
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-14 DOI: 10.1016/j.nedt.2024.106353
Joanne Harmon , Angela Brown , David Birbeck , Josephine Crockett , Shila Panadgoo , Abu Nawas , Andrea Stringer , Maurizio Costabile

Objective

To explore the use of teaching squares by interdisciplinary Higher Education (HE) academics when engaging in a cycle of teaching reflection.

Design

A scoping review of published and unpublished research between 2012 and 2022.

Data sources

Systematic search of ten (10) electronic databases and hand searching of reference lists identified 13 studies for review.

Review methods

Studies were included if reflection was undertaken on teaching and involved the disciplines of Nursing, Midwifery, Pharmacy, and Biomedical Sciences. The data were extracted and charted and presented using the Patterns, Advances, Gap, Evidence for practice and Research [PAGER] framework.

Results

The main theme identified in the review was that teaching squares led to the development of improved pedagogical skills. This skills improvement was facilitated by the creation of positive academic relationships formed by undertaking interdisciplinary observation, reflection and other serendipitous events. HE academics gained positive benefits from this process, especially those newly transitioning into academia. Some examples of these benefits included increased awareness of one's own teaching practice, deeper understanding of the student experiences and the HE academic feeling less isolated and more reassured about their teaching. Undertaking interdisciplinary reflection led to the development of social capital, resulting in increased confidence. This was evident by the development of new professional relationships from increased networking opportunities external to the faculty in which the HE academic was located. The culture within each context served as either a barrier or facilitator to engaging in reflection. We also noted there were a variety of ways in which reflection was being undertaken, with new insights gained during COVID-19.

Conclusion

This scoping review explored the current published literature on reflection on teaching undertaken by HE academics within Nursing, Midwifery, Pharmacy and Biomedical Science disciplines. The key outcomes for the interdisciplinary stakeholders were increased levels of confidence, learning of new ways of teaching, and insight into the student experience by undertaking interdisciplinary reflection. From a faculty perspective this is meant there was an increase of social network development and provided higher levels of social capital, especially for those transitioning into academia. The pandemic led to an increased reliance on reflection of virtual reflection, which may become the norm. Further research is required to explore the experiences and perceptions of reflection for this cohort of HE teachers.

数据来源对十(10)个电子数据库进行系统检索,并对参考文献列表进行人工检索,确定了 13 项研究供综述。综述方法如果对教学进行了反思,且涉及护理、助产、药学和生物医学等学科,则纳入研究。采用模式、进展、差距、实践和研究证据[PAGER]框架对数据进行了提取和制图,并进行了展示。这种技能的提高得益于通过跨学科观察、反思和其他偶然事件建立的积极学术关系。高校学者从这一过程中获得了积极的益处,尤其是那些刚刚过渡到学术界的学者。这些益处包括提高了对自身教学实践的认识,加深了对学生经历的理解,以及高等院校学者感觉自己不再孤立,对自己的教学更加放心。进行跨学科反思有助于发展社会资本,从而增强信心。这表现在,高校教师所在院系以外的网络机会增加,从而发展了新的专业关系。每种情况下的文化都对参与反思起到了阻碍或促进作用。我们还注意到进行反思的方式多种多样,并在 COVID-19 期间获得了新的见解。结论本范围审查探讨了目前已发表的关于护理、助产、药学和生物医学科学学科的高校学者进行教学反思的文献。跨学科利益相关者的主要成果是通过开展跨学科反思,提高了自信心,学习了新的教学方法,并深入了解了学生的体验。从教师的角度来看,这意味着社会网络的发展得到了加强,并提供了更高水平的社会资本,尤其是对那些转型进入学术界的教师而言。大流行病导致人们更加依赖虚拟反思,这可能会成为一种常态。还需要进一步开展研究,探索这批高校教师的反思经验和感悟。
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引用次数: 0
Deep learning and its associated factors among Chinese nursing undergraduates: A cross-sectional study 中国护理专业本科生的深度学习及其相关因素:横断面研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-14 DOI: 10.1016/j.nedt.2024.106356
Wenjuan Wang, Wan Mi, Xinhai Meng, Yaxuan Xu, Panpan Zhang, Lihua Zhou

Background

Adequate professional preparation of nursing undergraduates is conducive to developing health care careers. Deep learning is important for enhancing nursing competencies and the overall quality of students. However, limited research has been conducted to explore deep learning and its associated factors for students in higher nursing education.

Objective

To describe the level of deep learning and explore its associated factors among Chinese nursing undergraduates.

Design

A cross-sectional study.

Setting

This study was conducted at a medical university in Anhui Province, China.

Participants

Convenience sampling was used to survey 271 nursing undergraduates between July and September 2023.

Methods

The survey included questions about general information, deep learning, and critical thinking disposition. Nonparametric tests were used to distinguish the intergroup differences. Correlations were evaluated using Spearman's rank correlation analysis. Hierarchical multiple regression analysis was performed to determine the influencing factors.

Results

The deep learning score of the nursing undergraduates was 3.82 (3.56, 4.00). Hierarchical multiple regression analysis revealed that gender (β = 0.10, P = 0.044), experience as a student leader (β = 0.10, P = 0.049), and critical thinking disposition (β = 0.60, P = 0.000) significantly impacted deep learning. All the variables explained 41.1 % of the total mean score variance for deep learning.

Conclusion

Chinese nursing undergraduates showed upper-middle levels of deep learning. Gender, experience as a student leader, and critical thinking disposition were significantly associated factors of deep learning. Nursing educators should provide targeted interventions for deep learning to facilitate the professional competencies of these students.

背景护理本科生充分的专业准备有利于医疗卫生事业的发展。深度学习对提高护理能力和学生的整体素质非常重要。目的描述中国护理专业本科生的深度学习水平并探讨其相关因素。采用非参数检验来区分组间差异。使用斯皮尔曼等级相关分析评估相关性。结果 护理本科生的深度学习得分为 3.82(3.56, 4.00)。层次多元回归分析显示,性别(β = 0.10,P = 0.044)、学生干部经历(β = 0.10,P = 0.049)和批判性思维倾向(β = 0.60,P = 0.000)对深度学习有显著影响。结论中国护理专业本科生的深度学习能力处于中上水平。性别、学生干部经历和批判性思维倾向与深度学习显著相关。护理教育者应提供有针对性的深度学习干预,以促进这些学生专业能力的提高。
{"title":"Deep learning and its associated factors among Chinese nursing undergraduates: A cross-sectional study","authors":"Wenjuan Wang,&nbsp;Wan Mi,&nbsp;Xinhai Meng,&nbsp;Yaxuan Xu,&nbsp;Panpan Zhang,&nbsp;Lihua Zhou","doi":"10.1016/j.nedt.2024.106356","DOIUrl":"10.1016/j.nedt.2024.106356","url":null,"abstract":"<div><h3>Background</h3><p>Adequate professional preparation of nursing undergraduates is conducive to developing health care careers. Deep learning is important for enhancing nursing competencies and the overall quality of students. However, limited research has been conducted to explore deep learning and its associated factors for students in higher nursing education.</p></div><div><h3>Objective</h3><p>To describe the level of deep learning and explore its associated factors among Chinese nursing undergraduates.</p></div><div><h3>Design</h3><p>A cross-sectional study.</p></div><div><h3>Setting</h3><p>This study was conducted at a medical university in Anhui Province, China.</p></div><div><h3>Participants</h3><p>Convenience sampling was used to survey 271 nursing undergraduates between July and September 2023.</p></div><div><h3>Methods</h3><p>The survey included questions about general information, deep learning, and critical thinking disposition. Nonparametric tests were used to distinguish the intergroup differences. Correlations were evaluated using Spearman's rank correlation analysis. Hierarchical multiple regression analysis was performed to determine the influencing factors.</p></div><div><h3>Results</h3><p>The deep learning score of the nursing undergraduates was 3.82 (3.56, 4.00). Hierarchical multiple regression analysis revealed that gender (β = 0.10, <em>P</em> = 0.044), experience as a student leader (β = 0.10, <em>P</em> = 0.049), and critical thinking disposition (β = 0.60, <em>P</em> = 0.000) significantly impacted deep learning. All the variables explained 41.1 % of the total mean score variance for deep learning.</p></div><div><h3>Conclusion</h3><p>Chinese nursing undergraduates showed upper-middle levels of deep learning. Gender, experience as a student leader, and critical thinking disposition were significantly associated factors of deep learning. Nursing educators should provide targeted interventions for deep learning to facilitate the professional competencies of these students.</p></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"142 ","pages":"Article 106356"},"PeriodicalIF":3.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142012119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring post-registration nursing students' perceptions and learning experiences of peer-led simulation: A qualitative study 探索注册后护理专业学生对同伴引导模拟的看法和学习经验:定性研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-14 DOI: 10.1016/j.nedt.2024.106354
Fang Huang, Karen Lai See Tham, Emily Wai Yee Kwan

Background

In nursing education, often dominated by instructor-led simulations (ILS), there is a growing demand to explore alternative approaches, such as peer-led simulation (PLS), in the training of post-registration nursing students. PLS shifts learners into leadership roles, fostering scenario design and facilitation among peers. Despite existing literature on ILS versus PLS, there remains a gap in the effectiveness of combined PLS and ILS for post-registration nursing students. This study aims to investigate the factors influencing the learning experience of post-registration nursing students and their perceptions of PLS as an instructional strategy.

Methods

This qualitative study was implemented from October 2022 to April 2023. The entire student cohorts (n = 20) were recruited from the Advanced Diploma in Nursing (Peri-anaesthesia) programme. The students underwent both ILS (14h) and PLS (11h) as part of the mandatory activities within a 60-h module on “Crisis Management in Anaesthesia”. Three semi-structured focus group discussions (FGDs) with 16 participants were conducted. The FGDs were guided by six questions on students learning experiences that were validated using the Delphi method.

Results

The thematic analysis revealed four major themes concerning their learning experiences: the learning journey, enablers, barriers and perceived benefits of including PLS. Among the enablers, one notable finding was learners' appreciation for their ability to apply evidence-based practice (EBP) principles, which played a significant role in achieving conceptual fidelity in their developed scenarios.

Conclusion

The qualitative findings underscore the importance of PLS in fostering dynamic learning environments, vital for educators across disciplines. By actively participating in scenario design and facilitation, students enhance their understanding of theoretical concepts and clinical competency. PLS implementation provides insights into students' learning needs and challenges, benefiting educators in refining teaching strategies and enhancing educational effectiveness.

背景在护理教育中,教师主导的模拟教学(ILS)往往占据主导地位,而在注册后护理专业学生的培训中,探索同伴主导的模拟教学(PLS)等替代方法的需求日益增长。同伴主导模拟将学习者转变为领导者,促进同伴之间的情景设计和协助。尽管已有文献对 ILS 与 PLS 进行了比较,但对于注册后护理专业学生而言,将 PLS 与 ILS 结合使用的有效性仍是一个空白。本研究旨在调查影响注册后护理专业学生学习体验的因素,以及他们对 PLS 作为一种教学策略的看法。所有学生(n = 20)均从护理学高级文凭(围麻醉期)课程中招募。作为60小时 "麻醉危机管理 "模块的必修活动之一,学生们参加了ILS(14小时)和PLS(11小时)。进行了三次半结构化焦点小组讨论(FGD),共有 16 人参加。专题分析揭示了与学生学习经历有关的四大主题:学习历程、促进因素、障碍和包含 PLS 的感知收益。在促进因素中,一个值得注意的发现是学习者对他们应用循证实践(EBP)原则的能力的赞赏,这在他们开发的情景模拟中实现概念忠实性方面发挥了重要作用。通过积极参与情景设计和引导,学生们加深了对理论概念和临床能力的理解。PLS 的实施有助于深入了解学生的学习需求和面临的挑战,有利于教育工作者改进教学策略和提高教育效果。
{"title":"Exploring post-registration nursing students' perceptions and learning experiences of peer-led simulation: A qualitative study","authors":"Fang Huang,&nbsp;Karen Lai See Tham,&nbsp;Emily Wai Yee Kwan","doi":"10.1016/j.nedt.2024.106354","DOIUrl":"10.1016/j.nedt.2024.106354","url":null,"abstract":"<div><h3>Background</h3><p>In nursing education, often dominated by instructor-led simulations (ILS), there is a growing demand to explore alternative approaches, such as peer-led simulation (PLS), in the training of post-registration nursing students. PLS shifts learners into leadership roles, fostering scenario design and facilitation among peers. Despite existing literature on ILS versus PLS, there remains a gap in the effectiveness of combined PLS and ILS for post-registration nursing students. This study aims to investigate the factors influencing the learning experience of post-registration nursing students and their perceptions of PLS as an instructional strategy.</p></div><div><h3>Methods</h3><p>This qualitative study was implemented from October 2022 to April 2023. The entire student cohorts (<em>n</em> = 20) were recruited from the Advanced Diploma in Nursing (Peri-anaesthesia) programme. The students underwent both ILS (14h) and PLS (11h) as part of the mandatory activities within a 60-h module on “Crisis Management in Anaesthesia”. Three semi-structured focus group discussions (FGDs) with 16 participants were conducted. The FGDs were guided by six questions on students learning experiences that were validated using the Delphi method.</p></div><div><h3>Results</h3><p>The thematic analysis revealed four major themes concerning their learning experiences: the learning journey, enablers, barriers and perceived benefits of including PLS. Among the enablers, one notable finding was learners' appreciation for their ability to apply evidence-based practice (EBP) principles, which played a significant role in achieving conceptual fidelity in their developed scenarios.</p></div><div><h3>Conclusion</h3><p>The qualitative findings underscore the importance of PLS in fostering dynamic learning environments, vital for educators across disciplines. By actively participating in scenario design and facilitation, students enhance their understanding of theoretical concepts and clinical competency. PLS implementation provides insights into students' learning needs and challenges, benefiting educators in refining teaching strategies and enhancing educational effectiveness.</p></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"142 ","pages":"Article 106354"},"PeriodicalIF":3.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142012071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence tools utilized in nursing education: Incidence and associated factors 护理教育中使用的人工智能工具:发生率及相关因素
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-14 DOI: 10.1016/j.nedt.2024.106355
Samar Thabet Jallad , Khitam Alsaqer , Baker Ishaq Albadareen , Duaa Al-maghaireh

Background

Artificial intelligence technology is among the most significant advancements that provide students with effective learning opportunities in this digital era. Therefore, the National League for Nursing states that it is necessary to reframe the nursing education process.

Objective

This study aimed to determine the factors that affect the usefulness and sustainability of artificial intelligence tools used in nursing education.

Design

A descriptive cross-sectional study was conducted among. Three models, including the Technological Acceptance Model (TAM), the Information System Success Model (ISSM), and the Online Learning Self-Efficacy (OLSE), were used.

Participant

All of fourth- year undergraduate nursing students who were enrolled in nursing department regularly (N = 420), and who respond (n = 204).

Setting

In the nursing department of the health professions faculty at AL-Quds University, in Palestine.

Results

Among the 204 students who responded, 9.80 % employed simulation, 5.40 % utilized virtual reality, 19.10 % used Chat GPT, 42.20 % used mobile applications, and 23.50 % utilized PowerPoint AI as part of their learning process. The mean and standard deviation (SD) were computed for key parameters related to the information system success model (AI) (ISSM) (M = 4.52, SD = 1.17). Technology Acceptance Model (TAM) (M = 4.61, SD = 1.16). Online Learning Self-Efficacy (OLSE) (M = 4.55, SD = 1.28).

Conclusion

There is a need to adapt teaching strategies and integrate AI tools as useful learning tools, which have become essential for students to complete their learning activities through enhancing knowledge of the multimodal technological factors that should be taken into consideration while creating AI tools across several domains for universities and developers.

背景人工智能技术是数字时代为学生提供有效学习机会的最重要进步之一。因此,美国国家护理联盟(National League for Nursing)指出,有必要重新构建护理教育过程。本研究旨在确定影响护理教育中使用的人工智能工具的实用性和可持续性的因素。研究使用了三个模型,包括技术接受模型(TAM)、信息系统成功模型(ISSM)和在线学习自我效能感(OLSE)。研究对象所有在护理系正常就读的四年级护理本科生(N = 420),以及做出回应的学生(N = 204)。结果在做出回答的 204 名学生中,9.80% 的学生在学习过程中使用了模拟,5.40% 的学生使用了虚拟现实,19.10% 的学生使用了 Chat GPT,42.20% 的学生使用了移动应用程序,23.50% 的学生使用了 PowerPoint AI。计算了信息系统成功模型(AI)(ISSM)相关关键参数的平均值和标准差(SD)(M = 4.52,SD = 1.17)。技术接受模型(TAM)(M = 4.61,SD = 1.16)。结论有必要调整教学策略,将人工智能工具整合为有用的学习工具,这已成为学生完成学习活动的必要条件,方法是加强对多模态技术因素的了解,大学和开发人员在创建跨多个领域的人工智能工具时应考虑到这些因素。
{"title":"Artificial intelligence tools utilized in nursing education: Incidence and associated factors","authors":"Samar Thabet Jallad ,&nbsp;Khitam Alsaqer ,&nbsp;Baker Ishaq Albadareen ,&nbsp;Duaa Al-maghaireh","doi":"10.1016/j.nedt.2024.106355","DOIUrl":"10.1016/j.nedt.2024.106355","url":null,"abstract":"<div><h3>Background</h3><p>Artificial intelligence technology is among the most significant advancements that provide students with effective learning opportunities in this digital era. Therefore, the National League for Nursing states that it is necessary to reframe the nursing education process.</p></div><div><h3>Objective</h3><p>This study aimed to determine the factors that affect the usefulness and sustainability of artificial intelligence tools used in nursing education.</p></div><div><h3>Design</h3><p>A descriptive cross-sectional study was conducted among. Three models, including the Technological Acceptance Model (TAM), the Information System Success Model (ISSM), and the Online Learning Self-Efficacy (OLSE), were used.</p></div><div><h3>Participant</h3><p>All of fourth- year undergraduate nursing students who were enrolled in nursing department regularly (<em>N</em> = 420), and who respond (<em>n</em> = 204).</p></div><div><h3>Setting</h3><p>In the nursing department of the health professions faculty at AL-Quds University, in Palestine.</p></div><div><h3>Results</h3><p>Among the 204 students who responded, 9.80 % employed simulation, 5.40 % utilized virtual reality, 19.10 % used Chat GPT, 42.20 % used mobile applications, and 23.50 % utilized PowerPoint AI as part of their learning process. The mean and standard deviation (SD) were computed for key parameters related to the information system success model (AI) (ISSM) (M = 4.52, SD = 1.17). Technology Acceptance Model (TAM) (M = 4.61, SD = 1.16). Online Learning Self-Efficacy (OLSE) (M = 4.55, SD = 1.28).</p></div><div><h3>Conclusion</h3><p>There is a need to adapt teaching strategies and integrate AI tools as useful learning tools, which have become essential for students to complete their learning activities through enhancing knowledge of the multimodal technological factors that should be taken into consideration while creating AI tools across several domains for universities and developers.</p></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"142 ","pages":"Article 106355"},"PeriodicalIF":3.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insights into virtual reality-based training for unexplained disease outbreaks: A qualitative exploration of Chinese standardized training nurses' experiences 基于虚拟现实的不明原因疾病爆发培训的启示:对中国标准化培训护士经验的定性探索
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-14 DOI: 10.1016/j.nedt.2024.106358
Xixi Li, Luoyao Yang, Tong Zhou, Hong Liang, Linbo Zhang, Wei Jiang, Nan Xie

Background

An unexplained disease outbreak refers to a scenario wherein a group of individuals encounters similar health issues within a short timeframe, yet healthcare professionals find it challenging to promptly identify the specific cause or pathogenic factors triggering the outbreak. Emerging as a vital force in China, standardized training nurses can significantly mitigate the impact of unforeseen events.

Objective

This study aims to illuminate the experiences of Chinese standardized training nurses engaged in training for unexplained disease outbreaks utilizing virtual reality (VR) technology.

Design

A qualitative descriptive research design was employed.

Participants

Thirty Chinese standardized training nurses participated in semi-structured interviews.

Methods

Data were collected through semi-structured interviews conducted from April 2023 to June 2023. Braun and Clark's thematic analysis method was applied for data analysis.

Results

The study revealed five prominent themes: Surpassing Expectations, Enjoyable Learning, Self-challenge, Reflective Learning, and Promotion-Worthy. In essence, Chinese standardized training nurses perceived VR training as effective, meaningful, and conducive to reflective opportunities. Nevertheless, they expressed challenges in composing epidemiological reports, particularly when lacking expertise in epidemiology and having limited exposure to simulated training.

Conclusion

Virtual Reality (VR) technology plays a crucial role in continuing education after graduation (standardized training for nurses) in China, contributing to the enhancement of clinical practice standards and the promotion of teamwork collaboration. Its broader application is considered worthy of promotion.

背景不明原因疾病暴发是指一群人在短时间内遇到类似的健康问题,但医护人员却很难及时发现引发疾病暴发的具体原因或致病因素。本研究旨在阐明中国标准化培训护士利用虚拟现实(VR)技术参与不明原因疾病暴发培训的经验。研究采用了定性描述研究设计。参与者30名中国标准化培训护士参与了半结构化访谈。结果研究揭示了五个突出主题:研究揭示了五个突出主题:超越期望、愉快学习、自我挑战、反思学习和值得晋升。从本质上讲,中国规范化培训护士认为 VR 培训是有效的、有意义的、有利于反思的。结论虚拟现实(VR)技术在中国的护士毕业后继续教育(护士规范化培训)中发挥着重要作用,有助于提高临床实践水平和促进团队协作。其更广泛的应用值得推广。
{"title":"Insights into virtual reality-based training for unexplained disease outbreaks: A qualitative exploration of Chinese standardized training nurses' experiences","authors":"Xixi Li,&nbsp;Luoyao Yang,&nbsp;Tong Zhou,&nbsp;Hong Liang,&nbsp;Linbo Zhang,&nbsp;Wei Jiang,&nbsp;Nan Xie","doi":"10.1016/j.nedt.2024.106358","DOIUrl":"10.1016/j.nedt.2024.106358","url":null,"abstract":"<div><h3>Background</h3><p>An unexplained disease outbreak refers to a scenario wherein a group of individuals encounters similar health issues within a short timeframe, yet healthcare professionals find it challenging to promptly identify the specific cause or pathogenic factors triggering the outbreak. Emerging as a vital force in China, standardized training nurses can significantly mitigate the impact of unforeseen events.</p></div><div><h3>Objective</h3><p>This study aims to illuminate the experiences of Chinese standardized training nurses engaged in training for unexplained disease outbreaks utilizing virtual reality (VR) technology.</p></div><div><h3>Design</h3><p>A qualitative descriptive research design was employed.</p></div><div><h3>Participants</h3><p>Thirty Chinese standardized training nurses participated in semi-structured interviews.</p></div><div><h3>Methods</h3><p>Data were collected through semi-structured interviews conducted from April 2023 to June 2023. Braun and Clark's thematic analysis method was applied for data analysis.</p></div><div><h3>Results</h3><p>The study revealed five prominent themes: Surpassing Expectations, Enjoyable Learning, Self-challenge, Reflective Learning, and Promotion-Worthy. In essence, Chinese standardized training nurses perceived VR training as effective, meaningful, and conducive to reflective opportunities. Nevertheless, they expressed challenges in composing epidemiological reports, particularly when lacking expertise in epidemiology and having limited exposure to simulated training.</p></div><div><h3>Conclusion</h3><p>Virtual Reality (VR) technology plays a crucial role in continuing education after graduation (standardized training for nurses) in China, contributing to the enhancement of clinical practice standards and the promotion of teamwork collaboration. Its broader application is considered worthy of promotion.</p></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"143 ","pages":"Article 106358"},"PeriodicalIF":3.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0260691724002685/pdfft?md5=9e316cee8e69c8cac4f07a3e0c902b21&pid=1-s2.0-S0260691724002685-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of a pediatric critical care pilot preceptor program: Improved confidence and competency outcomes among a cohort of professional nurses in Blantyre, Malawi 儿科危重症护理试点戒酒计划的效果:提高马拉维布兰太尔一批专业护士的信心和能力成果
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-14 DOI: 10.1016/j.nedt.2024.106351
Kelsey Renning , Julie A. Thompson , Ann Michelle Hartman , Anda Nindi Nyondo , Julie Mann , Lignet Chepuka , Chimwemwe Mula , Netsayi Gowero , Gina Wilson , Carolyn Ramwell , Brittney van de Water

Background

Availability of high-level pediatric training for nurses in Malawi is limited. To address this gap, a novel pediatric critical care nurse preceptor program was developed and implemented by pediatric nurse specialists.

Aim

Evaluate the effectiveness of a pediatric critical care nurse preceptor program, via change in nurses' knowledge, skills, confidence, and precepting competence.

Design

A 12-month pediatric critical care nurse preceptor program with assessments at baseline, end of intensive (3 months), and end of program (6 months).

Setting

Blantyre, Malawi.

Participants

Nurses with two or more years of pediatric nursing experience (N = 20) nominated by unit managers.

Methods

Quantitative data were collected throughout program implementation. Assessments included: (1) multiple choice knowledge test, (2) Objective Structured Clinical Examinations in two areas (vital signs and airway, breathing, circulation, disability, exposure assessments; and blood gas and electrolyte analysis), (3) group simulations (cardiopulmonary resuscitation or respiratory distress), (4) Likert-scale clinical confidence survey, and (5) Likert-scale precepting competence survey. Data were analyzed using repeated measures ANOVA with pairwise comparisons. For Likert-scale surveys, median confidence scores were compared using a Friedman test with post hoc pairwise comparisons using Wilcoxon signed-rank tests.

Results

Participants demonstrated significant improvement in clinical knowledge (p < .001), vital signs and airway, breathing, circulation, disability, exposure assessment (p = .001), blood gas and electrolyte analysis (p = .001), CPR (p < .001) and respiratory distress (p < .001) simulations, clinical confidence (p = .002), and precepting competence (p = .041).

Conclusion

This pediatric critical care nurse preceptor program was effective in improving participants' confidence and competence (knowledge and skills) in pediatric critical care nursing and precepting. Results suggest the program's potential to address the shortage of highly trained pediatric critical care nurses in Malawi. This lays groundwork for refining and expanding preceptorship, ultimately improving pediatric critical care nursing education in resource-limited settings.

背景马拉维为护士提供的高级儿科培训非常有限。目的通过护士的知识、技能、信心和传教能力的变化,评估儿科重症监护护士传教计划的有效性。设计为期 12 个月的儿科重症监护护士戒护计划,在基线、强化期结束(3 个月)和计划结束(6 个月)时进行评估.地点马拉维布兰蒂尔.参与者由科室经理提名的具有两年或两年以上儿科护理经验的护士(N=20).方法在整个计划实施过程中收集定量数据。评估包括(1) 多选知识测试;(2) 两个领域的客观结构化临床检查(生命体征和气道、呼吸、循环、残疾、暴露评估;以及血气和电解质分析);(3) 小组模拟(心肺复苏或呼吸窘迫);(4) 李克特量表临床信心调查;(5) 李克特量表带教能力调查。数据采用重复测量方差分析和配对比较法进行分析。对于李克特量表调查,使用弗里德曼检验比较信心分数的中位数,并使用 Wilcoxon 符号秩检验进行事后配对比较。结果参与者在临床知识(p = .001)、生命体征和气道、呼吸、循环、残疾、暴露评估(p = .001)、血气和电解质分析(p = .结论:该儿科危重症护理护士戒酒计划能有效提高参与者在儿科危重症护理和戒酒方面的信心和能力(知识和技能)。结果表明,该项目有可能解决马拉维训练有素的儿科危重症护理护士短缺的问题。这就为完善和扩大带教工作奠定了基础,最终改善了资源有限地区的儿科危重症护理教育。
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引用次数: 0
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