概念图在培养护理本科学生评判性思维能力中的应用

目的 探讨概念图的临床教学对护理本科学生评判性思维能力的影响.方法 在妇产科教学中应用概念图进行教学,在概念图的临床教学前后用中文版评判性思维倾向量表测量并比较32名护理本科学生的评判性思维能力.结果 采用概念图教学后学生的评判性思维能力总分、开放思想和系统化能力维度得分较干预前提高,差异具有统计学意义(P＜0.01或...     

临床护士评判性思维与临床决策能力的相关性研究

目的 了解临床护理人员评判性思维能力与护理决策能力的现状,探讨临床护理人员评判性思维能力与护理决策能力的关系.方法 采用评判性思维倾向性调查表(中文版)和护理临床决策能力调查表,对汕头市3所三甲医院223名临床护理人员进行问卷调查.结果 临床护士评判性思维总分平均为(292.12±24.67),决策能力总平均分为(140.72±11.34);评判性思维与决策能力呈显著正相关(P＜0.01).结论 临床护士评判性思维与护理决策能力呈正相关,评判性思维能力越强,护理临床决策能力越强.     

护理临床决策能力及其影响因素的研究

目的分析四川省护理本科生临床决策能力现状及其影响因素。方法利用护理专业大学生临床决策能力测量工具对四川省四所大学2008年护理专业毕业实习10～12个月的本科生415名进行调查,并在单因素分析的基础上进行逐步回归分析,了解其影响因素。结果四川省护理本科生临床决策能力总平均分为72.86±4.53分;逐步回归分析表明"评判性思维能力和实习医院"对护理本科生临床决策能力总分的影响有统计学意义。结论四川省本科护生护理临床决策能力多数为合格水平,没有一个学生为优秀。对于本科护生来讲,实习医院和评判性思维能力是护理临床决策能力的主要影响因素。故选择好的实习医院和培养学生的评判性思维能力是提高护生临床决策能力的最好途径。     

概念图查房对高血压病患者知识知晓及护士综合素质的影响

目的探讨概念图查房对高血压病患者知识知晓及护士综合素质的影响效果。方法将我院2016年10月至2017年10月收治的100例高血压病患者按照时间先后等分为对照组和干预组,对照组(2016年10月至2017年3月)进行常规护理查房,干预组(2017年4—10月)采用概念图护理查房。比较两组患者健康知识知晓评分、治疗依从性及护士评判性思维能力评分情况。结果干预组健康知识知晓各项评分均较对照组高(P 0. 05);干预组治疗依从性较对照组高(P 0. 05);干预组护士评判性思维能力各项评分均较对照组高(P 0. 05)。结论对高血压病患者进行概念图护理查房,可明显提高患者健康知识水平,改善治疗依从性,同时有助于提高护士评判性思维能力。     

基于概念图和思维导图的《护理学基础实训》可视化教学模式研究

目的探讨基于概念图和思维导图的可视化教学在《护理学基础实训》中的应用效果。方法以班级为单位对两个班共91名学生开展对照研究,干预组进行可视化教学,对照组采用传统方式教学,历时2个学期。比较研究过程中两组学生的评判性思维能力、自主学习能力以及实训成绩。结果干预半年后,与对照组比较,干预组学生的评判性思维能力总分及部分维度即显示出优势,自主学习能力并未有显著性差异。1年后,干预组护生的评判性思维能力及自主学习能力均显著优于对照组(P<0.05),实训成绩比较差异无统计学意义(P>0.05)。结论在《护理学基础实训》课程中进行基于概念图和思维导图的可视化教学,有利于护生评判性思维和自主学习能力的培养,对护生知识的主动建构也可以起到促进作用,可以在实训课程中推广应用。     

应用经验学习法培养护生临床高层次认知能力

目的 探讨经验学习法在培养护生临床高层次认知能力过程中的作用.方法 将护理实习生60名随机分为两组.常规带教组30名,采取临床带教制,经验学习组30名,在常规教学的基础上,采取反思小组讨论会、临床护理个案研究等形式开展经验学习法.采取理论考试、模拟考核、床边考核形式评价护生解决问题、评判性思维和临床决策能力.结果 两组学生在理论考试、模拟考核、床边考核成绩比较,经验学习组学生成绩优于常规带教组.结论 经验学习法可以提高学生预见护理问题的能力、评判性思维能力、临床决策能力,同时可以提高教学双方的专业素质.     

临床护士评判性思维态度倾向性与护理伦理决策能力的相关性研究

目的 了解临床护士评判性思维态度倾向性和护理伦理决策能力的现状及影响因素,分析两者之间的相关性.方法 在四川省5所三级甲等综合性医院中分层随机抽取359名临床护士进行问卷调查,问卷由一般情况调查表、护理伦理决策量表(JAND)及中文版评判性思维态度倾向性问卷(CTDI-CV)3部分组成.结果 临床护士CTDI-CV总均分为(285.06:±26.79)分,JAND总均分为(267.91±16.62)分.护理伦理决策能力的影响因素为学历、获取专业知识的途径、护理伦理决策培训.评判性思维态度倾向性与护理伦理决策能力呈正相关.结论 临床护士护理伦理决策能力及评判性思维态度倾向性得分处于中等水平,两者呈正相关,在学校教育和医院继续教育中,可通过加强对护士评判性思维态度倾向的培养来提高其护理伦理决策能力.     

运用Roy适应模式构建概念图改进《耳鼻咽喉科护理学》教学

高等护理教育旨在培养高素质、高能力的创新型人才,但目前我国大多院校由于教学资源有限等原因,护理的理论教学仍以传统大班集中讲授为主,结果使学生机械地掌握知识,并限制了其他方面的发展.概念图是形象表示某个主题的概念及其关系的图解,是用来组织和表征知识的工具[1],国外研究表明,概念图是一种有效的教学策略,可提高护理本科生评判性思维能力和自主学习能力[2～4];而我国护理教育界在该领域的研究尚处于起步阶段.为此,笔者尝试以Roy适应理论为指导,通过设计应用专业理论与临床护理程序相结合的概念图教学模式,以提高理论课程的教学质量,现报道如下.     

概念图用于《成人护理》教学的效果评价

目的 探讨概念图在《成人护理》课程中的设计,并应用于《成人护理》教学中,提高教师的教学效果及护生的评判性分析能力和解决问题能力.方法 选取300名大学二年级护理专科生,分为实验组和对照组各150人.指导实验组护生绘制各系统疾病护理概念图,应用于教学中并进行复习总结、讨论、修改,教师点评并补充.对照组仅接受传统方式的教学.教学全部结束后对2组护生进行效果评价.结果 实验组护生的评判性思维能力较实验前有显著提高,实验组学习成绩比对照组明显提高,差异有统计学意义.结论 概念图教学方法受欢迎程度呈中等偏上水平,概念图可提高护生的评判性思维能力,提高学习效果.     

概念图教学法在五官科护理临床带教中的应用

[目的]探讨概念图教学法在五官科护理临床带教中的应用。[方法]将64名护生随机分为两组,观察组32名,对照组32名,对照组采用传统带教方法,观察组护生参与概念图教学法培训。采用"护理专业学生自主学习能力测评量表"评估护生干预前后自主学习能力,比较两组护生出科考核成绩。[结果]观察组护生干预后自主学习能力得分高于对照组;观察组出科考核成绩均优于对照组(P<0.05)。[结论]在五官科护理教学中应用概念图教学法,可激发护生学习兴趣,有效提高护生的实习效果。     

Impact of a concept map teaching approach on nursing students’ critical thinking skills

Nurses confront complex problems and decisions that require critical thinking in order to identify patient needs and implement best practices. An active strategy for teaching students the skills to think critically is the concept map. This study explores the development of critical thinking among nursing students in a required pathophysiology and pharmacology course during the first year of a Bachelor of Science in Nursing in response to concept mapping as an interventional strategy, using the Health Education Systems, Incorporated critical thinking test. A two‐group experimental study with a pretest and posttest design was used. Participants were randomly divided into a control group (n = 42) taught by traditional didactic lecturing alone, and an intervention group (n = 41), taught by traditional didactic lecturing with concept mapping. Students in the concept mapping group performed much better on the Health Education Systems, Incorporated than students in the control group. It is recommended that deans, program directors, and nursing faculties evaluate their curricula to integrate concept map teaching strategies in courses in order to develop critical thinking abilities in their students.     

Nursing care plans versus concept maps in the enhancement of critical thinking skills in nursing students enrolled in a baccalaureate nursing program

Appropriate and effective critical thinking and problem solving is necessary for all nurses in order to make complex decisions that improve patient outcomes, safety, and quality of nursing care. With the current emphasis on quality improvement, critical thinking ability is a noteworthy concern within the nursing profession. An in-depth review of literature related to critical thinking was performed. The use of nursing care plans and concept mapping to improve critical thinking skills was among the recommendations identified. This study compares the use of nursing care plans and concept mapping as a teaching strategy for the enhancement of critical thinking skills in baccalaureate level nursing students. The California Critical Thinking Skills Test was used as a method of comparison and evaluation. Results indicate that concept mapping enhances critical thinking skills in baccalaureate nursing students.     

Care plans using concept maps and their effects on the critical thinking dispositions of nursing students

It is expected that nursing education improves abilities of students in solving problems, decision making and critical thinking in different circumstances. This study was performed to analyse the effects of care plans prepared using concept maps on the critical thinking dispositions of students. An experimental group and a control group were made up of a total of 80 freshman and sophomore students from the nursing department of a health school. The study used a pre-test post-test control group design. The critical thinking dispositions of the groups were measured using the California Critical Thinking Disposition Inventory. In addition, the care plans prepared by the experimental group students were evaluated using the criteria for evaluating care plans with concept maps. T-test was used in analysing the data. The results showed that there were no statistically significant differences in the total and sub-scale pre-test scores between the experimental group and control group students. There were also significant differences in the total and sub-scale post-test scores between the experimental group and control group students. There were significant differences between concept map care plan evaluation criteria mean scores of the experimental students. In the light of these findings, it could be argued that the concept mapping strategy improves critical thinking skills of students.     

The influence of concept mapping on critical thinking in baccalaureate nursing students

This article describes a quasi-experimental study that used a pretest-posttest design with a control group to evaluate the effectiveness of concept mapping in developing critical thinking skills in baccalaureate nursing students. A convenience sample (n = 76) was randomly assigned to experimental (n = 44) and control (n = 32) groups. The experimental group was taught to use concept mapping of patient information to prepare for clinical experiences. The control group was taught to use traditional nursing care plans. Critical thinking skills were measured with the California Critical Thinking Skills Test, which yielded six scores: an overall score and five subscales (analysis, evaluation, inference, deductive reasoning, and inductive reasoning). A significant difference (p <.05) was found between the mean pretest and posttest scores and each subscale. Post hoc tests found differences between groups to be insignificant, while various differences within a group were significant. Experimental-group scores improved significantly (p <.05) on the overall score and the analysis and evaluation subscales, while control-group scores improved significantly only on the evaluation subscale and declined significantly on the inference subscale. The findings suggest that concept mapping is effective in helping students develop critical thinking skills.     

护理本科生在客观结构化临床考试中出现的问题与原因分析

目的 通过总结客观结构化临床考试(OSCE)中学生出现的问题,分析其产生的原因,寻找解决问题的方法与途径.方法 应用OSCE出科考试观察和评价学生的综合表现.结果 学生OSCE出科考试总体水平不高.主要问题表现为规范性较差、临床思维尚未形成、人文关怀能力不强.结论 加强学生临床思维能力、临床实践能力和人文精神培养,必须着力做好医院护理临床带教教师的培训,改进带教方法,提高课堂教学质量,为培养学生的综合能力提供有利条件和环境.     

The role of podcast lectures in associate degree nursing programs

Associate degree nursing (ADN) programs are faced with the challenge of developing nursing students' critical thinking abilities and skills proficiency. This article discusses the potential role of podcasts as an innovative teaching strategy for nursing professors to implement principles of adult learning while developing the critical thinking skills of ADN students.     

基于PBL教学法的护理学理论实践一体化教学模式的介绍

改革传统的护理教学中理论、技能和实践之间脱节的教学方法,将PBL学习法和理论实践一体化教学法相结合,融入护理综合能力训练的教学中,通过PBL病案再现临床情景,以护理问题为线索,以护理程序为方法,按时间推进,模拟临床护理工作。激发学生的学习兴趣,锻炼学生的临床思维能力及自主学习、信息管理、团队协作、评判性思维、人际沟通、法律意识等能力。