Is current training in basic and advanced cardiac life support(BLS & ACLS) effective? A study of BLS & ACLS knowledge amongst healthcare professionals of North-Kerala

BACKGROUND:Healthcare professionals are expected to have knowledge of current basic and advanced cardiac life support(BLS/ACLS) guidelines to revive unresponsive patients.METHODS:Across-sectional study was conducted to evaluate the current practices and knowledge of BLS/ACLS principles among healthcare professionals of North-Kerala using pretested self-administered structured questionnaire.Answers were validated in accordance with American Heart Association's BLS/ACLS teaching manual and the results were analysed.RESULTS:Among 461 healthcare professionals,141(30.6%) were practicing physicians,268(58.1%) were nurses and 52(11.3%) supporting staff.The maximum achievable score was 20(BLS15/ACLS 5).The mean score amongst all healthcare professionals was 8.9±4.7.The mean score among physicians,nurses and support staff were 8.6±3.4,9±3.6 and 9±3.3 respectively.The majority of healthcare professionals scored <50%(237,51.4%);204(44.3%) scored 51%-80%and 20(4.34%)scored >80%.Mean scores decreased with age,male sex and across occupation.Nurses who underwent BLS/ACLS training previously had significantly higher mean scores(10.2±3.4) than untrained(8.2±3.6,P=0.001).Physicians with <5 years experience(P=0.002) and nurses in the private sector(P=0.003)had significantly higher scores.One hundred and sixty three(35.3%) healthcare professionals knew the correct airway opening manoeuvres like head tilt,chin lift and jaw thrust.Only 54(11.7%) respondents were aware that atropine is not used in ACLS for cardiac arrest resuscitation and 79(17.1%) correctly opted ventricular fibrillation and pulseless ventricular tachycardia as shockable rhythms.The majority of healthcare professionals(356,77.2%) suggested that BLS/ACLS be included in academic curriculum.CONCLUSION:Inadequate knowledge of BLS/ACLS principles amongst healthcare professionals,especially physicians,illuminate lacunae in existing training systems and merit urgent redressal.

Examining advanced nursing practice in Hong Kong and Guangzhou

Objective:There were studies evaluating advanced nursing practice independently in the mainland and Hong Kong Special Administrative Region of China,but there was no attempt to make a comparison of practice between them.This study employed a case study method to examine and compare advanced nursing practice in Hong Kong and Guangzhou.Method:Purposive sampling method was used to recruit 24 advanced practice nurses(APN)who came from the specialty of medical,surgical and pediatric in Hong Kong and Guangzhou.A questionnaire survey and semi-structured interview were conducted to solicit quantitative and qualitative data for exploring the structure-process-outcome of advanced nursing practice.The structure component explored the factors influencing advanced nursing practice.The process part examined APN role components and illustrations of exemplary advanced nursing practice.The outcomes described outcome indicators that best reflected advanced nursing practice.Findings:Findings revealed that in the structure domain,APN education and career development,team approach in healthcare,and support from management,physicians and professional associations were important contextual factors for APN development in both cities.For the process domain,participants had at least 80%of their time practicing independently/interdependently and were engaged in APN activities including direct/indirect patient care,research/project work,initiation of staff and patient protocols.All participants demonstrated competencies with impacts on patient,service and profession in their description of exemplary practice.Participants from both cities ranked patient-related outcomes as top indicators for their advanced nursing practice.Conclusion:This study has revealed that APNs in Guangzhou and Hong Kong shared similar work involvement and impacts and their demonstrated competencies were on par with international counterparts.Continued efforts need to be put in establishing formal APN education,clear clinical career pathway and title protection to empower nurses to provide optimal care to the fullest extent that they are prepared for.

Perceptions of the effectiveness of Advanced Practice Nurses on a neurosurgery unit in a Canadian Tertiary Care Centre:A pre-and-post implementation design

Objectives:A framework for the advanced practice nurse(APN)role was developed in our Canadian Tertiary Care Centre,delineating five domains of advanced nursing practice:clinical practice,consultation,research,education and leadership.The goal of this study was to evaluate perceptions of the effectiveness of the implementation of an innovative APN role on an in-patient Neurosurgery unit.Methods:A pre-and-post implementation design,incorporating both qualitative and quantitative data,was utilized.An innovative APN role was implemented within the Neurosurgery program focusing on the clinical domain and required the successful candidates to be NP prepared.This APN role was designed to improve patient flow,documentation,communication and patient and staff satisfaction.Three primary outcomes were measured:pre-implementation questionnaire(nurses),post-implementation questionnaire(nurses and residents)and number of pages to the on-call resident.Results:Survey scores by nurses and residents indicated improvement across all aspects studied.Average scores increased from 1.1 to 2.6,reflecting an overall statistically significant increase.The number of pages to the on-call resident also showed a decrease.Conclusion:Perceptions of patient care delivery and professional collaboration improved following implementation of the APN role.Responses indicated that APNs significantly impacted patient care and improved nurses and residents'job satisfaction.

Interprofessional Clinical Simulation-Based Education to Develop Professional Identity and Professionalism in Japanese Medical and Nursing Students

Introduction: We conducted a multi-occupational team simulation training for medical and nursing students and clarified how professional identity and professionalism attitudes change with interprofessional education (IPE). Methods: Thirty-nine 4th-year medical students and 48 2nd-year nursing students were enrolled and distributed to the educational intervention group and the control group. We used a vocation identity scale including lower four subscales, a scale for professionalism including lower five subscales, a readiness for inter-professional learning scale (RIPLS), and an interdisciplinary education perception scale (IEPS). Results: Among the medical students, IPE using an advanced patient simulator improved the scores on the vocational identity scale, scale for professionalism, RIPLS, and IEPS. Among the nursing students, IPE improved the scores on the vocational identity scale, scale for professionalism, RIPLS, and IEPS. Conclusion: On-the-job training using simulated clinical training by a multi-occupational team improved vocational identification and professionalism.

董事会审计委员会的组建和运行规则

董事会设置审计委员会有利于降低现代公司所有权和经营权分离引致的代理成本。新《公司法》已经引入审计委员会,但需填补审计委员会组建的规则,以保障审计委员会发挥预设的监督效果。审计委员会成员资质是审计委员会组建及履职的基本前提,包含独立性和专业性两项要素。独立董事是审计委员会客观公正监督的逻辑起点,应从任职全过程视角评判其是否具有独立性,同时涤除其获取信息的障碍。专业性要素应根据新《公司法》中审计委员会兼具财务和业务监督职责作扩张解释,即不再局限于财会知识,而是一种保障公司良好运行的能力。此外,还需要同步调整选任职工董事和独立董事的前置程序,削减控股股东对选任职工董事和独立董事的绝对控制力。

实验技术队伍先进技术集群建设

实验技术队伍作为高校学科建设、创新型人才培养以及科学研究的重要力量,是高校加快推进高水平内涵式发展的重要支撑。该文详述了某高校实验技术队伍先进技术集群建设案例,先进技术集群建设突破了传统实验技术队伍的组织边界,是贯彻新发展理念、构建新发展格局的实践,创造了有利于实验技术队伍专业能力提升的良好学术生态圈,为实验技术队伍技术交流和协同创新提供平台,为建设世界一流实验技术体系提供技术保障和引领,以期为建设新时代高水平的实验技术队伍提供参考。

高等药理学课程案例库的建设与应用——以我院药学专业型硕士研究生为例

目的构建我院专业硕士研究生的高等药理学课程案例库。方法通过探讨高等药理学课程案例库的建设意义,构建策略和构建内容,依托学院教师的自身研究经历进行撰写构建并应用到实际的教学。结果通过该案例库的建设与应用,提高了教师的高等药理学授课质量,开阔了我院专业硕士研究生的科研视野,增强其学习主动性。结论高等药理学案例库为助力实现培养应用型药学人才的目标,推动药学专业学位硕士研究生教育的进一步发展提供支持。

思政元素融入技术前沿进展课程——以材料与化工专业为例

专业型硕士研究生培养应具有“学术型”“实践性”“职业性”的特点,以党的二十大精神为指引,落实立德树人根本任务,发展素质教育,为培养德智体美全面发展的社会主义建设者和接班人。河南理工大学材料学院材料与化工专业“技术前沿进展”课程教育与思想政治教育进行有机结合,任课教师将课程思政贯穿于“技术前沿进展”整个教学体系,通过思政元素的引入以及案例分析教学强调主流价值引领,培养了专业型硕士的社会责任感和使命感。

机械原理课程高阶教学模式探索与实践——以运动副的分析与设计为例

结合新工科、工程教育专业认证,探索适合于机械原理课程特点的高阶教学模式,并结合课程中重要的知识点——运动副的分析与设计进行实践。实践证明:高阶教学模式能够培养学生的高阶思维,契合新工科、工程教育专业认证背景下工科学生的培养要求;高阶教学模式,可以培养学生自主学习,最终达到“教为不教”的教学目的。

护理硕士专业学位研究生高级健康评估的进阶式课程设计和多梯度仿真模拟教学实践

高级健康评估是护理硕士专业学位研究生的核心专业基础课程之一。中山大学护理学院教学团队以临床思维能力培养和全程思政教育为导向,基于学习环理论构建了“夯实基础、整合应用、专科拓展”三个层次相结合的进阶式课程框架,并开展了多梯度的仿真模拟教学实践。文章介绍了该课程的建设框架、教学目标、课程设计、多梯度仿真模拟教学实践要点、课程思政建设、课程考核及实施情况,旨在为高校护理硕士专业学位研究生高级健康评估课程建设与优化提供参考。

资源利用与植物保护专业硕士案例式教学的探索研究

案例教学已成为培养专业硕士实践能力的主要方法。结合资源利用与植物保护技术进展课程教学,根据专业硕士的教学理念和特点,选取教学过程及生产实践中的典型案例,从案例教学的必要性与意义、案例的选择原则、案例资源设计、教学案例的使用与评价方面展开论述,以期为推进教学改革,培养真正能够推进农业发展、解决实际问题的应用型创新农业人才提供参考。

GPP规范化药学服务仿真顶点课程设计与探索

良好药学服务质量管理规范(Good Pharmacy Practice,GPP)的实训基地以及与之相应的教学体系的短缺,使得药学专业学生无法应对当前药学服务高质量发展所面临的各项挑战。围绕以患者为中心的服务目标,聚焦高阶药学实践能力,参考美国药学教育框架与职业能力评估体系,教学团队设计GPP规范化药学服务在线虚拟综合实训顶点课程,为学生持续提供同质化、规范化、标准化的药学服务沉浸式教学体验。

“职教赋农”:职业教育助力乡村人才振兴的实践指向与推进路径

务农重本,国之大纲,乡村振兴,人才为要。基于职业教育链接教育与“三农”的枢纽作用,探究“职教赋农”助力乡村人才振兴的作用机理,厘清其赋能现代化农民培育问题的实践指向。以社会秩序理论与协同理论为支撑,立足新型职业农民培育目标,抓住职教融通和校乡合作两个重点,设计“一核两翼四链”职业教育育农模式,通过“政策驱动、专业促动、产业带动、农民主动”四方协动,激活乡村振兴人力资本,形成职业教育赋能乡村人才振兴的良性发展格局。

高职院校高等数学模块化、分层教学改革与研究

职业院校高等数学教学与本科高校具有很大的差异。目前高职高等数学教学与专业脱轨的状况成为培养高技能人才的绊脚石。本研究通过调查高职院校各专业对高等数学的需求,采取模块化分层教学实现高等数学与专业接轨,从而达到培养高素质技能型人才的目标。

以项目开发高阶能力培养为导向的《互联网思维导论》课程改革研究

文章提出以项目开发高阶能力培养为导向的课程改革路径,以专业导论课《互联网思维导论》为例,依据课程教学痛点,提出教学内容重构、科研反哺教学、实践体系构建、“四轮三元”教学模式在内的可复制、可操作的课程改革路径,为《互联网思维导论》同类课程的高阶性改造提供参考。

置信职业行为在高级实践护士培养中的应用进展

介绍了置信职业行为的定义、置信职业行为与胜任力的关系,分析了置信职业行为在高级实践护士培养中的开发与应用,对国内外高级实践护士置信职业行为框架进行比较与分析,提出置信职业行为为高级实践护士的胜任力评估提供了一个有效的工具和方法,护理教育者应构建我国的置信职业行为框架,以期为我国未来高级实践护士的培养与评价提供依据。

师范类专业认证视角下“高等数学”第一堂课的思考——以衡阳师范学院物理学专业为例

师范类专业认证的核心理念为“以学生为中心、以产出为导向、持续质量改进”。“践行师德、学会教学、学会育人、学会发展”是师范类专业对所培养的合格教师在专业素质方面提出的毕业要求。以衡阳师范学院物理学专业为例,按照上述理念并融合上述四个方面的毕业要求,对其“高等数学”第一堂课进行反向思考和设计。即通过师生的双向要求以期改进后续的教学质量,互动剖析学生毕业后拟从事的行业与数学的关系,并让学生从中引发关于高等数学的思考,最后给学生提供高等数学学习的宏观指导。

前沿交叉教育理念在“环境生态学”课程教学中的探索——以机器学习为交叉融合切入点

“环境生态学”是环境专业的必修课程,与环境监测、污染生态学等多领域研究有交叉,通过这门综合性课程的学习使学生在掌握“环境生态学”理论知识的基础上,正确认识人类活动如何通过生态途径干扰、恢复和重建生态系统。在新工科背景下,根据传统教学的不足和学生发展特点,创新性提出以机器学习的交叉融合为切入点,构建“课堂指引(guidance)+自主探索(explore)+成果考核(check)+效果追踪(trace)”的“四位一体”GECT教学模式,为“前沿交叉”融入环境工程专业课堂教学理念提供参考,满足新时代发展对实践创新型人才的需求,对新工科理念下环境工程专业的建设具有重要的推动作用。

校企合作协同培育专业学位研究生的价值意蕴、现实困境和进阶路径

新时代强化校企合作育人机制是提升研究生实践创新能力的关键路径,是实现研究生教育发展的时代要求,是人才培养质量提升的必然选择。从利益相关者理论出发,分析了高校、行业企业、教师、研究生等相关者的利益诉求和正当权力,总结了当前校企合作协同培育专业学位研究生的现实困境,提出了做好产教融合校企合作的顶层设计、构筑有效的实践途径、建构校企科研共同体等实现专业学位研究生发展的进阶路径。

进修医师职业精神培养的实践与自评结果分析

目的:了解进修医师职业精神的培训效果,探索适合进修医师的职业精神培养模式。方法:对39名在某三甲医院进行学习的进修医师进行一系列的职业精神培训,培训前后采用进修医师职业精神评价调查表对进修医师的职业精神进行自评。结果:7个职业精神评价要素的自评中,39名进修医师在培训前后评分均为“良”以上水平,经过规范的职业精神培训后,7个职业精神评价要素的评分均高于培训前;其中有4个要素其差异具有统计学意义(P<0.05);31个职业精神评价指标的评价在培训前后评分均为“良”以上水平,经过规范的职业精神培训后,除“公平合理运用各种医疗资源”“注意维护患者的尊严”外的其余29个指标的评分均高于培训前;其中有9个指标的差异具有统计学意义(P<0.05)。结论:进修医师的职业精神表现尚好,规范的职业精神培训有助于提升进修医师的职业精神表现,此培养模式有其推广及应用价值。