目的系统评价护生参与客观结构化临床考试的真实体验和感受,为护理教学改革提供参考。方法检索中国知网、维普资讯中文期刊服务平台、万方数据知识服务平台、PubMed、Web of Science、Embase、Scopus等数据库中关于护生参与客观结构化...目的系统评价护生参与客观结构化临床考试的真实体验和感受,为护理教学改革提供参考。方法检索中国知网、维普资讯中文期刊服务平台、万方数据知识服务平台、PubMed、Web of Science、Embase、Scopus等数据库中关于护生参与客观结构化临床考试的质性研究,检索时限为建库至2023年2月3日。经质量评价后,采取Meta整合方法对文献结果进行归纳与分析。结果共纳入9篇文献,提炼出43个研究结果,归纳出9个新类别,得到3个整合结果,分别为影响表现的因素、消极与积极感受并存、个人收获与成长。结论客观结构化临床考试新颖、客观、全面,且环境真实,能提升护生综合能力,但其可行性仍需改进,需重视科学设置站点和同质化培训标准化患者、优化带教管理模式,以促进客观结构化临床考试开展。展开更多
经外周置入中心静脉导管(peripherally insert⁃ed central catheter,PICC)指由外周静脉(贵要静脉、肘正中静脉、头静脉)穿刺插管,沿血管走向,导管尖端送至上腔静脉的导管[1],近年已被广泛应于临床。然而,PICC置管仍属于有创操作,不可避...经外周置入中心静脉导管(peripherally insert⁃ed central catheter,PICC)指由外周静脉(贵要静脉、肘正中静脉、头静脉)穿刺插管,沿血管走向,导管尖端送至上腔静脉的导管[1],近年已被广泛应于临床。然而,PICC置管仍属于有创操作,不可避免地存在诸多并发症,其中置管后穿刺点渗血是最常见的并发症之一,如不及时处理或处理不当会造成感染、导管滑脱等风险[2]。近年来,国内外开始尝试开展隧道式PICC置管技术,导管经穿刺下方潜行2~4 cm距离后进入目标血管。展开更多
目的:探究ISD模型指导下医联体基层医院护士急救能力同质化培训对护士急救技能和应急能力的影响。方法:选取丽水市人民医院两家医联体分院的46名护士作为研究对象,成立急救技能培训管理小组,进行ISD模型指导下医联体基层医院护士急救能...目的:探究ISD模型指导下医联体基层医院护士急救能力同质化培训对护士急救技能和应急能力的影响。方法:选取丽水市人民医院两家医联体分院的46名护士作为研究对象,成立急救技能培训管理小组,进行ISD模型指导下医联体基层医院护士急救能力同质化培训的设计与实施。比较培训前后医联体基层医院护士的急救技能、一般自我效能感量表(GSES)、护理培训满意度。结果:培训后基础理论知识和综合能力各项评分明显高于培训前(P Objective: To explore the impact of homogenized training of nurses’ first-aid capacity on nurses’ first-aid skills and emergency capabilities in primary hospitals under the guidance of ISD model in medical consortia. Method: 46 nurses from two medical consortium branches of Lishui People’s Hospital were selected as research subjects, and an emergency skills training management group was established to design and implement the homogenized first-aid skills training for nurses in primary hospitals of the medical consortium guided by the ISD model. First-aid skills, General Self-Efficacy Scale (GSES), and nursing training satisfaction of nurses in primary hospitals of medical consortia were compared before and after training. Result: The scores of basic theoretical knowledge and comprehensive ability after training were significantly higher than those before training (P < 0.005). The scores of emergency handling skills, professional knowledge, cooperation ability and psychological quality after training were significantly higher than those before training (P < 0.001). The GSES score after training was significantly higher than that before training (P < 0.001). After training (under the guidance of ISD model), training time arrangement, training course content, training teachers, training materials and training harvest scores were significantly higher than those before training (P < 0.001). Conclusion: Under the guidance of the ISD model, the homogenization training of nurses’ first-aid skills in primary hospitals of medical consortia can significantly improve their first-aid skills and emergency capabilities and effectively enhance their self-efficacy and nursing training satisfaction.展开更多
近年来,随着恶性肿瘤发病率的提高,需要长期化疗的患者在不断增加。作为肿瘤患者长期化疗的最佳静脉通路,经外周静脉置入中心静脉导管(peripherally inserted central catheters,PICC)并带管治疗的患者亦在不断增加。PICC导管留置时间...近年来,随着恶性肿瘤发病率的提高,需要长期化疗的患者在不断增加。作为肿瘤患者长期化疗的最佳静脉通路,经外周静脉置入中心静脉导管(peripherally inserted central catheters,PICC)并带管治疗的患者亦在不断增加。PICC导管留置时间可长达一年[1],在给患者带来方便的同时,也对带管期间的导管维护提出了更高的要求。部分需要在未开展PICC技术的基层医院进行导管维护的患者,治疗期间PICC并发症发生率高达13.73%[2],导致PICC导管的留置时间减少,难以达到预期的治疗目的和效果[3]。展开更多
文摘目的系统评价护生参与客观结构化临床考试的真实体验和感受,为护理教学改革提供参考。方法检索中国知网、维普资讯中文期刊服务平台、万方数据知识服务平台、PubMed、Web of Science、Embase、Scopus等数据库中关于护生参与客观结构化临床考试的质性研究,检索时限为建库至2023年2月3日。经质量评价后,采取Meta整合方法对文献结果进行归纳与分析。结果共纳入9篇文献,提炼出43个研究结果,归纳出9个新类别,得到3个整合结果,分别为影响表现的因素、消极与积极感受并存、个人收获与成长。结论客观结构化临床考试新颖、客观、全面,且环境真实,能提升护生综合能力,但其可行性仍需改进,需重视科学设置站点和同质化培训标准化患者、优化带教管理模式,以促进客观结构化临床考试开展。
文摘经外周置入中心静脉导管(peripherally insert⁃ed central catheter,PICC)指由外周静脉(贵要静脉、肘正中静脉、头静脉)穿刺插管,沿血管走向,导管尖端送至上腔静脉的导管[1],近年已被广泛应于临床。然而,PICC置管仍属于有创操作,不可避免地存在诸多并发症,其中置管后穿刺点渗血是最常见的并发症之一,如不及时处理或处理不当会造成感染、导管滑脱等风险[2]。近年来,国内外开始尝试开展隧道式PICC置管技术,导管经穿刺下方潜行2~4 cm距离后进入目标血管。
文摘目的:探究ISD模型指导下医联体基层医院护士急救能力同质化培训对护士急救技能和应急能力的影响。方法:选取丽水市人民医院两家医联体分院的46名护士作为研究对象,成立急救技能培训管理小组,进行ISD模型指导下医联体基层医院护士急救能力同质化培训的设计与实施。比较培训前后医联体基层医院护士的急救技能、一般自我效能感量表(GSES)、护理培训满意度。结果:培训后基础理论知识和综合能力各项评分明显高于培训前(P Objective: To explore the impact of homogenized training of nurses’ first-aid capacity on nurses’ first-aid skills and emergency capabilities in primary hospitals under the guidance of ISD model in medical consortia. Method: 46 nurses from two medical consortium branches of Lishui People’s Hospital were selected as research subjects, and an emergency skills training management group was established to design and implement the homogenized first-aid skills training for nurses in primary hospitals of the medical consortium guided by the ISD model. First-aid skills, General Self-Efficacy Scale (GSES), and nursing training satisfaction of nurses in primary hospitals of medical consortia were compared before and after training. Result: The scores of basic theoretical knowledge and comprehensive ability after training were significantly higher than those before training (P < 0.005). The scores of emergency handling skills, professional knowledge, cooperation ability and psychological quality after training were significantly higher than those before training (P < 0.001). The GSES score after training was significantly higher than that before training (P < 0.001). After training (under the guidance of ISD model), training time arrangement, training course content, training teachers, training materials and training harvest scores were significantly higher than those before training (P < 0.001). Conclusion: Under the guidance of the ISD model, the homogenization training of nurses’ first-aid skills in primary hospitals of medical consortia can significantly improve their first-aid skills and emergency capabilities and effectively enhance their self-efficacy and nursing training satisfaction.
文摘近年来,随着恶性肿瘤发病率的提高,需要长期化疗的患者在不断增加。作为肿瘤患者长期化疗的最佳静脉通路,经外周静脉置入中心静脉导管(peripherally inserted central catheters,PICC)并带管治疗的患者亦在不断增加。PICC导管留置时间可长达一年[1],在给患者带来方便的同时,也对带管期间的导管维护提出了更高的要求。部分需要在未开展PICC技术的基层医院进行导管维护的患者,治疗期间PICC并发症发生率高达13.73%[2],导致PICC导管的留置时间减少,难以达到预期的治疗目的和效果[3]。
