个案追踪教学模式在提高护生健康教育能力中的应用

目的:探讨个案追踪教学模式在提高护生健康教育能力中的应用效果。方法:将80名护生随机分为实验组和对照组各40名,实验组以护生为主体、实施以健康教育实践为核心内容的个案追踪教学模式,对照组以带教老师为主体、实施垂直单向的传统教学模式。结果:实验组护生的健康教育水平、患者的满意度与对照组比较差异有统计学意义(P0.01)。结论:个案追踪教学模式可提高护生的沟通交流能力,强化护生健康教育的意识,有效提高护生健康教育能力。     

多样化健康教育方法在提高护生健康教育能力中的应用

目的：探讨多样化健康教育方法在提高护生健康教育能力中的应用效果。方法将100名临床护生随机分为实验组和对照组各50名,实验组以护生为主体,采用多样化健康教育方法对患者实施健康教育。对照组跟带教老师一起对患者实施常规健康教育。结果实验组护生健康教育水平、护生对带教满意度与对照组比较差异有统计学意义,(P<0．01)。结论采取以护生为主体的多样化健康教育方法,可以提高护生的健康教育水平,提高临床教学质量和带教满意度。     

以“护生为主体”实习模式的效果评价

目的 探讨以“护生为主体”实习模式对提高护理实习质量的作用.方法 将2009年实习的高职高专护理专业学生随机分为实验组60人和对照组63人,实验组采用以护生为主体的实习模式,即由护生交班,分管患者,主持护理查房和小讲课.对照组采用传统带教模式.实习结束后对两组护生临床综合能力、患者满意度进行测评.结果 实验组临床综合能力(t =4.68,P＜0.01)和患者满意度(t =2.42,P＜0.05)均显著优于对照组,实验组护生对各项教学效果评价较好.结论 运用以“护生为主体”实习模式有利于提高护生的临床综合能力和患者满意度.     

以护生为主体的护理查房在临床护理教学中的应用

目的 探讨提高本科护生临床实习效果的教学方法.方法 将67名护生随机分成两组,实验组(37人)以护生为护理查房的主体,带教老师和导师指导;对照组(30人)由科室老师负责护理查房,护生可以提问、讨论.比较两组护生科室实习结束后的综合能力.结果 实验组护生在逻辑思维能力、综合表达能力等方面明显高于对照组.结论 在临床护理教学中,采取以护生为主体的护理查房形式不仅可以提高护理教学效果,而且可以提高护生主动学习的能力.     

以护生为主体的护理查房在临床教学中的应用

目的 探讨以护生为主体的护理查房在临床教学中的应用方法和效果。方法 选择2007年5月～2008年4月在本院实习的大专护生84人为实验组,采用以护生为主体的护理查房法;以2006年5月～2007年4月在本院实习的大专护生88人为对照组,采用传统的以带教老师讲解为主的护理查房法。比较两组护生对护理查房效果的评价情况。结果 两组护生对护理查房效果的评价比较,均P〈0．05,差异有统计学意义。结论 以护生为主体的护理查房提高了护生的综合能力。使护生实现理论-实践-再理论-再实践学习过程的一个飞跃。     

对实习护生进行职业防护教育与培训的做法和效果

目的：探讨实习护生职业防护教育的方法。方法：对实习护生进行分组实验,实验组进行职业防护教育与培训,与未经教育和培训的对照组进行对比及统计学分析。结果：实验组对职业防护的认知程度明显高于对照组;实习护生对教育与培训的认可程度高;实验组实习过程中发生的职业损伤明显低于对照组。结论：护生在临床实习中面临着多种职业危害,如经血传播疾病、锐器刺伤、化学性危害等,加强职业防护教育与培训是降低护生职业伤害、提高护生自身防护能力的有效措施。     

PBL教学模式在手术室临床护理带教中的应用

目的探讨PBL教学模式在手术室临床护理带教中的应用效果。方法选择在本院手术室实习80名护生为研究对象,随机分实验组（PBL教学模式,n=40）及对照组（LBL教学模式,n=40）,通过出科考核及问卷调查的方式评价教学效果。结果两组护生的出科理论考试差异无统计学意义（P〉0．05）,实验组与对照组在基本操作、课堂参与分及总成绩方面比较差异有统计学意义（P〈0．05）,并且实习护生对双轨教学模式满意度较高。结论PBL提高护生学习的积极性和自学能力,提升了护生的实践工作能力。     

岗前安全教育对实习护生安全意识的影响

目的探讨实习护生岗前安全教育的内容和方法,提高实习护生的安全意识,减少护生实习期间不良事件的发生。方法选取2010年73名护生为对照组,2011年77名护生为实验组,对照组实施常规岗前教育,实验组实施强化安全知识的岗前安全教育。比较两组护生安全知识理论考核成绩、不良事件发生情况。结果对照组安全知识理论考核成绩为（73．86±5．43）分低于实验组的（81．42±6．06）分,差异有统计学意义（t=8．03,P〈0．01）;对照组不良事件发生情况为13例次高于实验组的4例次,差异有统计学意义（X62=5．93,P〈0．05）。结论强化护生实习前的岗前安全教育能有效提高安全护理知识水平,提高医疗安全意识,降低护生实习期间的不良事件发生率。     

在肿瘤专科临床带教中培养护生的职业能力

通过以护生为主体,围绕培养护生职业能力为主要目标的综合临床带教,采用护理程序查房、组织个案分析、实施健康教育等多形式的临床护理实践活动。结果激发了护生的学习积极性,培养了护生用所学知识解决临床实际问题的能力,有利于提高护生护理从业能力及综合素质。     

以护生为主体的护理查房在本科护生实习中的应用与效果

为了解以护生为主体的护理查房在本科护生实习中的应用效果。对99名本科实习护生实施以护生为主体的护理查房，查房后进行问卷调查，了解护生和老师对以护生为主体的护理查房的看法。结果提示本科护生实习中运用以护生为主体的护理查房是一种行之有效的教学方法，能激发护生的学习兴趣，增强其自信心，提高综合素质，实现知识、能力、素质并重的培养目标。     

护理本科实习生对病人实施个体化健康宣教的效果评价

[目的]观察以病例为引导(CBS)+以问题为基础的教学(PBL)模式指导下的病人个体化健康宣教在护生临床实习带教中的应用效果.[方法]将2009年6月-2010年3月在我院轮转实习的护生48人随机分成实验组和对照组各24人,实验组护生对病人实施个体化健康宣教,对照组护生参与带教老师组织的健康宣教.专人负责收集两组护生出科考试成绩、病人对护生的评价、带教老师对护生的评价和护生的自我评价分值.[结果]实验组护生出科考试成绩、病人对床位护生的评价、带教老师对护生的评价和护生自我评价分值均优于对照组(P<0.01).[结论]临床实习护生对病人开展个体化健康宣教,能帮助护生养成以人为本、主动提供健康教育服务的习惯,提升护生的综合能力.     

Integration of theory and practice in learning mental health nursing

This article describes an action research project that aimed at a better integration of theory and practice in the education of mental health nursing students. Two partners, an institute of nursing and health care and a university hospital, collaborated to develop a new educational programme for mental health nursing. The blocks of theoretical studies were implemented simultaneously with practical training, and the theory content was taught by nursing teachers as well as by nurse practitioners who worked on the teaching wards. In addition, the students had their own personal nurse-preceptors on the wards. The nurse managers were responsible for the educational level of the teaching wards and the director of nursing planned the teaching arrangements together with the nursing teachers. In all, the project involved over 50 different actors and several researchers. The results are encouraging: all the participants - students, preceptors, nurse managers and nursing teachers - found the project rewarding and they want to continue to develop and improve the level of teaching and learning in mental health nursing education. All the participants grew and developed professionally during the project.     

Preparing nurses for the 21st century: reenvisioning nursing education and practice.

Significant advances in biomedical science and in the complexity of health care, coupled with a worsening nursing shortage and numerous reports of unsafe and inadequate patient care, have prompted concerns about both nursing education and nursing practice. Beginning in 2000, the American Association of Colleges of Nursing (AACN) made a thorough study of nursing education, regulation, and practice issues. Input and consultation were sought from AACN members, nursing practice leaders, regulators, and other health professionals. Results of this work indicated the need for a new nursing professional, the clinical nurse leader, who could effectively coordinate, manage and evaluate care for groups of patients in complex health systems. Master's-degree education is proposed for piloting the preparation of clinical nurse leaders. Close coordination with nurse executives and administrators to develop the new education program and new models for care delivery is planned. Critical components of the pilot testing will be evaluation of the patient and nurse outcomes associated with the use of clinical nurse leaders and focused work to develop a new legal scope and credentials for them.     

The robots are here,but are nurse educators prepared?

BackgroundAs robotics continues to be applied to medical and nursing practice, nurse educators need to be aware of innovations and discuss practice and challenges with students.ObjectivesThis paper provides a literature review of the application of robotics in nursing and the implications for nurse education.Review methodsThe methodology adopted for this review was informed by the definition of service robots. The review focused on how clinical service robotics are being discussed in nursing and was undertaken using the Cochrane Library, ScienceDirect and ProQuest databases, using the truncated search terms: nurs* and robot*, education, students and future. Research articles were limited to those that were published in peer reviewed journals, between 2010 and 2019, since this covers the time when robotic science has been flourishing. The field of robotics is vast, thus the search yielded over 400 articles, but most are not specifically relevant to nursing. Twenty-six relevant papers were included.ResultsThematic review of the literature found four main developments affecting nursing and mixed perceptions and ideas among health care staff and the public across varied themes.ConclusionHealth care and nursing work are being transformed through robotics. New technologies, tasks and technician roles that currently do not exist will soon be part of the health workforce, and the nature of nursing work will inevitably change. In the light of such change, there is a need to redefine the nature and practice of nursing and to re-prioritise caring as fundamental to the nursing profession. These changes have implications for the education of future nursing professionals.     

西安市护生护士资格考试焦虑状况调查

[目的]调查并分析西安市护生护士资格考试前焦虑状况及其影响因素。[方法]采用整群抽样的方法抽取西安市1 527名护生,采用状态焦虑量表(SAI)和自编的焦虑源问卷在考前2周对其进行调查。分析影响考前焦虑状况的因素。[结果]西安市护生护士资格考试前SAI问卷总分(52.15分±7.96分)高于常模(P<0.001)。焦虑源多少、对护理专业态度、教育层次为影响护生护士资格考试焦虑水平的主要因素。[结论]西安市护生护士资格考试前状态焦虑水平较高。应针对焦虑源、护理专业态度、教育层次开展针对性的心理卫生教育。     

男性护士教育培养现状与对策

南丁格尔创立现代护理以来,护理一直以女性为主导,男性在护理队伍中所占比例很小。人们的健康需求需要男性护士提供护理服务,所以,教育培养一定数量的男性护士势在必行。在培养男性护士的过程中面临生源少且专业思想不端正、心理状况较差、角色适应难度大等问题。提出解决对策:教育者和学习者应该认清护理发展史上男性护士曾经扮演的重要角色,从社会需求和人类健康需要的角度认识男性护士在健康服务中的必须性,认清男性护士在护理职业中的优势,加强对男性护士的宣传,并针对男性护生的学习特点和社会需求开展教育培养。     

The perception of Swedish nurses and nurse teachers of the integration of theory with nursing practice. An explorative qualitative study

Nursing education in Sweden has undergone quite a few changes during the last decade. The aim has been to make nursing more holistic, individualised and health-oriented. Social competence, systematic problem solving and research have also been emphasised. These changes in nursing education have led to new demands on nurse teachers. Nurse teachers, directors of nursing education at three nursing schools and a few nurses were interviewed about the problems they experienced in relation to the new demands. The main problems reported were: 1) students inadequately prepared for nursing education, 2) students' attitudes to the social and health-oriented content of the first course at nursing school, 3) integration of research and nursing, 4) resistance to a more theory-based and nurse teacher-dominated nursing education, 5) integration of nursing theory and nursing practice and 6) incompatible demands on the clinical nurse teacher.     

Critical thinking and clinical competence: results of the implementation of student-centered teaching strategies in an advanced practice nurse curriculum

The nursing profession has advanced dramatically over the past 50 years. People are living longer, technology is advancing at a rapid rate, and patients are presenting more critically ill. The recent move in the US and other countries away from secondary and tertiary care towards primary care will have a dramatic impact on the practice of nursing as the focus of treatment is aimed at prevention and maintenance of health. Budgetary constraints and a shrinking nursing workforce have added additional strain on the ability of nurses to remain clinically competent in this fast-paced healthcare environment. In addition, the demographics of students have shifted, with more adult and ethnically diverse students entering various nursing programs. These changes have compelled schools of nursing worldwide to revise their approach to student education to keep up with the challenge associated with these influences. Terms such as problem-based learning, critical thinking, evidence-based practice, and student-centered teaching strategies have replaced traditional terminology typically linked with education and practice. However, it appears that not all centers of nursing education have embraced the need to change to new methods of teaching and continue to teach as they were taught. This article will detail the approach used to develop and implement problem-based learning in an advanced practice nurse curriculum in the US. The results and recommendations for implementation are discussed based upon student and nurse educator feedback.     

"Towering genius disdains a beaten path" Abraham Lincoln

We see nursing leadership existing at all levels in nursing...all nurses leading. Nurse executives within academic health environments across Canada will be influencing health policy directions and dialogue within the profession nationally. They will be contributing to the development of a national agenda for nursing practice, education, research and leadership. These nurse executives will lead in a way that makes an invigorating impact on human service in health care environments and they will be dedicated to preparing the nursing leaders of tomorrow. The Academy of Canadian Executive Nurses will connect with the Office of Nursing Policy, Canadian Nurses Association, Canadian Association of University Schools of Nursing, Association of Canadian Academic Health Care Organizations and others to develop position papers regarding key issues such as patient safety, health human resource planning and leadership in the Canadian health care system. Our definition of professional nursing practice, fully integrated with education and research, will be advanced through these endeavours. The end result of a strong individual and collective voice will be improved patient outcomes supported by professional nursing practice in positive practice environments. This paper is intended to stimulate dialogue among nursing leaders in Canada, dislodge us from a long and traditional path, and place us firmly in a new millennium of leadership for the profession and practice of nursing, a style of leadership that is needed, wanted and supported by nurses and the clients we serve. It is the responsibility of those of us who lead in academic health science centres to be courageous for the students we support, the puactitioners we lead and the renewal of the profession. We are the testing ground for nursing research, and need to be the source of innovation for nursing practice. It is incumbent on us to leap forward to engage a new vision of the professional practice of nursing with a reconfigured work design and work environment compatible with the new economy, workplace and workforce.