三级综合医院新护士规范化培训的现状调查

目的调查全国三级综合医院落实《新入职护士培训大纲(试行)》的现状,以及新护士对培训的感受和意见,为进一步完善培训方案提供参考。方法采用方便抽样法,于2018年8月—9月抽取31个省、自治区、直辖市的1 421所三级综合医院以及62 031名新护士为调查对象。采用自行设计的调查问卷,以问卷星的形式进行调查。结果 91.6%的医院开展了新护士规范化培训项目。基础培训时长为4.0(2.0,6.0)周,专业培训时长为11.0(3.0,23.8)个月。基本理论知识培训落实率为88.8%～98.6%,常见临床护理操作技术培训落实率为81.6%～97.7%;临床科室轮转落实情况为内科(91.0%)、外科(91.8%)、重症监护病房(85.8%)、急诊(85.1%)、妇产科(72.7%)、手术室(71.3%)、儿科(70.6%)。培训方法主要为操作示教(96.8%)、课堂讲授(95.5%)、临床查房(91.5%)及个案护理(82.0%);临床实践能力考核方式为标准化病人(76.7%)、高仿真情景模拟(63.4%)。78.0%的新护士认为培训内容符合大纲要求,55.8%的新护士认为规范化培训的时长合适,...     

素质教育背景下《营养与食品卫生学》课程教学改革

大学教学改革迫切要求学生学习方式和教师教学方式的共同改变。重要的是改变观念,加快教师角色转变,实现《营养与食品卫生学》课堂教学形式和内涵的变革。即教学方法上改“传统讲授式”为“案例讨论式”或“发现探究式”,教学内容上要善于归纳、总结、理论结合实际。     

Changing Teaching Trends During Covid-19 And Its Impact On Ent Residency Program In India: A Cross Sectional Study

Introduction: The COVID-19 pandemic has presented an unmatched challenge to the ENT residency programs to adapt to a form of web-based learning process and stimulation-based training. It also focuses on the mental stress underwent and the viewpoint of the residents to the paradigm shift in clinical care and academics. Methods: An anonymous questionnaire was created in an online survey generator with 22 questions with limited options (yes/no) and was circulated through email and what’s app which has been responded to by 240 ENT residents throughout the country. The questionnaire was divided into five sections, demographics, knowledge about COVID-19 and its management, impact on clinical activity, academics and mental well-being section. Results: Out of 240 respondents, 190(79.2%) were junior residents and 50(20.8%) were senior residents. Although many of them knew the necessary precautions to be taken, 94(39.8%) turned out to be positive themselves with the high fear of transmitting to their family members. Three-fourth participants suggested extending the training period after graduation for the loss incurred. However, half of them sought an opportunity to train themselves for the management of communicable disease, 95% of the residents opined that they are having a negative impact on the job performance due to loss of surgical hands-on which has been drastically reduced. Conclusion: The issues mentioned have been addressed through STEPs - Safety of the residents, Time utilisation by research, Education continuation by online web learning and stimulatory programs, psychological support for mental well-being.Supplementary InformationThe online version contains supplementary material available at 10.1007/s12070-022-03377-7.     

情境模拟教学法在护理教育中的研究与实践进展

科学技术水平的不断发展和医疗环境的日益复杂,对护士的能力提出了更高的要求,护理教育者也致力于寻求能促进学生临床能力和思维能力的有效教学方法。情境模拟教学法注重实效性,突出操作性,实现了理论与实践的高度结合,     

宿迁市社区居民手足口病知识知晓率调查分析

目的了解宿迁市居民手足口病知识知晓率,为制订手足口病防控策略和健康教育宣传提供参考依据。方法对宿迁市金陵名府社区、沭阳县颖都家园社区居民进行整群随机抽样问卷调查,通过Epidata和SPSS16.0软件进行统计学分析。结果手足口病知识总知晓率为55.0%;通过等级回归分析,对总知晓率影响有统计学意义的因素分别为性别、职业、文化程度;被调查居民手足口病预防知识总知晓率为70.7%,40.3%的人反映对手足口病感到恐慌;被调查者获取相关知识的主要途径有电视(76.0%)、报刊书籍(40.3%)、工作者宣传(33.2%)等。结论整体来说,居民对手足口病预防控制知识认识不够,知识知晓率偏低(<60%),人群中存在一定程度的恐慌,应继续重视易感人群防治,并加强、完善社区和学校健康教育体系。     

Education and training methods for healthcare professionals to lead conversations concerning deceased organ donation: An integrative review

ObjectivesTo determine which training methods positively influenced healthcare professionals’ communication skills and families’ deceased organ donation decision-making.MethodsAn integrative review using systematic methods and narrative synthesis for data analysis. Electronic databases of PubMed, Cumulative Index to Nursing and Allied Health Literature (EBSCO), Embase (OVID) and ProQuest Dissertations & Theses Global, were searched between August 1997 and March 2020, retrieving 1019 papers. Included papers (n = 14) were appraised using the Medical Education Research Study Quality Instrument.ResultsTraining programmes offered theory, experiential learning, feedback and debriefing including self-reflection, the opportunity to role-play and interact with simulated participants within realistic case scenarios. Programmes reported observed and self-rated improvements in communication learning and confidence. The methodological quality score averaged 13, (72% of maximum); few studies used an experimental design, examined behavioural change or families’ perspectives. Weak evidence suggested training could increase organ donation authorisation/consent rates.ConclusionsMultiple training strategies are effective in improving interprofessional healthcare professionals’ confidence and learning of specialised communication. Methodological limitations restricted the ability to present definitive recommendations and further research is warranted, inclusive of family decision-making experiences.Practice implicationsLearning of specialised communication skills is enhanced by using multiple training strategies, including role-play and debriefing.     

La educación médica como necesidad para la formación de los futuros médicos

This work highlights the need to establish Medical Education Units in Spain in response an increasingly demanding global society. As in Netherlands, England and the United States of America, we suggest establishing unified quality criteria and use them to promote changes in the Faculties of Medicine all along the country. Medical Education Units would assume a role in curricular evaluation and updating to ensure quality standards and academic excellence. Moreover, it would be essential to offer training in Medical Education for both teachers and students, including development of dedicated Master and PhD programs and associated research projects. Furthermore, Medical Education Units would work in favor of continuous training through the creation of the Chairs of Medical Education reinforcing the role of education in health sciences.     

Impact of blinded retrospective continuous glucose monitoring on clinical decision making and glycemic control in persons with type 2 diabetes on insulin therapy

Background and aimsBlinded retrospective continuous glucose monitoring (rCGM) provides detailed information about real-life glycaemic profile. In persons with type 2 diabetes without adequate glycaemic control, the structured introduction of rCGM may be beneficial to sustain improvements in diabetes management.Methods and results102 individuals with insulin-treated type 2 diabetes, age less than 66 years old and HbA1c >7.5%, were recruited. Participants performed a 7-day blinded rCGM (iPro2) every four months for one year. Biochemical, anthropometric, and rCGM data was collected. Participants' and healthcare professionals’ perceptions were assessed.90 participants completed the protocol. HbA1c was 9.1 ± 0.1% one year prior to enrolment and 9.4 ± 0.1% at enrolment (p < 0.01). With the rCGM-based intervention, a decrease in HbA1c was achieved at 4 months (8.4 ± 0.1%, p < 0.0001), and 12 months (8.1 ± 0.1%, p < 0.0001). A significant increase in time-in-range was observed (50.8 ± 2.4 at baseline vs 61.5 ± 2.2% at 12 months, for 70–180 mg/dL, p < 0.001), with no difference in exposure time to hypoglycaemia. After 12 months, there was an increase in self-reported diabetes treatment satisfaction (p < 0.05).ConclusionIn persons with type 2 diabetes and poor metabolic control, specific data from blinded rCGM informed therapeutic changes and referral to targeted education consultations on nutrition and insulin administration technique. Therapeutic changes were made more frequently and targeted to changes in medication dose, timing, and/or type, as well as to lifestyle. Together, these brought significant improvements in clinical outcomes, effective shared decision-making, and satisfaction with treatment.Registration numberNCT04141111.     

继续护理学教育开展信息检索教学的探索

探讨护理学继续教育开展信息检索教学的必要性,介绍在护理学继续教育中开展信息检索教学的体会。指出,在护理学继续教育中开展信息检索教学是培养护理专业技术人员信息素质的重要途径,对于提高护理队伍的整体素质和促进护理学科建设健康发展,具有十分重要的意义。