A Mock Telephone Triage Experience for Nurse Practitioner Students

The ability to manage patient telephone calls competently and confidently is an important skill for nurse practitioners (NPs). A curriculum intervention was implemented in a pediatric NP program to promote this skill. Thirty-nine NP students participated in a mock telephone triage experience to determine whether triage, involving student/faculty mock parent telephone calls, would increase the student’s confidence and competence. A Likert scale pre/post questionnaire surveying perceived confidence, competence, and readiness to practice revealed an increase in students’ confidence in decision making, assessing the patient, and making a diagnosis over the phone.     

689名医学生视疲劳发生现状及其影响因素分析

目的 了解锦州医科大学在读医学专业大学生视疲劳发生现状,并探讨其可能的影响因素。方法 采用随机抽样的方法,利用纸质问卷于2021年5月对该校医学生进行视觉疲劳情况调查,采用χ2检验进行单因素分析,多因素分析采用logistic回归进行。 本次调查医学生689人,其中男生230人(33.38%),女生459人(66.62%)。医学生视疲劳量表得分M(P25～P75)为18(12～24)分,视疲劳总体发生率为61.54%,女生(66.49%)高于男生(55.65%),差异有统计学意义(χ2=5.054,P<0.05)。logistic回归分析显示,屈光不正(OR=1.875,95%CI:1.228～2.863)、工作学习时用眼姿势、眼与电脑距离、桌前使用手机姿势及时间均是视疲劳的影响因素(P<0.05)。 视疲劳在医学生群体中普遍存在,及时矫正屈光不正,保持良好用眼习惯将可能起到预防和改善视疲劳的作用。     

南京某国际高中学生艾滋病知识知晓率及影响因素分析

目的 分析南京市某国际高中学生艾滋病知识知晓率及其影响因素,为制定高中生艾滋病健康教育策略提供依据。方法 对南京市某国际高中所有学生开展纸质问卷调查,统计分析艾滋病知识知晓率及其影响因素。 共纳入171名高中生为调查对象,艾滋病和梅毒的知识知晓率分别为56.1%和46.8%;有过性行为的占14.6%,其艾滋病知识知晓率最高为32.0%,(χ2=10.799,P=0.005);有吸毒史的学生占9.3%,其艾滋病知识知晓率最高为31.2%,(χ2=21.062,P<0.001);梅毒知识知晓者与不知晓者的艾滋病知识知晓率差异具有统计学意义(χ2=21.716,P<0.001)。 该国际高中学生性病和艾滋病知识知晓率较低,对高中生开展毒品危害教育和性病艾滋病防治应作为健康教育工作重点。     

371名大学生微信朋友圈人格、自我呈现策略与情绪表达的关系

目的 探究大学生微信朋友圈人格、自我呈现策略和情绪表达间的关系。方法 采用社交网络自我呈现策略问卷、艾森克人格问卷简式量表、伯克利情绪表达问卷,对随机抽取的371名大学生进行调查。结果 ⑴外倾型人格总分与真实自我呈现策略总分呈正相关(r=0.170,P=0.001),与正性情绪表达呈正相关(r=0.166,P=0.001),与情绪表达强度呈正相关(r=0.184,P=0.001),真实自我呈现策略与正性情绪表达呈正相关(r=0.239,P=0.001)。⑵真实自我呈现策略在外倾型人格与正性情绪表达的关系中存在部分中介效应。结论 371名大学生的外倾型人格、真实自我呈现策略与正性情绪表达关系密切,真实自我呈现策略在外倾型人格与正性情绪表达的关系中存在部分中介效应。     

某高校大学生艾滋病主动检测意愿与影响因素

目的 了解青年学生艾滋病主动检测意愿的现状,提出促进青年学生主动检测意愿的建议,为进一步提高青年学生艾滋病检测意愿的策略和措施提供科学依据。方法 采用自编促进大学生HIV主动检测意愿调查问卷,用整群抽样方法抽取成都某高校778名在校大学进行问卷调查。结果 在被调查的778名大学生中,91.6%的学生有艾滋主动检测意愿,在不同年级(χ2=11.416,P=0.010)、认为自己感染艾滋病风险情况(χ2=18.615,P＜0.001)等因素上差异均有统计学意义。多因素 logistic 回归分析显示年级为大二或大三、认为自己艾滋病感染风险为非常低或比较低或一般(P均＜0.05)的青年学生更愿意进行艾滋病主动检测。结论 该高校大学生艾滋病主动检测意愿较高。应该结合该高校学生的特性,开展有针对性的艾滋病宣传教育活动,以此提高大学生HIV主动检测率。     

案例分析与情景模拟在急诊护理教学的效果

目的探讨分案例分析法结合情景模拟法在急诊护理学生教学中的应用价值。方法以2016年10月-2017年10月本院纳入的46例急诊科实习护士为例展开研究,以教学方式的不同将46例急诊科实习护士分成观察组(n=23,接受案例分析法结合情景模拟法教学)和对照组(n=23,接受传统法教学),教学结束后对比分析两组急诊科实习护士的学习情况以及评判性思维能力。结果教学结束后,经考核发现,观察组实操成绩以及理论成绩均高于对照组(P <0.05);观察组寻求真相、求知欲、系统化能力以及分析能力等评判性思维能力均高于对照组(P <0.05)。结论在急诊护理学生教学中应用案例分析法结合情景模拟法进行教学,有利于急诊科实习护士掌握理论知识以及实操知识,同时还可以提高其评判性思维能力,可实现有效教学。     

The impact of covid-19 on psychosocial well-being and learning for australian nursing and midwifery undergraduate students: a cross-sectional survey

AimTo explore the impact of COVID-19 on psychosocial well-being and learning for nursing and midwifery undergraduate students in an Australian university.BackgroundThe World Health Organization has reported a substantial psychological impact of COVID-19 on healthcare professionals to date. Evidence is lacking, however, regarding university nursing and midwifery students of the pandemic and its impact on their educational preparation and/or clinical placement during the COVID-19 pandemic.DesignCross-sectional survey of nursing and midwifery undergraduate students enrolled in the Bachelor of Nursing suite of courses from the study institution in August- September 2020.MethodsA cross-sectional self-administered anonymous online survey was distributed to current nursing and midwifery undergraduate students. The survey included three open-ended questions; responses were thematically analysed.ResultsOf 2907 students invited, 637 (22%) responded with 288 of the respondents (45%) providing a response to at least one of the three open-ended questions. Three major themes associated with the impact of the pandemic on psychosocial well-being and learning were identified: psychosocial impact of the pandemic, adjustment to new modes of teaching and learning, and concerns about course progression and career. These themes were underpinned by lack of motivation to study, feeling isolated, and experiencing stress and anxiety that impacted on students’ well-being and their ability to learn and study.ConclusionsStudents were appreciative of different and flexible teaching modes that allowed them to balance their study, family, and employment responsibilities. Support from academic staff and clinical facilitators/mentors combined with clear and timely communication of risk management related to personal protective equipment (PPE) in a healthcare facility, were reported to reduce students’ stress and anxiety. Ways to support and maintain motivation among undergraduate nursing and midwifery students are needed.     

慕课在医学生假期课前预习中的应用探讨

高校医学生会利用假期时间对将要学习的科目进行预习,力求提前了解或掌握,以利于日后对知识的充分理解。预习对于医学科目学习有一定必要性,然而传统的假期预习模式常存在缺乏引导、效率难以提升等问题。目前,慕课在医学教育领域的应用有所发展。对于医学生,其自主学习的模式、课程设计等契合医学课程的预习需求和假期学习的特点,有助于提升医学生的学习能力和假期预习效果。医学生将慕课作为假期预习资源可有多种学习模式选择。慕课平台的功能拓展和学校教师的辅助可以有效深入慕课在医学生假期预习中的应用,为医学生带来更合理的假期学习安排。     

基于结构方程模型构建护理本科生人文关怀对职业精神态度的影响模式

目的 应用结构方程模型构建人文关怀对职业精神态度的影响模式,了解人文关怀、社会支持及职业精神态度之间的关系。方法 采用分层随机整群抽样法从南京和南通两所高等护理院校抽取全日制在校护理本科一年级至三年级在校学生450名进行问卷调查,应用AMOS 21.0构建人文关怀对职业精神态度的影响模式。 结果 人文关怀对职业精神态度影响模式的结构方程模型最终模型适配度指标分别为RMSEA = 0. 066、GFI = 0. 951、AGFI = 0. 918、NFI = 0. 901、ＲFI = 0. 860、IFI = 0. 932、TLI = 0. 903、CFI = 0. 931、PGFI = 0. 573、PNFI = 0.641、PCFI = 0. 663、χ_²/DF=2.965,说明模型拟合效果较好；人文关怀对社会支持的直接效应为0.571,社会支持对职业精神态度的直接效应为0.778,人文关怀对职业精神态度的总效应为0.554。结论 此模型可用于护生职业精神态度评价与干预工作,进一步提高护生人文关怀能力、社会支持水平及职业精神态度水平。