A Study on the Work Process-Based Practical Training Model for Basic Nursing Skills in Vocational Colleges

Objective:To explore and analyze the work process-based practical training teaching model for basic nursing skills in vocational colleges and its implementation effects.Methods:A total of 82 nursing students from our school were selected for the study,which was conducted from April 2023 to April 2024.Using a random number table method,the students were divided into an observation group and a control group,each with 41 students.The control group received conventional practical training teaching,while the observation group followed the work process-based practical training model for basic nursing skills.The assessment scores and teaching satisfaction of the two groups were compared.Results:The comparison of assessment scores showed that the observation group performed significantly better than the control group(P<0.05).The comparison of teaching satisfaction also indicated that the observation group had significantly higher satisfaction than the control group(P<0.05).Conclusion:The work process-based practical training teaching model for basic nursing skills in vocational colleges can improve students’assessment scores and enhance teaching satisfaction,demonstrating its value for wider application.

Is There an Improvement in Patient Survival/Code Blue Activation after Training Based on Simulation (Basic Life Support—BLS) Based Practice of Cardiopulmonary Resuscitation?

Background and Aim: The only way to survive a sudden cardiac arrest is when the CPR is performed immediately after the arrest. The focus of the present research study is to assess the effectiveness of a pre- and post-simulation-based BLS training (BLS) and the outcome was measured on the basis of patient survival after the cardiac arrest. Study Design: This pre- and post-training BLS/CPR training study enrolled all nursing staff, all hospital residents, internees, throughout the hospital in a simulation-based BLS training as per the standards of American Heart Association (AHA), to make them respond to immediate resuscitation and code blue activation during the cardiac arrest within the hospital premises including ED, wards, ICUs, MRI, CT and all miscellaneous areas. The providers completed self-efficacy questionnaires as per the AHA protocol before being certified and were evaluated during the emergency in hospital cardiopulmonary arrest. Results: 296 nursing staff, 206 non-healthcare professionals, 143 residents, 212 internees, and 98 medical staff grade doctors completed the BLS training (total 955 hospital staff—providers) were graded for the response by pre- and post-training testing. In the course of pre-BLS training period out of the 250 cardiac arrest patients, 68 patients (27.2%) had ROSC, while after instituting the BLS training period, 143 individuals (40.86%) of the 350 patients who had cardiac arrest had ROSC (p < 0.05). Conclusion: A simulation-based CPR and BLS training curriculum greatly improves patient outcome by reducing mortality and morbidity with improved subjectivity, self-efficiency along with the objective assessment of the performance scores during acute cardiac arrest in Emergency Cardiovascular Care (ECC).

Training of Laic Blind Subjects to Basic Life Support Manoeuvres

Heart attack is an extremely urgent medical condition which may occur at any time and can affect anybody and means the failure of the pump function of the heart and it represents the condition which brings to death. The aim of this study is the training, which is the acquisition of knowledge, abilities and skills as a result of education and practice in a certain discipline and this project has been created to make as accessible to all as possible the information about the identification and treatment of heart attack. However, the key objective has been involving only laic blind subjects in the trial and theoretical-practical course to support vital functions （BLS （basic life support））, to demonstrate that in a state of emergency, like a heart attack, even a subject affected by visual impairment, if properly trained, can be very helpful and can contribute to save a life. Fifteen partially sighted and sightless executors have participated in this study. In order to evaluate learning objectives of the course, participants have completed a pre-course test to examine these areas： cognitive and emotional, motivational, theoretical-practical; while, at the end of the course, participants have completed a comment card about the course. At the end of this study it can be seen that blind subjects do not present any type of limitation in the learning and in the execution of BLS manoeuvres after an appropriate training.

Successful Convening of 2023 Detergent Basic Knowledge and Formula Technology Training

“2023 Detergent Basic Knowledge and Formula Technology Training(Session I)”was successfully held in China Research Institute of Daily Chemical Industry between April 10th and April 14th,2023.This event was hosted by China Research Institute of Daily Chemical Industry and organized by China Information Center of Daily Chemical Industry.A total of nearly 40 participants joined in the training who came from 29 relevant sectors across China.

Reflections on Basic Skill Training in Piano Teaching

By analyzing several effective finger practices, it is possible to consolidate the basic skills to help students adjust and establish a good touch mode. This is an important pre-requisite for pursuing strength and speed during playing. The training method can be targeted to solve some common problems, and guide students to consciously feel the touch and the change of tone, listening with ears, controlling with fingers to achieve solid and soft balanced unity.

Short lessons in basic life support improve self-assurance in performing cardiopulmonary resuscitation

BACKGROUND:There are several reasons why resuscitation measures may lead to inferior results:difficulties in team building,delayed realization of the emergency and interruption of chest compression.This study investigated the outcome of a new form of in-hospital cardiopulmonary resuscitation(CPR) training with special focus on changes in self-assurance of potential helpers when faced with emergency situations.METHODS:Following a 12-month period of CPR training,questionnaires were distributed to participants and non-participants.Those non-participants who intended to undergo the training at a later date served as control group.RESULTS:The study showed that participants experienced a significant improvement in selfassurance,compared with their remembered self-assurance before the training.Their self-assurance also was significantly greater than that of the control group of non-participants.CONCLUSION:Short lessons in CPR have an impact on the self-assurance of medical and non-medical personnel.

“多学科教-研-赛融合”体系建设促进基础医学拔尖学生个性化培养初探

在新时代教育思想指导下,培养具有创新精神和实践能力的基础学科拔尖人才是高等教育强国建设的重大战略任务。自2009年教育部启动“基础学科拔尖学生培养试验计划”十年后,“拔尖计划”2.0应运而生,并对拔尖人才的选拔机制、培养模式提出更高的要求。本文对我校基础医学拔尖学生的个性化培养开展“多学科教-研-赛融合”的体系建设,取得不错的效果。

Availability of basic life support courses for the general populations in India, Nigeria and the United Kingdom: An internet-based analysis

BACKGROUND:The number of lay people willing to attempt cardiopulmonary resuscitation(CPR)in real life is increased by effective education in basic life support(BLS).However,little is known about access of general public to BLS training across the globe.This study aimed to investigate availability and key features of BLS courses proposed for lay people in India,Nigeria and the United Kingdom(UK).METHODS:A Google search was done in December 2018,using English keywords relevant for community resuscitation training.Ongoing courses addressing BLS and suitable for any adult layperson were included in the analysis.On-site training courses were limited to those provided within the country's territory.RESULTS:A total of 53,29 and 208 eligible courses were found for India,Nigeria and the UK,respectively.In the UK,the number of courses per 10 million population(31.5)is 79 and 21 times higher than that in India(0.4)and Nigeria(1.5).Course geography is limited to 28%states and one union territory in India,30%states and the Federal Capital Territory in Nigeria.In the UK,the training is offered in all constituent countries,with the highest prevalence in England.Courses are predominantly classroom-based,highly variable in duration,group size and instructors'qualifications.For India and Nigeria,mean cost of participation is exceeding the monthly minimum wage.CONCLUSION:In contrast to the UK,the availability and accessibility of BLS courses are critically limited in India and Nigeria,necessitating immediate interventions to optimize community CPR training and improve bystander CPR rates.

Numerical investigation on the aerodynamic characteristics of high-speed train under turbulent crosswind

Increasing velocity combined with decreasing mass of modern highspeed trains poses a question about the influence of strong crosswinds on its aerodynamics. Strong crosswinds may affect the running stability of high speed trains via the amplified aerodynamic forces and moments. In this study, a simulation of turbulent crosswind flows over the leading and end cars of ICE2 highspeed train was performed at different yaw angles in static and moving ground case scenarios. Since the train aerodynamic problems are closely associated with the flows occurring around train, the flow around the train was considered as incompressible and was obtained by solving the incom pressible form of the unsteady Reynoldsaveraged Navier Stokes （RANS） equations combined with the realizable kepsilon turbulence model. Important aerodynamic coef ficients such as the side force and rolling moment coeffi cients were calculated for yaw angles ranging from 30° to 60° and compared with the results obtained from wind tunnel test. The dependence of the flow structure on yaw angle was also presented. The nature of the flow field and its structure depicted by contours of velocity magnitude and streamline patterns along the train＇s crosssection were presented for different yaw angles. In addition, the pressure coefficient around the circumference of the train at dif ferent locations along its length was computed for yaw angles of 30° and 60°, The computed aerodynamic coef ficient outcomes using the realizable kepsilon turbulencemodel were in good agreement with the wind tunnel data. Both the side force coefficient and rolling moment coeffi cients increase steadily with yaw angle till about 50° before starting to exhibit an asymptotic behavior. Contours of velocity magnitude were also computed at different cross sections of the train along its length for different yaw angles. The result showed that magnitude of rotating vortex in the lee ward side increased with increasing yaw angle, which leads to the creation of a lowpressure region in the lee ward side of the train causing high side force and roll moment. Generally, this study shows that unsteady CFD RANS methods combined with an appropriate turbulence model can present an important means of assessing the crucial aerodynamic forces and moments of a highspeed train under strong crosswind conditions.

Nurse Mentor Training Program to Improve Quality of Maternal and Newborn Care at Primary Health Centres: Process Evaluation

Quality of maternal and newborn care could be improved if health care providers’ knowledge and competencies as well as system level constraints are addressed. However, due to several barriers staff nurses who form the frontline of health care workforce have limited access to enhancing their clinical knowledge and competencies. To address this gap, a new cadre of nurse mentors (NMs) for the public health system were trained by specialists from a teaching hospital in a special 5-week training course. This included 54 hours of theory and 110 hours of practical in clinical obstetric and newborn care, apart from mentoring, quality improvement and health systems issues. The nurse mentors were assigned to support staff nurses in the primary health care centres (PHCs) in eight northern Karnataka districts. Each NM covered 6-8 PHCs monthly for 2 - 3 days and thus a total of 385 PHCs were reached. They received support in the field through supportive supervision visits done by the specialists who had trained them, as well as by refresher training and clinical postings to the district hospitals. This paper presents impact of the training program on change in immediate and long term knowledge and competency scores of nurse mentors. Their baseline knowledge scores changed from 44.3 ± 12.7 to 72.1 ± 13.8 immediately after the training in obstetric and from 18.2 ± 19.1 to 66.4 ± 14.9 in newborn (p p p > 0.05). Skills score soon after training increased from 62.2 ± 13.2 to 69.6 ± 12.5 in obstetric after a 1 year period and from 52.6 ± 9.3;63.5 ± 14.4 in newborn (p < 0.001) content areas respectively. These findings have implications for those interested in improving quality of maternal and child care through nurse-dependent health delivery systems.

Research on the Features of Combat Training

Combat training is a necessary requirement under the new situation to expand our military missions and tasks. For this principle of the requirements, it must not be mechanically rigid to be understood and implemented, we need to seriously understand and grasp the essence of the meaning. Overall, the primitive nature of the combat training, including realistic, confrontational, diversity and experimental features, can answer the question of what combat training is, why and how to do the fundamental issues from different angles, and explain the nature of the characteristics of combat training from general and universal of angle.

计算机技术在钢-混凝土组合梁设计中的应用

简要地介绍了我们编制的钢 混凝土组合梁设计计算程序。该程序采用VisualBasic 6.0作为编程语言 ,以《钢结构设计规范》(GBJ1 7— 88)和电力行业标准《钢 混凝土组合结构设计规程》(DL/T5 0 85— 1 999)为依据 ,引入折减刚度法等组合梁研究最新成果 ,可以代替组合梁设计中繁琐的手工计算 ,方便了钢 混凝土组合梁的设计和工程应用 。

应用VB实现AGA8-92DC气体压缩因子计算方法

天然气压缩因子在天然气工程计算中具有重要的地位,其计算方法有多种,其中就包括由美国燃气协会提出的基于气体组成来计算压缩因子的AGA8-92DC方程。根据GB/T 17747.2-2011标准所给出的AGA8-92DC方法计算过程,用Visual Basic6.0 program编写了计算程序。为了验证程序的正确性,分别将程序计算值与GB/T 17747.2标准提供的计算值和含碳贫气气样实测值进行了对比,且获得了较小的计算误差。由计算值与实测值的对比结果可知,通过Visual Basic6.0 program所编写的AGA8-92DC方法计算程序而得到的计算结果能够满足工程上的要求;对于中高压含碳贫气,AGA8-92DC方法具有较高的计算准确度;当气体温度升高时,AGA8-92DC方法的计算误差将有所减小。

Visual Basic编程语言用于热电厂在线监测与资源共享

采用先进的 893-网络智能分布式数据采集器ID CB ,成功地解决了困扰工厂多年的模拟量毫伏电压信号干扰问题 ;以Windows98为操作系统、VisualBasic 6 0为编程语言 ,编制了软件Heatwork .Vbp ;在“奔腾”5 86工业控制机上运行 。

我国U-17男子少年足球队基本技术训练水平评价方法

运用文献资料研究、专家访问、问卷调查、合成鉴标、逻辑分析和数理统计分析等方法 ,确定了 U- 17男子少年足球队基本技术训练水平测试指标权重及标准百分 ,并制定出测试指标的单项及综合评价标准 ,以及发展均衡程度评价标准。结果表明 ,本文选用的 5项测试指标具有较好的信度和效度 ,所研制的这套评价方法使用简便易行 ,可以在一定范围和时期内进行推广。

基于岗位胜任力的基层应用型护理人才校-院-社区协同培养体系构建与实践的构想

本文初步探讨了基于岗位胜任力的基层应用型护理人才校-院-社区协同培养体系构建与实践,其重点是运用岗位胜任力相关理论,提出基层护理岗位胜任力模型,分析基层护理岗位胜任力,解决基层护理岗位胜任力内涵界定不统一、不系统问题,创新校-院-社区协同培养机制,重构基层应用型护理人才培养体系,在实践中培养符合基层护理服务需要的护理人才,提高基层护理人员能力和素质,从而提高基层护理服务水平。

麻醉住院医师麻醉与疼痛学基础知识培训的必要性-麻醉专业住院医师临床考核结果分析与思考

目的探讨近两年麻醉专业住院医师临床技能考核中存在的问题,为今后培训计划的制定和完善提出建议。方法分析2012年度和2013年度第一阶段培训住院医师临床技能考核的结果。以得分率(实际分值÷50)方式分别记录笔试考核与现场操作考核中涉及理论部分知识与操作部分知识的结果。依次比较不同年度的考核成绩和不同级别医院住院医师的考核成绩。结果 2012年与2013年笔试考核中操作部分的得分率明显高于理论部分的得分率,差异有统计学意义(P<0.01);2012年与2013年现场操作考核中操作部分的得分率明显高于理论部分的得分率,差异有统计学意义(P<0.01);三级甲等医院与二级医院笔试考核及现场操作中,操作部分的得分率差异无统计学意义(P>0.05),而理论部分的得分率三级甲等医院明显高于二级医院(P<0.05或P<0.01)。结论今后应进一步规范临床教学,在培训过程中应将强化基本理论与基本技能同等的重要性,切不可重技能操作而忽视基本理论知识。

学术能力培养体系对物理拔尖学生培养的重要性--以南开大学物理“伯苓班”为例

本文以南开大学物理"伯苓班"为例,讨论学术能力培养体系对物理拔尖人才培养的重要性.文中介绍了我们对学术能力培养体系建设的几方面认识:重视学术基础,强调学术精神,不断提高学生的学术兴趣,培养学生的团队精神和合作能力,掌握渗透式学习方法,培养初步的科研能力;以及我们的做法:以相关课程为主干,配合相关的学术活动,形成了针对物理拔尖人才培养的学术能力培养体系.针对实施的效果,我们也对一些相关问题进行了调研和反思.

Mini-CEX在骨科住院医师培养中的应用及意义

迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)是一种临床能力评估工具,目前已应用于临床的各个科室并取得了较好的评价。但由于其是主要针对内科系统的教学评估方法,没有包含与手术相关的内容,在外科系统应用不如内科系统广泛。经过改良后增加了基本操作和围手术期处理两方面,从而逐步应用于外科系统的教学评估。首都医科大学附属北京潞河医院将改良Mini-CEX应用于骨科住院医师规范化培训的教学评估,并取得了良好的效果。该方法具有紧扣临床、培养住院医师在诊疗过程中的整体观、耗时短、适应各种临床诊疗环境、时时反馈及教学相长的优势。虽然评估方式具有一定主观性,但综合考虑,还是值得在骨科临床教学中应用。