罗杰斯人本主义学习理论在临床护理教学中的应用

目的探讨罗杰斯人本主义学习理论在临床护理教学中的应用。方法试验组121名学生采用将罗杰斯人本主义学习理论运用于临床护理教学中,主要突出以学生为主体的临床教学,重点在临床护理辅导小课、护理查房、操作示范、制订学习合同、反思日记方面进行改革;对照组100名学生采用传统的分阶段目标教学模式。结果试验组实习生临床护理能力的提高比对照组高(P0.05),学生和带教老师对教学模式的满意度均较好,试验组学生临床毕业综合技能考试成绩比对照组高(P0.05)。结论罗杰斯人本主义学习理论在临床护理教学中的应用有利于提高临床护理实习生临床护理能力,有利于促进临床教师自身素质的不断完善和提高,有利于提高临床教学质量。     

责任制教学模式在护理专业实习生临床带教中的应用

目的探讨责任制教学模式在护理专业实习生临床带教中的应用效果。方法将321名实习生设为对照组,采用传统教学模式：将323名实习生设为试验组,采用责任制教学模式。出科前对学生进行理论和技能考试,以及评教、评学满意度调查。结果试验组学生理论成绩、技能成绩、综合测评成绩、评教和评学满意度均高于对照组（P〈0.05或P〈0.01）。试验组学生在教师结合病例讲解有关知识、完成基础护理理论培训、完成基础护理操作培训、关心学生方面的满意度高于对照组（P〈0.01）。结论责任制教学模式能充分利用现有教育资源,为学生创造更多实习机会,促进教学目标的完成,提高实习生的理论知识与护理技能。     

感恩教育在实习生临床带教中的应用

目的探讨感恩教育对实习生实习效果的影响。方法将2008年度的68名实习生作为试验组,进行集中培训、情境培训、主题培训等的感恩教育并贯穿于护理实习过程中。2007年度56名实习生为对照组,没有进行感恩教育。两组实习结束后,在理论、操作考试和患者满意度方面进行比较。结果试验组的出科理论、操作考试和患者满意度调查明显高于对照组(P0.01)。结论感恩教育在实习生中的应用,明显提高了实习生的实习积极性和临床护理质量。     

开放式虚拟实验教学在基础护理学中的应用

[目的]探讨开放式虚拟实验教学在基础护理学中的应用。[方法]选择我院2009级护理本科班112名学生为观察组,2008级护理本科班104名学生为对照组,观察组采用开放式虚拟实验教学法,对照组采用传统开放实验室法。比较两组学生基础护理技能操作考核成绩,观察组学生对模拟综合实验教学效果的评价。[结果]观察组学生基础护理技能操作考核中操作技能、分析解决问题能力、创新能力成绩均优于对照组（P〈0.05）;观察组大部分学生对模拟综合实验教学效果评价良好。[结论]开放式虚拟实验教学法能提高护理学生的操作技能水平及综合实践能力,有利于培养设计能力和创新意识。     

同伴教育在基础护理学操作技能教学中的应用

目的探讨同伴教育在基础护理学操作技能教学中的应用方法及效果。方法采用整群抽样的方法,从某高校2009级护理专业本科学生中随机抽取2个班为研究对象,试验组28名学生采用同伴教育教学法,对照组30名学生采用传统教学法。通过问卷调查和技能操作考试成绩对教学效果进行评价。结果试验组护理操作技能考核总成绩及仪表、实施、终末质量、人文关怀与沟通、相关知识问答部分成绩均优于对照组（P〈0.05）;试验组92.8%学生对此教学方式予以肯定。结论同伴教育可激发学生的学习兴趣,提高护理操作技能教学效果,更有利于学生自身综合素质培养。     

PBL教学法在护理本科实习护生临床教学中的应用

目的探讨以问题为中心（problem based learning,PBL）教学法在护理本科实习护士学生（以下简称护生）临床教学中的应用效果。方法将120名在眼科实习的护生,按临床实习时间分为实验组和对照组,每组各60名。实验组采用PBL教学法,对照组采用传统教学方法。实习6w后,比较两组护生理论知识和技能等各种考核成绩的差异,并同时调查两组护生对临床教学质量的反馈情况。结果实验组护生理论知识和技能等各种考核成绩均优于对照组,83.33%的护生认为PBL教学法可提高学习兴趣、自学能力、临床思维能力、沟通能力和整体护理能力,与对照组比较,均P〈0.01,差异具有统计学意义。结论 PBL教学法能使护生更好地将护理理论知识与临床实践相结合,提高了护生临床护理理论和操作水平等综合能力,值得在临床护理教学中推广应用。     

The effectiveness of an intervention to promote successful performance on NCLEX-RN for baccalaureate students at risk for failure.

This study evaluated the effectiveness of an intervention designed to enhance the performance of high-risk baccalaureate students on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Thirty senior nursing students met risk criteria drawn from the NCLEX-RN prediction literature: a nursing grade point average (GPA) of 2.40 or below, a ranking on the Mosby Assesstest at or below the 20th percentile, and/or a diagnosed learning disability. Fourteen students in this nonrandomized, posttest-only study received the intervention. Sixteen students served as a control group. The groups were equivalent on 12 academic variables prior to treatment. Concepts of test-wiseness and test-coaching served as the basis for the intervention. The NCLEX-RN passing rate for the group participating in the intervention was 92.9% compared to 50% for the control group. The findings of this study provide preliminary evidence that a long-term intervention can assist high-risk students in passing the NCLEX-RN.     

学生标准化病人在手术室护理实训教学中的实践

目的:了解学生标准化病人在手术室护理实训教学中的效果。方法:将223名护理专科生随机分为试验组(111人)与对照组(112人)。试验组采用学生标准化病人教学方法,对照组采用传统教学法。比较两组理论成绩、操作成绩,自主学习能力和学业自我效能感及教学方法满意度。结果:试验组护生理论成绩、操作成绩,自主学习能力和学业自我效能感及教学方法满意度高于对照组(P<0.05)。结论:学生标准化病人教学方法可提高护生的理论和操作成绩、自主学习能力、学业自我效能感及教学方法满意度。     

The effect of peer support approach on communication skills of nursing students in pediatric clinical setting

Peer support is a valuable teaching-learning approach to enhance deep learning in the clinical environment. The purpose of the present study was to investigate the effect of peer support on the communication skills of undergraduate nursing students when interacting with hospitalized children and their parents. This was a pre-and post-test quasi-experimental study with two groups. Through the cluster random sampling method, six practical groups of students who undertook a 3-week pediatric practicum were selected. Three groups were allocated to the experimental (n = 51) and control groups (n = 52). Two volunteer post-graduate students in pediatric nursing formed the peer group. First, the peers participated in three 45-min sessions using different scenarios about communication skills. They then tutored the intervention group to improve their communication skills. The communication skills with 5 children and 5 parents were observed for each undergraduate student via the checklist. The experimental group demonstrated significantly higher mean scores of the communication skills than the control groups in post-test (P < 0.001). Moreover, the mean scores of communication skills was significantly higher in post-test than pre-test in both the experimental and control groups (p < 0.001). Peer support approach promoted the communication skills of undergraduate nursing students in pediatric clinical setting.     

护理本科生护理学基础技能实验教学方法的改革

目的探讨护理本科生护理学基础技能实验教学方法。方法试验组71名学生采用改革的实验教学措施教学．主要突出课前学生的预习和自学,实验课时对实验技能项目操作原则、潜在创新点和与该项目相关拓展学习内容的讨论和分享：对照组61名学生采用传统的实验教学措施教学,比较两组学生的自评结果、课程期末技能考核成绩和总评成绩。结果试验组学生自评创新能力、创新意识、观察和分析问题能力等10个方面的提高比对照组高（P〈0．01）,试验组学生的课程期末技能考核成绩和总评成绩高于对照组（P〈0．05,P〈0．01）。结论改革后的实验教学方法有利于提高护理本科生的创新意识、创新能力、动手能力、掌握和应用理论知识等综合素质。     

The effect of cooperative learning on critical thinking of nursing students in clinical practicum: A quasi-experimental study

Critical thinking is a core element of higher nursing education that needs to be promoted during university study. However, lecturing as a teaching method is still heavily used by nurse educators, and nursing students have few opportunities to develop critical thinking skills. This study evaluated the impact of cooperative learning on critical thinking. A quasi-experimental study was conducted (n = 50). Students in the experimental group were arranged into small cooperative groups and completed the clinical practice together, whereas those in the control group practiced individually. After the intervention, total and subscale scores of critical thinking dispositions were significantly higher in the experimental rather than in the control group. The percentage for experiencing positive inclinations or strong dispositions toward critical thinking was 100% among the experimental group, whereas it was 85% among the control group. It is concluded that the cooperative learning-based clinical practicum is helpful for promoting students' critical thinking dispositions.     

The effects of a reminiscence education program on baccalaureate nursing students' cultural self-efficacy in caring for elders

The increase in our minority elder population has created a need to develop innovative programs that prepares students who are competent in gerontological nursing skills and sensitive to cultural differences. The purpose of this pilot study was to test the effects of a reminiscence education program on BSN students' cultural self-efficacy in caring for elders. An interrupted time series design with a nonequivalent, no-treatment control group was used with 64 nursing students recruited from a northeast university in the United States. The intervention consisted of a two-hour reminiscence education program and a 13 week period in which the experimental group implemented integrative reminiscence with elders during their community health practicum. The eldercare cultural self-efficacy scale was the outcome measure. Results indicated that students receiving the reminiscence education program demonstrated significantly higher levels of eldercare cultural self-efficacy F(1, 62)=5.34, p=0.024 than those not receiving the intervention. Reminiscence education programs implemented as part of clinical practicums may assist to increase nursing students' perceptions of confidence in caring for elders. Implications for nursing education and the care of diverse elders are discussed.     

以评价学生临床护理能力为导向的人机对话考试系统的研究

目的 为了客观评价护理专业学生的临床护理能力,测试了基于计算机技术的临床护理考试系统.方法 采用整群抽样的方法,以班级为单位,分别抽取7个班级2007届高职护理学生280名、8个班级的2008届高职护理学生340名,共计620名进行该系统机考测试.结果 未经临床实习的学生(在校二年级学生)与经过临床实习的三年级毕业班学生相比,解答临床护理案例题的成绩有差异.结论 <计算机模拟临床护理考试系统>对评定学生的临床护理能力具有较高的信度.

Abstract：

Objective In order to evaluate nursing students' clinical nursing knowledge and ability objectively, we tested a clinical nursing examination system which is based on the computer technology. Methods The proposed project used the whole group of sampling methods. Data were collected via class unit. All the 620 subjects recruited from seven classes of grade 2007 (280 students )and eight classes of grade 2008 (340 students). Results Students of grade two without clinical practice had lower scores when answering clinical nursing case problems compared with grade one students who went through clinical practice. Conclusions The computer simulated clinical nursing testing system has better validity and reliability in evaluating students' clinical nursing ability.     

高仿真模拟教学对护理本科生临床能力影响的研究

目的探讨高仿真模拟教学对护理本科生临床能力的影响。方法将实习前的60名护理本科生随机分为试验组和对照组,各30名,试验组采用高仿真模拟教学,对照组采用普通教学(案例讨论与护理技能操作训练),各培训20学时,并利用客观结构化临床考试(objective structured clinical examination,OSCE)分别在培训前后对学生进行考核。结果培训后,试验组的11项成绩比培训前均有提高(P<0.05);培训后,试验组在小组综合能力、护理问诊、护理体检、健康教育口试、职业态度考核成绩上高于对照组(P<0.05)。结论高仿真模拟教学可显著提高学生的临床能力,比普通教学具有优势。     

在临床教学活动中强化护理软技能培养的探讨

目的探索临床护理教学活动中增加护理软技能培养实施效果。方法选择2006年进入我院临床实习的护生设为试验组,通过导学辅导、情景模拟、课外拓展等多种手段,强化护理软技能培养,与2005年度护生（对照组）进行比较。结果试验组在患者服务态度满意度和综合考核评价结果均优于对照组。结论护理软技能的培养应从临床实习开始。     

情景教学法在耳鼻咽喉科临床护理教学中的应用

目的:探讨情景教学法在五官科耳鼻喉临床护理教学中的应用效果。方法:将我院2012年1月~2013年6月在五官科实习的护生117名分成试验组59名和对照组58名。试验组采用情景教学法,对照组采用传统讲学法。最后采用问卷调查、试卷考试及操作技能考核的方法分析两种不同教学方式的效果。结果:试验组护生的理论知识及实践操作技能测定的平均成绩、对临床实习及对教学方法的总体满意度均明显优于对照组(P0.05)。结论:情景教学法有利于培养护生的学习兴趣,充分调动其学习主动性和积极性,培养护生分析解决问题的能力,是一种行之有效的教学方法。     

Involving NHS service users in teaching advanced clinical skills

With the development of advanced practice roles in nursing, innovative ways of delivering programmes are continually sought by academic staff working within higher education. This study explores the ways in which NHS service users can be included in education programmes to develop clinical examination skills for nurses. Although small scale and exploratory, this study concluded that NHS service users benefit from making a contribution towards the education of healthcare staff and feel empowered in the process.     

内科护理教学中融入临床护理路径的效果分析

[目的]探讨内科护理教学中融入临床护理路径的效果。[方法]将2010级护理19班62人为观察组,2010级护理16班60人为对照组,两班由同一教师授课,对照组采用传统教学,观察组在内科护理教学中融入临床护理路径。比较两组学生期末考试成绩。[结果]观察组学生期末考试成绩高于对照组(P0.05)。[结论]在内科护理教学中融入临床护理路径能够明显提高学生的学习积极性和学习效果,提高内科护理教学质量。