五年制高职护理专业学生人文关怀能力及影响因素研究

[目的]调查五年制高职护理专业学生人文关怀能力现状及影响因素。[方法]对咸阳地区某高职院校五年制护理专业学生人文关怀能力现状进行调查,分析影响其关怀能力的因素。[结果]五年制高职护生人文关怀能力总分为131.87分±15.09分,得分率为73.26%,处于中等水平;非独生子女护生人文关怀能力总分明显高于独生子女(P0.05);护生人文关怀能力与其父母和老师同学的关心呈正相关(P0.01)。[结论]五年制高职护生人文关怀能力不高,制定切实可行、科学合理的培养方案具有重要的现实意义。     

高职高专护生学习适应性调查及其对策

[目的]探讨高职高专护理专业护生学习适应性现状,提出相应对策。[方法]应用高职学生学习适应性量表对高职高专3个年级护生进行问卷调查。[结果]高职护生的总体学习适应性处于中等偏上水平,其中教学模式、身心健康得分较高,学习策略、学习环境得分较低;不同年级护生在学习兴趣和学习策略方面比较,差异有统计学意义;文科生的整体学习适应性水平均高于理科生,尤其在学习策略和教学模式方面。[结论]高职护生的总体学习适应性处于中等偏上水平,年级、文理科影响总体学习适应性的部分维度;在管理和教学过程中,应加强高职高专护生的分类指导,采取积极应对措施提高高职护生学习适应性。     

高职高专护生学习适应性调查及其对策

[目的]探讨高职高专护理专业护生学习适应性现状,提出相应对策.[方法]应用高职学生学习适应性量表对高职高专3个年级护生进行问卷调查.[结果]高职护生的总体学习适应性处于中等偏上水平,其中教学模式、身心健康得分较高,学习策略、学习环境得分较低;不同年级护生在学习兴趣和学习策略方面比较,差异有统计学意义;文科生的整体学习适应性水平均高于理科生,尤其在学习策略和教学模式方面.[结论]高职护生的总体学习适应性处于中等偏上水平,年级、文理科影响总体学习适应性的部分维度;在管理和教学过程中,应加强高职高专护生的分类指导,采取积极应对措施提高高职护生学习适应性.     

五年制护理专业男生职业观念现状及影响因素

[目的]探索五年制护理专业男生职业观念及影响因素,为男护生教育、管理和就业指导提供针对性培训建议。[方法]采用问卷调查,对102名统招五年制男护生进行调查。[结果]51.0%选择护理专业的主要动因是容易就业,39.2%认为护理操作太繁琐,不喜欢,也不愿做,因而学习动力不足。由于非自身兴趣选择护理职业者,毕业后还存在一定的护理就业流失率,且部分学生对未来就业期望过高。[结论]五年制护理专业男生职业观念复杂,既有个人因素,也有家庭因素和社会因素,学校应加强男护生职业生涯规划指导,从学生心理、知识技能等方面提供针对性的培训,社会也应创造有利于男护生发展的行业氛围。     

江苏省五年制高职护生关键能力评价量表常模的建立

[目的]建立五年制高职护生关键能力评价量表的常模。[方法]采用分层整群抽样方法,从江苏省4所五年一贯制卫生院校抽取高职护理专业1～5年级学生进行匿名问卷调查,共回收有效问卷1 883份,在分析江苏省五年制高职护生关键能力得分特定的基础上,建立均数常模、百分位常模。[结果]不同年级护生关键能力得分比较,差异有统计学意义(P0.05),根据年级分组,建立五年制高职护生关键能力量表的均数常模,以5%的百分位数间隔建立百分位常模。[结论]本研究初步构建了江苏省五年制高职护生关键能力评价量表常模,为五年制高职护生关键能力研究提供依据。     

高职护生心理健康调查分析

[目的]掌握高职护生心理健康状况,为心理健康教育及心理咨询提供科学依据。[方法]运用90项症状自评量表对565名高职护生进行调查。[结果]高职护生心理健康水平低于全国青年常模,心理障碍检出率为12.74%;高职护生心理障碍检出率五年制高于三年制,一年级高于二年级,来自农村的学生高于来自城市的学生,差异均有统计学意义。[结论]应有针对性地开展高职护生心理健康教育。     

高职护理专业班主任与科任教师合作育人对护生专业认同感的影响

[目的]探讨高职护理专业班主任与科任教师合作育人模式对护生专业认同感的影响。[方法]选取2011级五年制高职护理专业学生为研究对象,按随机化原则,在该年级中随机抽取1个班级作为试验班,班级学生纳入观察组;再随机抽取1个班级为普通班,班级学生纳入对照组。对照组学生采用传统育人模式,观察组学生采取班主任与科任教师合作育人模式,学期结束后比较两个班级学生的理论及技能考核成绩,应用育人效果评价表及本科护生专业认同调查表进行调查。[结果]观察组学生的理论、技能考核得分和育人效果评价及专业认同感得分均明显高于对照组学生,差异有统计学意义(P0.01)。[结论]高职护理专业实行班主任与科任教师合作育人模式,可有效激发护生的主观能动性,提高其专业认同感,促进其专业教育及技能培养的双重提升。     

五年一贯制高职护生信息素养水平调查及相关因素分析

[目的]全面了解五年制高职护生信息素养水平,并对其影响因素进行分析。[方法]采用一般情况调查表和"高职高专学生信息素养评价量表"评价我校护生的信息素养状况,并筛选相关因素。[结果]489名高职护生信息素养得分较全国1 245名高职高专学生高(P0.05),但仍处于较低水平;信息检索相关课程学习、年级、性别对信息素养总分及各维度有预测作用(P0.05)。[结论]五年制高职护生信息素养有待提高,可通过完善课程设置、着重培养女生的信息素质及引导护生树立终生学习观等方面来提升护生的整体信息素养。     

高职院校护生科学精神与人文素养认知和行为的现状调查

[目的]了解高职院校护理专业学生科学精神与人文素养的认知和行为现状,为高职院校进行科学精神与人文素养教育教学改革提供依据。[方法]抽取高职护理专业一年级和二年级200名护生,采用自设的"高职护生科学精神与人文素养现状调查问卷"进行调查研究。[结果]护生科学精神与人文素养知识总分75.20分±22.12分;行为总分63.00分±12.44分;护生科学精神与人文素养知识与行为呈正相关(P0.01)。[结论]高职护理教育应明确关于科学精神与人文素养的教育目标,提高护生科学精神与人文素养的认知水平,促进科学精神与人文素养相关行为的正向发展,使护生的专业能力与人格完善统一协调发展。     

校院合作培养模式对五年制高职护生临床思维能力的影响

[目的]探索校院合作培养模式对五年制高职护生临床思维能力的影响。[方法]将我院2009级五年制专科护理专业7个班按随机数字表法分为试验组(3个班,n=172)和对照组(4个班,n=236),试验组采用校院合作培养模式进行临床课程教学,对照组由校内专业教师按传统方法进行教学,学习结束后,比较两组护生内科护理学、外科护理学、妇产科护理学及儿科护理学期末考试成绩,通过《教学效果评价表》了解护生对教学效果的评价,并利用《临床思维能力考核评分表》评价护生临床思维能力。[结果]试验组4门临床课程期末考试成绩、护生对教学效果的评价以及临床思维能力评分均优于照组(P0.05)。[结论]校院合作培养模式有助于增强五年制高职护生的临床思维能力。     

护理本科生学习策略水平与学业自我效能感的相关性研究

目的 调查护理本科生学习策略使用水平和学业自我效能感现状,分析学习策略使用能力与学业自我效能感的相关性.方法 采用《大学生学习策略问卷》和《学业自我效能感问卷》,对3个年级共346名护理本科生进行调查.结果 护理本科生学习策略总分(67.32±8.54)分;学业自我效能感总分(22.54±2.27)分;学习策略总分、元认知策略、创新策略与学业自我效能感存在相关性.结论 护理本科生的学习策略使用水平与学业自我效能感相关,故应通过增强学生的学业自我效能感提高学习策略的使用水平,从而促进其自主学习能力和终身学习能力的发展.     

高职护理专业学生学习动机的现状调查及影响因素分析

目的 了解高职护理专业学生学习动机的现状,并分析其影响因素,以提高学生的学习效果和教学质量.方法 用"大学生学习动机问卷"对334名高职护理专业学生进行问卷调查,并对调查结果进行统计学分析.结果 高职护理专业学生学习动机均值较低,学习动机多元化,优等生和差等生学习动机有显著差异.结论 高职护理专业学生学习动机强度不足,且没有显著的年级和生源地差异.学生 学习动机的个人取向和功利色彩突出,社会属性低.学习动机是影响学生学业成绩的重要因素.     

高职护理学生学习策略的研究

目的 编制高职护理学生学习策略量表,探讨其特点.方法 在分析总结现有的学习策略涵义和结构研究的基础上,从实践运用的角度,结合理论探讨,尝试建构了高职护理学生学习策略的结构模型.结果 高职护理学生学习策略结构包括认知策略、元认知策略、情感调控策略、资源管理策略、实践操作策略等维度.结论 该问卷具有较好的信度和效度,可作为测量高职护理学生学习策略的适宜工具;差生的学习策略明显低于优秀生;高职护理学生学习策略没有显著的年级差异.

Abstract：

Objective To draw up the learning strategy scale for vocational nursing students and discuss its characteristics. Methods Structure model of learning strategies was constructed by summarizing and analyzing current learning connotation and structure research, through the view of application combining with theory. Results The results showed that the learning strategy of the vocational nursing students included five factors: cognitive strategy, meta-cognitive strategy, emotions regulation strategy, resource management strategy and practical operation strategy. Conclusions The strategy scale is very reliable and valid and can be used to measure these learning strategies. Results also indicates that excellent students show much more profitable strategies than students of lower levels, no difference is found in different grades.     

三年制高职护生临床学习环境评价的调查研究

目的调查三年制高职护理实习生临床学习环境评价的现状,为护理临床教育提供指导和借鉴。方法采用临床学习环境评价量表对167名三年制高职护理实习生进行调查。结果 1三年制高职护生对临床学习环境评价得分为(164.46±30.11)分,条目均分为(3.92±0.12)分。2各维度条目均分依次为任务定位(4.07±0.07)分,工作氛围和团队精神(3.97±0.13)分,创新性(3.96±0.07)分,护生参与性(3.92±0.09)分,人际关系(3.89±0.07)分,个性化(3.68±0.14)分。3除人际关系维度外,三年制高职护生各维度得分均高于本科护生(P0.01)。结论三年制高职护生对临床学习环境的评价较好,但在个性化培养方面仍然存在不足。建议重视护生对临床学习环境的评价,在提供良好实习环境的基础上注重个性化发展的需要。     

案例教学法在高职高专急救护理教学中的应用

目的探讨案例教学法在高职高专急救护理理实一体化教学中的应用效果。方法以案例教学法对2011级48名学习急救护理课程的学生实施理实一体化教学,期末进行综合考核,并对试验组的学生进行自制问卷调查。结果通过问卷调查显示,95.8%的学生认同此种教学方法。通过考试成绩分析,试验组得分明显高于对照组(P<0.05)。结论案例教学法有助于激发学生的学习热情,提高学生的学习成绩,且得到了大部分学生的认可。     

Sense of coherence,self-regulated learning and academic performance in first year nursing students: A cluster analysis approach

This paper examines the relationship between nursing students' sense of coherence, self-regulated learning and academic performance in bioscience. While there is increasing recognition of a need to foster students' self-regulated learning, little is known about the relationship of psychological strengths, particularly sense of coherence and academic performance. Using a prospective, correlational design, 563 first year nursing students completed the three dimensions of sense of coherence scale – comprehensibility, manageability and meaningfulness, and five components of self-regulated learning strategy – elaboration, organisation, rehearsal, self-efficacy and task value. Cluster analysis was used to group respondents into three clusters, based on their sense of coherence subscale scores. Although there were no sociodemographic differences in sense of coherence subscale scores, those with higher sense of coherence were more likely to adopt self-regulated learning strategies. Furthermore, academic grades collected at the end of semester revealed that higher sense of coherence was consistently related to achieving higher academic grades across all four units of study. Students with higher sense of coherence were more self-regulated in their learning approach. More importantly, the study suggests that sense of coherence may be an explanatory factor for students’ successful adaptation and transition in higher education, as indicated by the positive relationship of sense of coherence to academic performance.     

高职护生学习倦怠现状及影响因素分析

目的 了解高职护生学习倦怠现状，并对其影响因素进行分析。方法 采用分层随机抽样法对陕西省10所高职院校2015级、2016级高职护生进行大学生学习倦怠量表和大学生学习倦怠影响因素问卷调查。结果 共发放问卷2 050份，回收有效问卷1 914份，问卷有效率93.37%。1 914名高职护生学习倦怠总分为（58.11±9.97）分，3个维度由高到低依次为：行为不当、成就感低、情绪低落。多元线性回归分析显示，学习态度、学习主动性、专业兴趣、焦虑、学习成绩、就业压力、有无兼职/社会实践经历、性别、年级是高职护生学习倦怠的影响因素，可解释学习倦怠水平46.4%的变异量。结论 高职护生学习倦怠处于中等水平，教育者应采取措施改善护生的学习以及心理状态，同时关注高危人群，以降低护生学习倦怠水平，提高护生在校学习质量。     

Effects of unfolding case-based learning on academic achievement,critical thinking,and self-confidence in undergraduate nursing students learning health assessment skills

AimTo determine whether using unfolding case-based learning for undergraduate nursing students learning health assessment skills enhanced academic achievement, critical thinking and self-confidence, in comparison to traditional learning methods.BackgroundUnfolding case-based learning is an effective strategy for nursing students to narrow the gap between classroom learning and clinical practice. Little is known about whether unfolding case-based learning can be applied effectively in learning health assessment skills for undergraduate nursing students in China.MethodsA quasi-experimental design was used in this study. One hundred and fifteen undergraduate nursing students were recruited using convenience sampling from a medical university in southern China. They were assigned to an intervention group (n = 54) receiving unfolding case-based learning of health assessment skills, or a control group (n = 61) using traditional learning methods based on students’ choices. Learning outcomes were evaluated by students’ academic achievement, critical thinking and self-confidence. Data for critical thinking and self-confidence were collected before and after using the teaching strategies.ResultsThe academic achievements of undergraduate nursing students in the intervention group were better than those in the control group. The total average scores of critical thinking (272.51 vs. 266.47) and self-confidence (24.92 vs. 21.04) for nursing students in the intervention group were also higher than those in the control group after implementing teaching strategies. There were statistical differences in the theory test (P = 0.041), skill test (P = 0.013), critical thinking (P = 0.008) and self-confidence (P = 0.036) between the two groups. Additionally, the statistical significance of the scores for critical thinking (264.36 vs. 272.51, P < 0.001) and self-confidence (18.76 vs. 24.92, P < 0.001) before and after teaching strategies were also observed among participants in the intervention group, but not in the control group (P = 0.143, P = 0.738).ConclusionsUnfolding case-based learning may be effective and suitable for undergraduate nursing students learning health assessment skills. The findings of this study provide useful information to nursing teachers for the development of unfolding case-based learning when teaching other nursing skills to undergraduate nursing students.     

Enhancing networking and proactive learning skills in the first year university experience through the use of wikis

This paper discusses the introduction of blended learning strategies, a combination of traditional and online techniques, into the first year of a new preregistration nursing advanced diploma and degree programme at Bournemouth University (UK). During a ten week sociology of health academic unit, in the first term of a three year nursing course, wikis were introduced as a complementary learning technique to traditional lectures and seminars. Wikis, an online application, provided eleven student seminar groups (each divided into 4 online or elearning groups of 6-8 students) with the potential to communicate collaboratively "anytime, anywhere" (JISC, 2010) to discuss a sociology preparation activity for the preceding week. The implementation of this elearning tool was structured through the application of Salmon's five stage model (Salmon, 2002) and evaluated from 69 students' online contributions to wikis as well as questionnaires completed by both a sample of students and academic staff. As well as the many comments made by students the evaluation indicated that 45% of students' responses valued wikis as a communication tool and 33% believed it promoted or allowed the sharing of group views. The evaluation presents and critiques the initial project management using Salmon's five stage model and the engagement of students and academic staff. In particular it begins to show how wikis have the potential to structure academic learning and promote social networking in the crucial first few months of a course.     

Interactive videodisc instruction with undergraduate nursing students using cooperative learning strategies

This study was conducted to explore the use of interactive videodisc instruction (IVDI) with cooperative learning strategies. Baccalaureate students in their junior year were assigned to one of three types of groups based on prenursing grade point average: homogeneous average achievement, homogeneous high achievement, and heterogeneous mixed achievement students. Groups of three to five students viewed a lesson related to auscultation of heart sounds using IVDI and were videotaped throughout the lesson. There were no significant differences among the groups in their interaction frequencies, cooperativeness, or achievement on the group posttest completed immediately after viewing the lesson. Homogeneous high achievement students scored significantly higher than the other two groups on the individual posttests given 2 weeks after viewing the lesson. However, all three groups had very low scores. Several themes emerged related to management of the lesson. A majority of the students without previous IVDI experience had difficulty accessing and proceeding through the lesson: fill-in-the-blank questions posed by the lesson often were frustrating to the students, students in groups had difficulty reading the touch screen monitor, a large number of students attempted to locate the cardiac valves on themselves or other group members, and male students tended to distance themselves from each other. In this study, students needed more orientation to the computer equipment and to cooperative learning strategies. When using IVDI with inexperienced students, faculty should be certain that technical assistance is available throughout the lesson.