临床路径在肾内科临床护理带教中的应用

[目的]探讨临床路径的理论和方法在肾内科护理实习生临床带教中的应用,并评价其效果.[方法]将我科80名护理实习生随机分为两组,对照组采用传统临床带教方法,观察组采用临床路径式带教方法,比较两组理论、操作成绩及对带教方法的满意度.[结果]两组护理实习生在出科考核成绩(理论、操作、口试)及对带教方法的满意度等方面比较,差异有统计学意义.[结论]将临床路径应用于护理教学中有助于提高临床护理教学质量.     

健康教育临床路径表在妇科临床护理带教中的应用

目的:探讨健康教育临床路径表在妇科临床护理带教中的应用效果.方法:将130名护理实习生随机分为实验组和对照组各65名,对照组采用传统临床带教方法,实验组按照妇科健康教育临床路径表进行带教.4周实习结束后,对两组护理实习生进行理论、操作考核及患者满意度调查比较,并进行护理实习生对带教方法、带教老师的满意度调查.结果:实验组护理实习生的理论、操作考核成绩及患者满意度均明显高于对照组(P<0.05),护理实习生对带教方法、带教老师的满意度均明显高于对照组(P<0.05).结论:应用健康教育临床路径表行临床路径教学法可提高妇科临床护理带教效果.     

临床路径在脊柱外科护理带教中的应用

目的 探讨临床路径的理论和方法在脊柱外科护理实习生临床带教中的应用并评价其效果.方法 将在我科的护理实习生96名学生随机分为两组,对照组采用传统临床带教方法,观察组采用临床路径式带教方法,比较两组理论、操作成绩及护生对带教方法的满意度,患者对实习生满意度考核.结果 两组护理实习生在出科考核成绩(理论、操作)及对带教方法的满意度等方面比较,差异有统计学意义.结论 将临床路径应用于护理教学中有助于提高临床护理教学质量.     

临床带教路径无缝衔接模式在心血管内科的应用

目的 探讨心血管内科临床带教路径过程中应用无缝衔接法在临床护理带教中的应用效果.方法 将本科128名护理实习生随机分为2组,对照组采用传统式临床带教方法,观察组在临床路径带教过程中运用无缝衔接法,分析2组理论操作成绩、患者对护生满意度及护生对带教方法的满意度.结果 观察组理论操作成绩、患者对护生满意度及护生对带教方法的满意度均明显高于对照组(P＜0.05).结论 临床路径带教中无缝衔接法在心血管内科的应用,显著提高了临床护理带教质量及护生的临床护理应用水平.     

临床路径在消化内科护生带教中的应用及评价

目的 探讨临床路径的理论和方法在消化内科护生临床带教中的应用及评价.方法 将2009年10月至2010年10月在我科实习的护生70名随机分为对照组和实验组各35名,对照组采用传统带教方法,实验组采用临床路径式带教方法.比较两组护生理论、技术操作成绩及护生对带教方法的满意度.结果 两组护生在出科考核成绩(理论、操作)及对带教方法的满意度等方面有显著性差异.结论 应用临床路径于临床教学是行之有效的方法.     

临床路径教学法在护生带教中的应用

目的探讨临床路径教学法在护生带教中的应用效果。方法将2012年7月~12月78名入科护理实习生随机分成2组,对照组采用传统的教学方法进行带教,实验组采用临床路径式教学法,比较2组在理论、操作成绩及带教方法的满意度。结果实验组实习生的出科理论考试成绩、操作考试成绩及护生对教学的满意度均高于对照组,差异有统计学意义（P〈0.05）。结论临床路径式教学法提高了临床教学质量,值得各临床教学医院推广使用。     

临床路径在普外科护理带教中的运用

目的探讨临床路径在普外科护理带教中的运用效果。方法将80名护生随机分为观察组和对照组,对照组采用传统的带教方法;观察组按照临床路径带教制定带教要求,对护生进行临床实习带教。两组均在实习末进行考核和问卷调查。结果观察组护生对带教的满意度、患者对护生的满意度均优于对照组,且差异有统计学意义（P〈0．05）;理论、操作考试及综合素质成绩均明显高于对照组（P〈0．05）。结论应用临床路径可使护生尽快掌握护理理论知识和操作技能,同时护生对带教的满意率及患者对护生的满意率均明显提高,保证了临床护理实习带教的质量。     

普外科临床路径联合指导老师带教法的效果观察

目的:探讨临床路径联合指导老师带教法在普外科护生带教中的效果。方法:120名护理实习生随机分为两组,观察组采用临床路径联合指导老师带教法,对照组采用临床路径带教法,实习结束后比较两组护生理论、操作和护理文件书写成绩,护生和带教老师对这两种带教方法的评价。结果:观察组护理实习生的理论、操作、护理文件书写成绩明显高于对照组,差异有显著性(P0.05);护理实习生认为临床路径联合指导老师带教法较临床路径法更有利于理论联系实际、有利于帮助理解和记忆,有利于培养人际沟通能力,更有归属感,减少学习负担(P0.05);带教老师认为临床路径联合指导老师带教法较临床路径法对临床有引导作用,有利于师生沟通(P0.05)。结论:临床路径联合指导老师护理带教法能够提高护理带教质量,是一种临床切实可行的护理带教法。     

探讨临床路径教学法在手术室护理教学中的作用

[目的]探讨临床路径在手术室护生带教中的理论及方法.[方法]将141名护生随机分为对照组(68人)与实验组(73人).对照组采用传统教学方法,实验组采用临床路径教学方法,比较两组带教效果.[结果]实验组理论成绩及操作成绩与对照组比较有统计学意义(P<0.05).[结论]通过引入临床路径程序化、标准化的优势,提高了手术室带教质量及护生对带教老师的满意程度.     

临床路径教学法在心内科中专护生带教中的应用

目的在教学过程中通过传统教学法与临床路径教学法的对比,探索适合护生带教的方法。方法将68名护理实习生随机分为两组,对照组采用传统临床带教方法,实验组采用临床路径带教法,比较两组出科考试成绩和护生对带教的满意度情况。结果实验组出科考试成绩和护生对带教的满意度情况均优于对照组(P0.05)。结论临床路径教学法可有效地调动护生的学习积极性,提高护理质量,值得在临床教学中推广应用。     

Rofecoxib: clinical pharmacology and clinical experience

BACKGROUND: Rofecoxib is a member of a subgroup of nonsteroidal anti-inflammatory drugs (NSAIDs) known as cyclooxygenase-2 (COX-2)-selective inhibitors. It has been studied in adult and elderly patients in a number of painful conditions (primary dysmenorrhea, acute pain after dental and orthopedic surgery, osteoarthritis [OA], and rheumatoid arthritis). OBJECTIVE: This review discusses the clinical pharmacology of and clinical experience with rofecoxib, and the role of COX-2-selective inhibitors in clinical practice. METHODS: Pertinent studies were identified through searches of MEDLINE and EMBASE, as well as the Web sites and proceedings of relevant scientific meetings. RESULTS: Although the published literature is limited, the data indicate that rofecoxib is an effective analgesic agent for the painful conditions in which it has been studied. As a COX-2-selective inhibitor, rofecoxib offers safety advantages over traditional NSAIDs. In clinical trials, gastrointestinal (GI) toxicity, including mucosal damage, perforation, ulcers, and bleeding, occurred significantly less often in healthy volunteers and patients treated with rofecoxib than in those who received NSAIDs such as ibuprofen, naproxen, or diclofenac (all comparisons, P < 0.001). In terms of renal toxicity, rofecoxib does not appear to offer a safety advantage over traditional NSAIDs. Rofecoxib has not been shown to affect platelets (bleeding time and platelet aggregation), unlike traditional NSAIDs. CONCLUSIONS: Rofecoxib is an appropriate choice for patients who do not obtain adequate analgesia with acetaminophen and those who have not obtained adequate analgesia from, cannot tolerate, or are at risk for GI toxicity with traditional NSAIDs. Patients who require chronic analgesic medication (ie, those with OA), including those who take other medications daily for comorbid conditions, may also benefit from the once-daily dosing regimen of rofecoxib.     

Enhancing clinical effectiveness among clinical nurse specialists

This article describes the findings of an exploratory study which aimed to discover how clinically effective nursing care is fostered among clinical nurse specialists (CNSs) and nurse practitioners (NPs) in an NHS trust in East London. The study was funded by the Central and East London Education Consortium in January 1999. Qualitative approaches included non-participant observation of practice, interviews during observaton and focus group meetings, Findings from the research identify areas that both foster and hinder the ability of the CNSs and NPs to engage in and provide clinically effective nursing care.     

Laboratory clinical effectiveness: pathologists improving clinical outcomes

This article calls on pathologists to take a larger role in improving the performance of the American health care system. To improve outcomes for populations and individuals require that pathologists increase their activities outside of the traditional laboratory in interdisciplinary collaborations, outcomes research, health care systems development, and clinical care.     

Adherence in clinical trials and in clinical practice

The degree of patient adherence is increasingly recognized to be a key factor in the success of highly active antiretroviral therapy (HAART). HAART regimens are also among the most complex ever prescribed and low adherence is directly related to treatment complexity. Physicians prescribing HAART need to make adherence a priority both in clinical practice and in the design and interpretation of clinical trials if HAART really is to succeed in the long term.     

The clinical imperative in clinical nursing research.

Conducting preliminary clinical fieldwork to update clinical knowledge in preparation to plan and perform relevant, meaningful, credible and feasible clinical research is imperative. Clinical nurse investigators cannot generate relevant questions to study a current phenomenon with which they are not experienced. The nurse researcher's early involvement in the clinical world of health care as a prerequisite of proposal development not only contributes to the design of a study that has rigor and significance, but it also augments his or her competence and commitment to the improvement of patient outcomes.     

临床路径在临床护理带教工作中的应用

临床实习是护理教育的最后阶段,护生临床实习是理论联系实际,巩固和提高已学知识的有效途径,是一种锻炼服务思想,培养专业素质,提高技术水平,培养工作能力的综合性教学环节[1]。临床路径(clinical pathways,CP)是美国20世纪80年代以后逐步发展起来的质量效益型的管理模式[2]。它是一种包括了多专业的协调合作、预期结果的制定、服务的时限性、服务的连续性、持续的服务品质改进等特殊内涵的,设计精密的临床服务计划[3]。我科将临床路径严格的时间管理与质量控制引入到护理临床教学中,取得了较好的效果。现报告如下。1临床资料1.1一般资料20…