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Effectiveness of problem-based learning method on nursing teaching in higher vocational schools 基于问题的学习方法在高职护理教学中的效果
Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.01.025
He Zhang, Zhaozhao Ren, Xi Li, Xuewen Yu
Objective To assess the application effectiveness of problem-based learning (PBL) on nursing teaching in higher vocational schools. Methods A total of 204 nursing students, including 76 students from Grade 2017 and 128 students from Grade 2018, were selected and divided into the observation group, which included 41 students from Grade 2017 and 74 students from Grade 2018 receiving PBL method, and the control group, which encompassed the others receiving traditional teaching methods. General self-efficacy feelings and problem-solving abilities of students in different grade in two groups were assessed at the beginning and the end of the term. Results The scores of general self-efficacy feeling between the observation group and the control group at the beginning of the term showed no statistically significant differences (P>0.05); the scores of general self-efficacy feeling at the end of the term in the observation group were obviously higher than those in the control group [(32.21±4.17) vs. (28.25±3.74), t=7.067, P<0.01]. The scores in Grade 2017 and Grade 2018 in the observation group were (32.61±3.79) and (31.99±4.38), respectively, which were significantly higher than those in the control group in Grade 2017 (27.45±3.95) and in Grade 2018 (28.74±3.55) at the end of the term. The scores of problem-solving abilities in Grade 2017 and Grade 2018 in the observation group were (25.35±2.78) and (25.99±3.19), respectively, which were significantly higher than those in the control group [(21.34±2.92), (21.30±3.51), t=6.064, t=7.679, P<0.01, P<0.01]. Conclusion PBL method in nursing students can effectively improve the general self-efficacy feeling and problem-solving ability of students, which is worthy of promotion in higher vocational schools. Key words: Problem-based learning; Nursing education in higher vocational schools; General self-efficacy feeling; Problem-solving ability
目的评价问题学习法在高职护理教学中的应用效果。方法选择204名护生,其中2017级76名,2018级128名,分为观察组和对照组,观察组包括采用PBL教学法的2017级41名和2018级74名护生。在学期初和期末对两组不同年级学生的一般自我效能感和解决问题能力进行了评估。结果观察组与对照组在学期初的一般自我效能感得分无统计学差异(P>0.05);观察组期末一般自我效能感得分明显高于对照组[(32.21±4.17)vs.(28.25±3.74),t=7.067,P<0.01]。观察组2017级和2018级得分分别为(32.61±3.79)和(31.99±4.38),期末显著高于对照组2017级(27.45±3.95)和2018级(28.74±3.55)。观察组2017级和2018级学生解决问题能力得分分别为(25.35±2.78)和(25.99±3.19),显著高于对照组[(21.34±2.92),(21.30±3.51),t=6.064,t=7.679,P<0.01,P<0.01]。关键词:基于问题的学习;高等职业学校的护理教育;一般自我效能感;解决问题的能力
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引用次数: 0
Role of action-oriented teaching combined with scene simulation teaching in the teaching of cardiopulmonary resuscitation 动作教学与情景模拟教学相结合在心肺复苏教学中的作用
Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.01.019
D. Jia, Fengxi Guo, Min Zhao
Objective To investigate the role and signification of action-oriented teaching combined with scene simulation teaching in the clinical teaching of cardiopulmonary resuscitation. Methods A total of 120 undergraduates received cardiopulmonary resuscitation clinical practice were divided into two groups: the experimental group (n=60) and the control group (n=60). Undergraduates in the experimental group were taught by action-oriented teaching combined with scene simulation teaching method, while in the control group were taught by traditional teaching method. After teaching, theoretical examination and cardiopulmonary resuscitation practice examination were used for assessing the teaching efficacy and the efficacy of the two teaching methods was compared. Simultaneously, evaluations including teaching satisfaction, theoretical knowledge comprehension and practical improvement were carried out among students. SPSS 22.0 was used to conduct t-test and R×C chi square test. Results The scores of the theoretical examination in the experimental group and the control group were (92.50±10.71) and (86.35±9.02), respectively; the scores of the cardiopulmonary resuscitation practice examination in the experimental group the control group were (85.90±9.72) and (80.15±11.76), respectively. The scores of theoretical examination and practice examination were both higher than those in the control group, with statistical significance (P<0.01, P=0.002). The constituent ratios of the evaluations showed there was a statistical difference between the experimental group and the control group (P=0.035, P=0.025, P=0.019). The ratios of high satisfaction, theoretical knowledge comprehension and practical ability improvement in the experiment group were higher than those in the control group, with statistical significance (P=0.005, P=0.003, P=0.001). Conclusion Action-oriented teaching method combined with scene simulation teaching plays a positive role in the teaching of cardiopulmonary resuscitation, and should be further studied and applied in clinical teaching practice. Key words: Action-oriented teaching method; Scene simulation teaching method; Cardiopulmonary resuscitation
目的探讨动作教学与情景模拟教学相结合在心肺复苏临床教学中的作用和意义。方法将120名接受心肺复苏临床实践的本科生分为两组:实验组(n=60)和对照组(n=6 0)。实验组采用动作导向教学与情景模拟教学相结合的教学方法,对照组采用传统教学方法。教学结束后,采用理论考核和心肺复苏实践考核相结合的方法对教学效果进行评价,并对两种教学方法的效果进行比较。同时,对学生进行了教学满意度、理论知识理解和实践改进等评价。采用SPSS 22.0进行t检验和R×C卡方检验。结果实验组和对照组的理论考试成绩分别为(92.50±10.71)分和(86.35±9.02)分;实验组和对照组心肺复苏实践考核得分分别为(85.90±9.72)和(80.15±11.76)。理论考试和实践考试成绩均高于对照组,具有统计学意义(P<0.01,P=0.002)。评价构成比显示,实验组与对照组之间存在统计学差异(P=0.035,P=0.025,P=0.019),实验组理论知识理解能力和实践能力的提高均高于对照组,具有统计学意义(P=0.005,P=0.003,P=0.001),应在临床教学实践中进一步研究和应用。关键词:行动导向教学法;情景模拟教学法;心肺复苏
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引用次数: 0
Application of quality control circle in standardizing dressing change among clinical physicians 质量控制圈在规范临床医生换药中的应用
Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.01.022
Yanchun Wan, Jian-jun Huang, Shuyan Li, Jiaying Chen
Objective To investigate the implementation of surgical dressing change standard and related factors influencing the implementation in a hospital, and to formulate the corresponding countermeasure for improving the dressing change standardization of clinicians. Methods From February to September, 2018, the quality control circle (QCC) was comprehensively exerted and QCC activities were implemented through selecting topic, making plans, controlling current status, setting goals, analyzing causes, proposing and practicing countermeasures, confirming effects and standardizing the process. The quality was continuously improved on the basis of the PDCA cycle and effects were evaluated. In this study, self-control study was used; QCC activity team of "hand-in-hand circle" was set up; quality management tools were used; self-designed assessment table of dressing change skills and questionnaire for nonstandard reasons of dressing change were used to conduct the questionnaire survey and observation for 77 clinicians, and improvement of standard rate before and after the QCC intervention was compared. SPSS 20.0 was used to perform the t-test and χ2 test. Results After QCC activity, relative quality indexes of dressing change were significantly increased. The pre-activity average score was (80.45±9.42) and the post-activity average score was (90.06±3.43) (P<0.01). The standard rate of dressing change of the clinical physician was increased from pre-activity 57.14% to post-activity 98.70% (P<0.01), which reached the target value of 90.98%. After QCC activity, dress standard rate, enforced rate of hand hygiene measures, qualification rates of disinfection isolation measures, aseptic operation and disposed items were improved significantly. In addition, the ability of circle members also improved differently. Conclusion QCC activities can continuously improve the quality, obtaining good results. Quality management of QCC can effectively solve problems in infection management, which is an effective tool in the standardization, normalization and scientization of infection management. Key words: Quality control circle; Clinicians; Dressing change; Standard rate
目的了解某医院外科换药标准的执行情况及影响其执行的相关因素,为提高临床医生换药标准制定相应的对策。方法2018年2 - 9月,通过选题、制定计划、控制现状、设定目标、分析原因、提出并实施对策、确认效果、规范流程,全面发挥质控圈(QCC)作用,开展质控圈活动。在PDCA循环的基础上不断提高质量,并对效果进行评价。本研究采用自我控制研究;成立“手拉手圈”QCC活动团队;使用质量管理工具;采用自行设计的换药技能评估表和换药不规范原因问卷对77名临床医生进行问卷调查和观察,比较QCC干预前后的标准率提高情况。采用SPSS 20.0进行t检验和χ2检验。结果QCC活性后,换药相对质量指标显著提高。活动前平均得分为(80.45±9.42)分,活动后平均得分为(90.06±3.43)分(P<0.01)。临床医师换药标准率由活动前的57.14%提高到活动后的98.70% (P<0.01),达到90.98%的目标值。QCC活动结束后,着装合格率、手卫生措施执行率、消毒隔离措施合格率、无菌操作合格率、处置物品合格率均显著提高。此外,圈子成员的能力也有不同程度的提高。结论QCC活动可持续提高质量,取得良好效果。QCC质量管理能有效解决感染管理中存在的问题,是实现感染管理规范化、规范化、科学化的有效工具。关键词:品管圈;临床医师;换药;标准税率
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引用次数: 0
Investigation of attitudes toward death and hospice care in nursing students before internship 护生实习前对死亡和临终关怀态度的调查
Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.01.024
Wenli Xiao, Chun Li, Zhaoyang Dong, Lu Song, Bing Li, Min Cai, Yong-mei Lu
Objective To investigate nursing students' attitudes toward death and hospice care before they start clinical practice, analyze the correlation between the two attitudes and compare their differences in junior and regular nursing college students. Methods A cross-sectional study was adopted to investigate the attitudes toward death and hospice care in 232 senior nursing students at school. Instruments included the Chinese version of the Death Attitude Profile-Revised (DAP-R) and the Chinese version of the Frommelt Attitude Toward Care of the Dying Scale-Form B (FATCOD-B). Pearson correlation analysis and independent t-test were used to analyze the data. Results The mean scores of the 5 dimensions of death attitude were neutral acceptance (4.10±0.43), fear of death (2.76±0.66), death avoidance (2.73±0.74), approach acceptance (2.61±0.58), and escape acceptance (2.48±0.75), respectively. The total score of hospice care attitude was (107.63±8.45), which was negatively correlated with fear of death (r=-0.247, P<0.01), death avoidance (r=-0.278, P<0.01), and escape acceptance (r=-0.145, P<0.05) scores and positively correlated with neutral acceptance score (r=0.405, P<0.01). The death avoidance score of regular nursing college students was significantly lower than that of junior nursing college students (t=-2.043, P<0.05), and the hospice care attitude score of regular nursing college students was significantly higher that of junior nursing college students (t=2.639, P<0.01). Conclusion There is a big room to improve nursing students' attitudes toward death and hospice care. Strengthening end-of-life care education is imperative. Key words: Hospice care; Death attitude; Education; Nursing; Students
目的了解护生临床实习前对死亡和临终关怀的态度,分析这两种态度之间的相关性,并比较护生与普通护生的差异。方法采用横断面调查法,对232名在校护生的死亡态度和临终关怀态度进行调查。仪器包括中文版的死亡态度档案修订版(DAP-R)和中文版的Frommelt对死亡护理的态度量表B(FATCOD-B)。采用Pearson相关分析和独立t检验对数据进行分析。结果死亡态度5个维度的平均得分分别为中性接受(4.10±0.43)、死亡恐惧(2.76±0.66)、死亡回避(2.73±0.74)、接近接受(2.61±0.58)和逃避接受(2.48±0.75)。临终关怀态度总分为(107.63±8.45),与死亡恐惧(r=-0.247,P<0.01)、死亡回避(r=-0.278,P<0.01)呈负相关,普通护生的死亡回避得分显著低于专科护生(t=-2.043,P<0.05),普通护生的临终关怀态度得分显著高于专科护生(t=2.639,P<0.01)。加强临终关怀教育势在必行。关键词:临终关怀;死亡态度;教育;护理;学生
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引用次数: 0
A comparative study on medical humanity evaluation in medical licensing examination between China and the United States 中美医师执业资格考试中医学人文评价的比较研究
Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.01.004
Dongqi Zhang, Chun-hong Han, Can Dong
Medical licensing examination is a well-accepted form to authenticate physicians' qualification for practicing in most countries. Assessment of medical humanities is of great importance in medical licensing examination. In this study, the medical humanity evaluation, including contents, forms, scores and proportion of the scores of the examinations, in the medical licensing examination and the empirical research examination of segmental physician examination in China and the United States was compared by analyzing literatures and comparative approach, with the clinical examinations as examples. Results showed that contents and proportion of the scores of medical humanities in the two countries were basically the same, but there were fewer stations in current medical licensing examination in China and improvement should be made in the examination form. The feasibility of standard patients in China's medical licensing examination should be further explored, so as to make full use of the guiding role of medical licensing examination in medical education. Key words: Medical licensing examination; Medical humanities; Examination methods
在大多数国家,医疗执照考试是一种公认的认证医生执业资格的形式。医学人文学科考核是执业医师资格考试的重要内容。本研究以临床考试为例,通过文献分析和比较法,比较了中美两国在医师执业资格考试和节段医师考试实证研究考试中医学人文评价的内容、形式、分数和分数占比。结果表明,两国医学人文学科成绩的内容和占比基本一致,但目前中国医师执业资格考试的考点较少,考试形式有待改进。进一步探索中国执业医师资格考试中标准患者的可行性,充分发挥执业医师资格考试在医学教育中的指导作用。关键词:医师执业资格考试;医学人文;考试的方法
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引用次数: 0
Application of SPOC-mixed teaching mode in health statistics course SPOC混合教学模式在卫生统计学课程中的应用
Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.01.014
Yanxia Luo, Xuefu Sun, Yanjie Li, Licheng Zhang, X. Guo
This paper analyzed the feasibility of SPOC-mixed teaching in view of bottlenecks faced by the current health statistics curriculum, and deeply analyzed the limitations of traditional classroom teaching and network teaching only, as well as the advantages of SPOC-mixed teaching mode. At the same time, the construction of SPOC-mixed teaching mode of health statistics curriculum was explored from three aspects: teaching preparation, teaching implementation and teaching evaluation. It is hoped that the traditional teaching mode of "mainly teaching' "existed in health statistics will be transformed into a student-led and learning-based mode. According to each student's learning levels, professional background and cognitive style, individualized teaching was conducted to teach students in accordance with their ability, and promote the reform on traditional education concepts and teaching modes of health statistics. Key words: Health statistics; Small private online course (SPOC); Mixed teaching
针对当前卫生统计学课程面临的瓶颈,分析了SPOC混合教学的可行性,并深入分析了传统课堂教学和单纯网络教学的局限性,以及SPOC混合模式的优势。同时,从教学准备、教学实施和教学评价三个方面探讨了健康统计学课程SPOC混合教学模式的构建。希望将卫生统计学“以教为主”的传统教学模式转变为以学生为主体、以学习为基础的教学模式。根据每个学生的学习水平、专业背景和认知风格,进行个性化教学,因材施教,推动健康统计学传统教育理念和教学模式的改革。关键词:卫生统计;小型私人在线课程;混合教学
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引用次数: 0
Comparison of transfusion medicine education between China and other countries and its enlightenment to China's development of transfusion medicine 中外输血医学教育比较及其对我国输血医学发展的启示
Pub Date : 2020-01-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.01.006
Jing Lei, Xiaozhen Liu, Mei-hua Yang
This paper described main practices and development status of transfusion medicine education at home and abroad. Transfusion medicine education in foreign counties is characterized by early development of discipline construction, complete system of transfusion medicine education, mature model for training transfusion specialists, complete certification system for vocational skills as well as flexible and diverse teaching of transfusion medicine. Our country should learn from the mature experience and practices of foreign countries and speed up the introduction of national policies related to transfusion medicine education; establish a reasonable training model for medical students in blood transfusion major; strengthen the in-service continuing education for blood transfusion practitioners. Key words: Transfusion medicine; Medical education; At home and abroad; Enlightenment
介绍了国内外输血医学教育的主要做法和发展现状。国外输血医学教育具有学科建设发展较早、输血医学教育体系完备、输血专家培养模式成熟、职业技能认证体系完善、输血医学教学灵活多样等特点。我国应借鉴国外成熟的经验和做法,加快出台与输血医学教育相关的国家政策;建立合理的输血专业医学生培养模式;加强输血从业人员在职继续教育。关键词:输血医学;医学教育;国内外;启蒙运动
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引用次数: 0
Cultivation of applicative talents in in-vitro diagnosis and laboratory medicine characterized by "medicine-engineering combination and school-enterprise cooperation" 培养“医工结合、校企合作”的体外诊断与检验医学应用型人才
Pub Date : 2019-12-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2019.12.004
Dao-yuan Gong, Xin Chen, Fang Liu, Juan Feng, Dong-sheng Tang, Xiaolin Zhang, Qixin Li, He Qiu, Hua Lai
Due to the automation of clinical test and analysis, work units like hospitals have reduced the demand for medical laboratory talents, which has increased the employment pressure of graduates. However, the demand for medical laboratory talents is in short supply with the development of the in-vitro diagnosis industry. Guided by the industry development and the employment demand, our school set up the development direction of "in-vitro diagnosis", combined medicine and engineering, established the corresponding curriculum system, adopted school-enterprise (institution) collaboration and explored the talent training mode of "special direction tutor system". In addition, we provided a special course of "Introduction to Medical Laboratory" to freshmen, helping them select direction and plan their career, and exploring how to cultivate medical and engineering compound applied undergraduate talents of medical laboratory major. Key words: Medical laboratory technology; Combination of medicine and engineering; School-enterprise collaboration; In-vitro diagnosis; Characteristic development direction
由于临床检验分析的自动化,医院等单位减少了对医学实验室人才的需求,增加了毕业生的就业压力。然而,随着体外诊断行业的发展,对医学实验室人才的需求出现短缺。学校以行业发展和就业需求为导向,确立了“体外诊断”的发展方向,医学与工程相结合,建立了相应的课程体系,采取校企(机构)合作的方式,探索了“特殊方向导师制”的人才培养模式。此外,我们还为大一新生开设了“医学实验室概论”的专门课程,帮助他们选择方向和规划职业生涯,探索如何培养医学实验室专业的医工复合型应用型本科人才。关键词:医学检验技术;医学与工程的结合;School-enterprise协作;体外诊断;特色发展方向
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引用次数: 0
Fairy tales for the training of teachers for team-based learning: inspiration from the team-based learning training in Kaohsiung Medical University 团队学习教师培训的童话故事——来自高雄医科大学团队学习培训的启示
Pub Date : 2019-12-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2019.12.019
Junjie Shi, Hai-yan Zhu
Based on the author's experience in the training of teachers for team-based learning (TBL) in Kaohsiung Medical University, this study reviewed the specific methods of fairy tales in the training of TBL teachers. The selection of fairy tale cases should consider the background of the trainees and try to meet the needs of interdisciplinary integrated courses. Case editing and questions should reflect the importance and necessity of TBL pre-reading. In addition, this study explored the psychological mechanism, training advantages, training difficulties, and popularity of TBL teacher training based on fairy tales. Key words: Team-based learning; Fairy tale; Teacher training
根据作者在高雄医科大学团队学习(TBL)教师培训中的经验,本研究回顾了童话故事在团队学习教师培训中所采用的具体方法。童话案例的选择应考虑学员的背景,尽量满足跨学科综合课程的需求。案例编辑和问题应反映TBL预读的重要性和必要性。此外,本研究还探讨了基于童话故事的TBL教师培训的心理机制、培训优势、培训难点和受欢迎程度。关键词:团队学习;童话;教师培训
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引用次数: 0
Influence of traditional Chinese medicine culture on the humanistic quality of students in colleges or universities of traditional Chinese medicine 中医药文化对高校中医药学生人文素质的影响
Pub Date : 2019-12-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2019.12.021
Hewei Li, Mingyuan Jiao, Qifan Wang, Yu Fu, Congyue Wang, Peng Xiao
As the reserve force of traditional Chinese medicine (TCM), students in TCM colleges or universities play an important role in promoting the development of TCM. However, these students have disadvantages in humanistic quality, such as the lack of humanistic knowledge, awareness of the fear of life, and the inadequacy of professional morality, which may affect their future job performance. In view of the present situation of the humanistic quality of students in TCM colleges or universities, we analyzed the factors affecting their humanistic quality and proposed to build a platform to exchange TCM culture, enrich teachers' knowledge of TCM culture and cultivate the professional ethics of students in TCM colleges or universities, in combination with the core values of TCM culture such as profoundness, reality, benevolence, effectiveness, so as to improve students' overall humanistic quality. Key words: Traditional Chinese medicine culture; Students in traditional Chinese medicine colleges or universities; Humanistic quality; Influencing factors
中医药院校学生作为中医后备力量,对中医药事业的发展起着重要的推动作用。然而,这些学生在人文素质方面存在不足,如缺乏人文知识、对生命的恐惧意识、职业道德的不足,这些都可能影响他们未来的工作表现。针对中医药院校学生人文素质现状,分析了影响其人文素质的因素,提出在中医药院校搭建中医文化交流平台,丰富教师的中医文化知识,培养学生的职业道德,结合中医文化的深、实、仁、效等核心价值观,提高学生的整体人文素质。关键词:中医文化;中医学院或大学的学生;人文素质;影响因素
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引用次数: 0
期刊
中华医学教育探索杂志
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