Transforming education:Developing a practice-ready workforce

The well-known question,why do people keep doing the same thing but expect a different result,applies to nursing education.Healthcare delivery systems are in constant evolution yet much of nursing education operates with traditional teaching approaches expecting to produce graduates suitable for rapidly changing healthcare delivery systems.Nursing is a practice-based discipline with its own body of knowledge situated within the context of dy-namic nursing practice.It is the responsibility of nursing academia to prepare graduates suitable for practice.If we are to change prac-tice,we must rethink education.The impact and interruptions of the global COVID-19 pandemic gave rise to questions on best prac-tices to guide nursing education into the future.

Association of spiritual well-being with quality of life among undergraduate nursing students

Objective:The study was conducted with the aim of determining the spiritual well-being(SWB)of nursing students and its association with quality of life(QOL).Materials and Methods:A cross-sectional analytical study was conducted with a sample size of 504 nursing students collected from January 2023 to March 2023 in the nursing institutes of Khyber Pakhtunkhwa,Pakistan,using convenient sampling techniques.A Spiritual Health and Life-Orientation Measure(SHALOM)questionnaire for SWB and K-27 QOL(K-27 QOL)instrument were used for data collection that contains three parts.Results:The number of female participants was in the majority(50.4%)compared to male nurses(49.6%).The overall mean score of SWB of the students was 3.79±0.48,while the mean K-27 QOL score was 3.73±0.57.There were significant differences between the groups of gender(P=0.001),while no significant difference within the groups of semester(P=0.061)and college status(0.285).In QOL,there were significant differences within the groups of semester(P=0.000)and college status(P=0.036)while no significant difference in gender category(P=0.480).SHALOM score is positively and moderately correlated with QOL score(r=0.597,P<0.05).Conclusion:Spiritual practices are one of the important factors that are associated positively with QOL,therefore to enhance the QOL,it will require spiritual practices.

基于E-Learning的混合式见习在精神科护理学中的探索与应用

目的探讨基于E-Learning的混合式见习在精神科护理学中的应用效果。方法采用便利抽样法,将在山东省某医院见习的2019级120名护理本科生和2020级154名护理本科生分别纳入对照组和研究组。对照组采用常规精神病医院见习,研究组采用基于E-Learning的精神科护理混合式见习。教学评价包括护生满意度评价、小组访谈结果及成绩考核。结果研究组中95.9%的护生对该教学模式表示满意和认可。研究组护生的精神科护理学平时成绩及期末成绩均显著高于对照组(P<0.05)。结论基于E-Learning的精神科护理混合式见习有助于提升护生的学习成绩和自主学习能力,有助于减轻其对精神病患者的恐惧感,提高护生的认可度和支持度。

VR技术结合高龄体验法在低年资护士老年护理临床教学中的应用研究

目的 探讨VR技术结合高龄体验法在低年资护士老年护理临床教学中的教学效果。方法 采用目的抽样选取江西省某三级甲等综合医院工作5年以下的60位低年资护士为研究对象,按随机数字表法分为对照组和试验组,对照组采用常规传统课堂与操作示教教学,试验组在对照组的基础上,采用VR技术结合高龄体验法进行教学,干预时间为3个月,比较两组低年资护士的理论知识与操作技能成绩、人文关怀能力和共情能力的差异。结果 两组护士干预后的理论知识与操作技能成绩、人文关怀能力、共情能力评分比较,试验组均优于对照组,差异有统计学意义(P<0.05)。结论 VR技术结合高龄体验法应用在低年资护士老年护理临床教学中,有助于提高护士的老年护理理论知识与操作技能水平,提升人文关怀能力和共情能力,教学效果良好,值得推广。

Translation and psychometric validation of the Korean version of the academic nurse self-efficacy scale for Korean bachelor-level nursing students

Objective:This study aimed to translate the Academic Nurse Self-Efficacy scale(ANSE),assess its appropriateness for use in Korean nursing students,and evaluate the Korean Version of the Academic Nurse Self-Efficacy scale’s(K-ANSE)validity and reliability.Methods:The data of 444 nursing college students at 10 universities across the country were collected from November 1,2020 to June 8,2021.The K-ANSE was analyzed utilizing SPSS 25.0 and AMOS 25.0 programs.The K-ANSE’s content validity,construct validity,convergent/discriminant validity,criterion-related validity,and reliability were evaluated.Results:Internal emotion management,auto-regulatory behavior,external emotion management,and sociality were established.The Cronbach’sαfor the overall scale was 0.87,and that of the 4 subscales ranged from 0.70 to 0.89.Conclusions:The Korean version of the ANSE seems to be a valid and reliable instrument to measure Korean bachelor-level nursing students.

基于“Felder-Silverman学习风格”模型的康复护理学教学效果研究

康复护理学是康复医学的重要组成部分。随着目前“elearnig”、大型在线开放课程教学(massive open online courses,MOOCs)、专属在线课程(small private online course,SPOC)等多种网络及移动教学方式的发展,传统面授课的教学模式已被打破,在线网络资源学习与面授课相结合的混合式教学方式是本科教育的必然发展趋势[1-4],中山大学的康复护理学教学在此方面积极进行教学改革。

Nursing student volunteers and their level of involvement during the COVID-19 pandemic:a systematic review

Objective:Many strategic efforts were made to address nurses'shortage in controlling Coronavirus disease 2019(COVID-19),including recruiting student health volunteers.This review aimed to explore the contribution and involvement of nursing student volunteers during COVID-19.Methods:A systematic review was registered in PROSPERO International CRD42021283069.Electronic databases for ar ticle search included:SCOPUS,EBSCO MEDLINE,Pub Med,Pro Quest,Springer,Sage Pub,and hand searching.The critical appraisal study quality using The Joanna Briggs Institutes.Data extraction and synthesis used Population,Intervention,Comparison,Outcome,and Design(PICO and D)framework with thematic analysis.Results:Twelve studies were enrolled from 2545 retrieved,with 4 synthesized themes:(1)determinant of the involvement of nursing student volunteers during COVID-19,which includes 3 subthemes:motivations,perception,and barriers,(2)expectations and actual condition of nursing students as volunteers,(3)the need for nursing student volunteers,and(4)the impact and level of student volunteers'contribution.All student volunteers contribute to providing direct or indirect services to patients.Conclusions:This review provides an overview of nursing student volunteers'needs useful in developing competency frameworks and the role of culturally sensitive volunteers in education and training.In the future,student volunteers could choose the appropriate volunteer program and location according to their competence.

Preceptors'experiences in guiding nursing students to use research findings and to implement evidence-based practice

Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly.This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings.Methods:This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan,Indonesia.Semi-structured in-depth interviews were recorded and then transcribed verbatim.Results:Three themes were generated during the analysis:“types of student supervision,”“issues during supervision,”and“the need for research literacy and supervision.”Conclusions:Nurse preceptors need support to supervise the nursing students to use research findings.In addition to upgrading nursing skills,nurse preceptors must receive training in research and its utilization.Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.

基于Miller金字塔能力模型的渐进式教学方案在外科护理实习中的应用

目的:探讨基于Miller金字塔能力模型的渐进式教学方案在外科护理实习生中的应用,为提升护理实习生综合素质能力提供一定的参考依据。方法:2022年10月~2023年6月,以在德阳市人民医院外科进行实习轮转的64名护理实习生作为研究对象,将护理实习生的实习名单进行排序,采取随机数字表的方法抽取单号为实验组,双号为对照组,实验组和对照组各32名。对照组采取传统常规式的教学工作,实验组采用基于Miller金字塔能力模型的渐进式教学方案,比较两组护理实习生岗位胜任力、专业知识能力和临床操作得分的情况。结果:在实施干预后,实验组护理实习生岗位胜任力、专业知识及操作得分均显著高于对照组护理实习生,差异具有统计学意义(P<0.05)。结论:基于Miller金字塔能力模型的渐进式教学方案能够提升外科护理实习生的岗位胜任力、专业知识及操作得分,值得推广应用。

基于NoteExpress文献计量法对我国高仿真模拟人在护理教学领域的研究现状分析

目的 探讨基于NoteExpress文献计量法对我国高仿真模拟人在护理领域的研究现状。方法 利用NoteExpress软件的在线检索功能,分别利用中国知网(CNKI)、超星期刊、万方数据、中文期刊服务平台-维普资讯对中国作者发表的中英文文献进行检索,发表时间为2011至2021年,使用Excel建立数据库,对文献类型、年份、标题、作者、关键词、来源等进行文献计量学分析。结果 截至2021年12月,共纳入符合题目的文献161篇,其中英文文献23篇。研究的高频关键词有:高仿真模拟人、护理、心肺复苏、模拟教学、护理教育、仿真、实验教学、护生、高仿真模拟教学、内科护理学等。2014年为发文量高峰年,并形成了核心作者研究团队,主要来自苏州卫生职业技术学院护理学院和南京中医药大学护理学院。结论 高仿真模拟人在我国护理教学领域研究范围广泛,已获得一定教学成效;选择信效度高的教学质量测评工具、打造护理各课程综合实训项目评价体系、提高护生参与意愿、减少不利于教学的影响因素以及加强教师课程管理是今后进一步努力研究的方向。

Culturally competent care across borders: Implementing culturally responsive teaching for nurses in diverse workforces

The migration of healthcare professionals,including nurses,is a global phenomenon.It is driven by various factors,including the pursuit of better opportunities,living conditions,and professional development,as well as political instability or conflict in their home countries.The World Health Organization(WHO)has noted that high-income countries often rely on foreign-trained nurses to fill gaps in their healthcare systems[1].For instance,as of 2021,over 40%(52 million)of all nurses in the United States(US)were expatriates[2].In the United Kingdom(UK),the percentage of expatriate nurses was even higher,reaching approximately 18%in 2021[3].Owing to globalization and migration,healthcare providers must possess cultural competence to deliver improved care[4,5].Culturally responsive teaching(CRT)is rooted in the idea that culture plays a vital role in shaping people’s behaviors,beliefs,values,and communication styles[6].Furthermore,these cultural factors influence patients’perspectives on health,illness,healing,and their preferences for care and communication[7].By recognizing and embracing these cultural differences,nurses can provide more effective and compassionate care to their diverse patient population[8].

“PBL-Seminar”教学法在护理本科教学中的应用

目的探索＂PBL-Seminar＂教学法在护理本科教学中的应用。方法选择2012年7月-2013年4月护理本科生54人为对照组,采用传统教学法带教,2013年7月-2014年4月来我院实习的护理本科生52人为试验组,采用＂PBL-Seminar＂教学法带教,比较两组带教效果。结果患者满意度明显提高,护生操作合格率及综合考评平均分与对照组比较p〈0.5,有统计学意义。结论 ＂PBL-Seminar＂教学法能有效提高护理本科生的实习效果,提高护理本科生的教学质量。

CICARE沟通模式联合情景教学在新护士规范化培训中的应用

目的:探讨CICARE沟通模式联合情景教学在新护士规范化培训中的应用效果。方法:对89名参加规范化培训的新护士采用CICARE沟通模式联合情景教学的培训方案进行教学,比较培训前后89名新护士的临床沟通能力,并在结课后收集新护士对教学的评价。结果:培训后,新护士的临床沟通能力中团队沟通能力、困难情景沟通能力及情感感知能力等维度得分明显高于培训前(P<0.001);92.13%的新护士表示通过培训有助于沟通技巧的提高,91.01%的新护士表示有助于临床适应能力的提高,93.26%的新护士希望继续采用该教学模式。结论:使用CICARE沟通模式联合情景教学进行培训,有效地提升了新护士的沟通能力,教学满意度较高。

Peer-tutoring理论及其在护理教学中应用的意义

Peer-tutoring作为一种辅助性教学方法,是同学之间的相互帮助学习,学生承担教与学的责任。护理教学中应用Peer-tutoring,对护生认知获得、促进交流、提高自信以及社会支持方面非常有益。

混合式“D-P-C”教学模式在急诊护理实习生带教中的应用

目的:探讨混合式“D-P-C”教学模式对急诊护理实习生教学的应用效果。方法:选取急诊科2021-2022学年度61名护理实习生为对照组,采用传统教学模式;选取2022-2023学年度48名护理实习生为试验组,实施混合式“D-P-C”教学模式。比较出科理论成绩、操作技能成绩、出科综合成绩及对教学的总满意度。结果:试验组出科理论成绩,操作技能成绩、出科综合成绩及对教学的总满意度均高于对照组(P<0.05)。结论:混合式“D-P-C”教学模式可以提高急诊护理实习生教学质量和满意度。

Applications of time series analysis in epidemiology: Literature review and our experience during COVID-19 pandemic

Time series analysis is a valuable tool in epidemiology that complements the classical epidemiological models in two different ways:Prediction and forecast.Prediction is related to explaining past and current data based on various internal and external influences that may or may not have a causative role.Forecasting is an exploration of the possible future values based on the predictive ability of the model and hypothesized future values of the external and/or internal influences.The time series analysis approach has the advantage of being easier to use(in the cases of more straightforward and linear models such as Auto-Regressive Integrated Moving Average).Still,it is limited in forecasting time,unlike the classical models such as Susceptible-Exposed-Infectious-Removed.Its applicability in forecasting comes from its better accuracy for short-term prediction.In its basic form,it does not assume much theoretical knowledge of the mechanisms of spreading and mutating pathogens or the reaction of people and regulatory structures(governments,companies,etc.).Instead,it estimates from the data directly.Its predictive ability allows testing hypotheses for different factors that positively or negatively contribute to the pandemic spread;be it school closures,emerging variants,etc.It can be used in mortality or hospital risk estimation from new cases,seroprevalence studies,assessing properties of emerging variants,and estimating excess mortality and its relationship with a pandemic.

结核专科医院老年急诊病人247例分析

目的了解结核专科医院老年急诊病人的临床特点,提高对老年肺结核病的防治能力。方法选取我院急诊观察室2005年1月～2007年12月收治的老年患者临床资料进行回顾性分析。结果结核专科医院老年急诊病人的临床特点为:①男性患者多于女性,男女比例约为4:1。②多数患者有肺结核病史,且病史迁延较长,27.13%患者为不规则抗结核治疗。③急诊以咳嗽、咯痰、气促、咯血等呼吸道症状为主,症状持续时间较长。④基础病或合并症涉及呼吸、心血管、内分泌等多个系统。⑤外院转入病例占一定比例。结论老年肺结核病症状隐匿、不典型,接诊医师对可疑病人要提高警惕,及时作相关检查,及早发现病人。结核专科医院在加强肺结核病防治的同时也要加强急诊科建设,向全科医师方面发展。

Mediating effect of e-learning quality on learning outcomes through student satisfaction in nursing education

Objective:This study aimed to determine the relationships between e-learning quality,student satisfaction,and learning outcomes and the mediating effect of student satisfaction.Methods:A cross-sectional quantitative correlational study using a predictive design and multivariate analysis method was employed in this study.A sample of 241 nursing students were recruited through an online survey based on a stratified random sampling technique.The variance-based Par tial Least Squares Structural Modeling analysis method was used to test the possible relationship and mediating effect among the variables.Results:The findings revealed statistical y significant relationships between e-learning quality,student satisfaction,and learning outcomes.A mediating effect of 37.2%is predicted for e-learning quality on learning outcomes through student satisfaction.Conclusions:This study emphasizes the learning needs of working nurses and the impact on their learning outcomes in e-learning nursing undergraduate programs.Advances in e-learning education have assisted nurses to be more self-sufficient in their pursuit of lifelong learning.

Chinese nursing postgraduates'views on implementing outcome-oriented academic English course:a descriptive study

Background:According to previous studies on professional English course teaching,the evaluation of course teaching was positive,but the vast majorities focus on medical English literature reading,professional English vocabulary,and professional English translation.As an alternative,the course design based on academic learning needs under the outcome-oriented education/model emphasizes the improvement of students'comprehensive ability in oral expression,literature reading,writing,and academic communication.Objectives:The objective of this study was to analyze nursing postgraduates'opinions on learning the outcome-oriented academic English course.Methods:This is a cross-sectional descriptive study.A total of 150 first-year nursing postgraduates enrolled in the“Academic Professional English for Nursing Postgraduates”course.After completing the course learning,students scanned QR codes generated by the online questionnaire and completed it anonymously within 48 h.Results:The students who participated in this course strongly believed that it“helped them strengthen their English speakability”(4.8 points),“made them more confident to participate in international academic conferences and exchanges in the future”(4.8 points),and“helped them apply English more in the nursing professional field in the future”(4.7 points).Conclusions:The implementation of outcome-oriented course teaching helps students to understand the research of foreign scholars and effectively express their own research content with English as a tool.It motivates them to continuously use English for professional and academic communication.

混合教学法在护理专业英语中的教改实践——以通过NCLEX-RN考试为任务导向

目的:探讨以通过美国注册护士考试(NCLEX-RN)为导向,以混合教学法(Blended learning)为方法的护理英语教学改革实践。方法:以某校中外合办护理专业2019级92名学生为教改研究对象,根据班级将学生分为两组。实验组:混合式教学法(一班46人,9名男生)。对照组:传统授课教学法(二班46人,8名男生)。教学完成后,采用课程评价调查问卷对两组学生进行调查,并通过期末考试成绩进行教学效果评价。在护理英语教学中采用基于混合教学法,以学生通过美国注册护士考试作为教学任务导向进行干预,干预前后选用课程评价调查问卷、护生自主学习能力量表、期末考试成绩进行效果评价结果:问卷调查结果显示,实验组学生对混合式教学法满意度较高,课程干预后,89%本科护生比较喜爱混合式学习,86%实验组学生认为混合式学习对理解课程有帮助;实验组学生的自主学习能力显著提高(均P <0.01);接受混合式学习课程的一班本科护生期末考试成绩高于常规课堂学习的二班本科护生(P <0.05)。结论:基于任务导向和混合教学法的护理专业英语教学是适应时代特色的新的教学模式,能够极大提高学生英语学习的兴趣与专业英语的运用能力。