目的探究微视频结合急救护理模拟(emergency care simulator,ECS)情景教学法在麻醉科护士抢救技术培训中的应用效果。方法2022年8-12月,选择广州中医药大学第一附属医院麻醉科36名护士作为研究对象,采用随机数表法随机分为对照组和试验...目的探究微视频结合急救护理模拟(emergency care simulator,ECS)情景教学法在麻醉科护士抢救技术培训中的应用效果。方法2022年8-12月,选择广州中医药大学第一附属医院麻醉科36名护士作为研究对象,采用随机数表法随机分为对照组和试验组,各18名护士。在麻醉意外抢救技术培训中,对照组采用传统教学方法,试验组采用微视频结合ECS情景教学法,比较两组麻醉科护士抢救技能综合考核成绩及对教学方法的满意度。结果试验组麻醉意外事件应急处理理论知识成绩为(87.67±6.31)分,抢救操作技能考核成绩为(96.22±3.12)分,高于对照组,差异有统计学意义(P<0.001)。试验组对教学方法能够调动学习积极性满意度得分为(8.78±0.73)分、可提高病情观察能力的满意度得分为(9.39±0.61)分、可提高综合抢救技能的满意度得分为(8.83±0.71)分、可提高团队协作能力的满意度得分为(8.72±0.83)分、可提高抢救流程应用能力的满意度得分为(9.06±0.80)分,均高于对照组,差异有统计学意义(P<0.001)。结论微视频结合ECS情景教学法能够更好地提高麻醉科护士综合抢救技能,并获得护士的认可。展开更多
目的:评价以问题为基础的教学法(problem-based learning,PBL)联合高级综合模拟人(emergency care simulator,ECS)在心内科临床教学中的效果,进而探讨心内科临床教学的新方法。方法:68例来自南京医科大学五年制临床专业的学生随机分为...目的:评价以问题为基础的教学法(problem-based learning,PBL)联合高级综合模拟人(emergency care simulator,ECS)在心内科临床教学中的效果,进而探讨心内科临床教学的新方法。方法:68例来自南京医科大学五年制临床专业的学生随机分为实验组及对照组。实验组采用PBL联合ECS教学模式,对照组采用传统教学模式(lecture based learning,LBL),比较分析两组的教学效果。结果:对照组和PBL联合ECS教学组在基础理论成绩方面差异无统计学意义,实验组在病历分析,临床思维能力,急救意识等方面的能力明显优于传统教学组。结论:采用PBL教学法联合ECS进行心内科临床教学,有利于培养学生的临床思维能力和创新精神,显著促进了教学质量的提高。展开更多
Point-of-care ultrasound(POCUS)is a powerful diagnostic tool and provides treatment guidelines in acute critical settings.However,the limitation of using POCUS is operator dependent.Appropriate and validated training ...Point-of-care ultrasound(POCUS)is a powerful diagnostic tool and provides treatment guidelines in acute critical settings.However,the limitation of using POCUS is operator dependent.Appropriate and validated training for acquiring and using skills in practice must be conducted before using POCUS in clinical settings in order to keep patients safe.Simulation education models have been introduced as a way to solve and overcome these concerns.However,the commercial simulator with sufficiently secured fidelity is expensive and not always available.This review focused on the inexpensive and easily made simulators for education on POCUS in critical specific situations related to the airway,breathing,circulation,and disability.We introduced the simulators that used non-infectious materials,with easily transportable features,and that had a sonographic appearance reproducibility similar to human tissue.We also introduced the recipe of each simulator in two parts:Materials surrounding disease simulators(surrounding materials)and specific disease simulators themselves(target simulators).This review article covered the following:endotracheal or oesophageal intubation,lung(A-lines,B-lines,lung sliding,and pleural effusions such as hemothorax),central vein access,pericardial fluid(cardiac tamponade),the structure related to the eyes,soft tissue abscess,nerve(regional nerve block),and skull fracture simulators.展开更多
目的 评价以问题为基础的教学法（problem based learning,PBL）结合高级综合模拟人（emergency care simulator,ECS）在社区居民推广2010版心肺复苏指南的应用效果及价值.方法 将586名社区居民随机分为研究组和对照组各293名,研究组采...目的 评价以问题为基础的教学法（problem based learning,PBL）结合高级综合模拟人（emergency care simulator,ECS）在社区居民推广2010版心肺复苏指南的应用效果及价值.方法 将586名社区居民随机分为研究组和对照组各293名,研究组采用ECS结合PBL教学法进行CPR培训,对照组采用常规方法培训,比较两组教学效果.结果 研究组心肺复苏理论考核及格267人（91.13％）,对照组及格250人（85.32％）,差异有统计学意义（x2=4.7474,P=0.0293）.研究组心肺复苏技能考核及格271人（92.49％）,对照组及格245人（83.62％）,差异有统计学意义（x2=10.9672,P=0.0009）.结论 ECS结合PBL教学法有助于社区居民掌握心肺复苏的基本理论和CPR的操作技能,值得推广和应用.展开更多
Objective: To assess a training approach in Emergency Obstetric and Neonatal Care (EmONC) to strengthen skills of healthcare providers and reduce maternal mortality. Materials and methods: The approach was based on th...Objective: To assess a training approach in Emergency Obstetric and Neonatal Care (EmONC) to strengthen skills of healthcare providers and reduce maternal mortality. Materials and methods: The approach was based on the skills training using the so-called “humanist” method and “life saving skills”. Simulated practice took place in the classroom through thirteen clinical stations summarizing the clinical skills on EmONC. The evaluation was done in all phases and the results were recorded in a database to document the progress of each learner. Results: We trained 432 providers in 10 months. The increase in technical achievements of each participant was documented through a database. The combination of training based on the model “learning by doing” has ensured learning and mastering all EmONC skills particularly postpartum haemorrhage management and reduced missed learning opportunities. Conclusion: The impact of training on postpartum haemorrhage management and maternal mortality is a major challenge in terms of prospects.展开更多
Ptanning the design of the emergency department （ED） is a complex process. Hospital readers and architects must consider many complex and interdependent factors, including evolving market demands, patient volume, ca...Ptanning the design of the emergency department （ED） is a complex process. Hospital readers and architects must consider many complex and interdependent factors, including evolving market demands, patient volume, care models, operational processes, staffing, and medical equipment. The application of digital toots, such as discrete event simulation （DES） and space syntax analysis （SSA）, arrows hospital administrators and designers to quantitativety and objectively optimize their facilities. This paper presents a case study that utitized both DES and SSA to optimize the care process and to design the space in an ED environment. DES was apptied in three phases： master planning, process improvement in the existing ED, and designing the new ED. SSA was used to compare the new design with the existing layout to evatuate the effectiveness of the new design in supporting visuat surveiltance and care coordination. This case study demonstrates that DES and SSA are effective toots for facilitating decision-making retated to design, reducing capital and operational costs, and improving organizational performance. DES focuses on operational processes and care flow. SSA complements DES with its strength in linking space to human behavior. Combining both tools can lead to high-performance ED design and can extend to broad applications in health care.展开更多
文摘目的探究微视频结合急救护理模拟(emergency care simulator,ECS)情景教学法在麻醉科护士抢救技术培训中的应用效果。方法2022年8-12月,选择广州中医药大学第一附属医院麻醉科36名护士作为研究对象,采用随机数表法随机分为对照组和试验组,各18名护士。在麻醉意外抢救技术培训中,对照组采用传统教学方法,试验组采用微视频结合ECS情景教学法,比较两组麻醉科护士抢救技能综合考核成绩及对教学方法的满意度。结果试验组麻醉意外事件应急处理理论知识成绩为(87.67±6.31)分,抢救操作技能考核成绩为(96.22±3.12)分,高于对照组,差异有统计学意义(P<0.001)。试验组对教学方法能够调动学习积极性满意度得分为(8.78±0.73)分、可提高病情观察能力的满意度得分为(9.39±0.61)分、可提高综合抢救技能的满意度得分为(8.83±0.71)分、可提高团队协作能力的满意度得分为(8.72±0.83)分、可提高抢救流程应用能力的满意度得分为(9.06±0.80)分,均高于对照组,差异有统计学意义(P<0.001)。结论微视频结合ECS情景教学法能够更好地提高麻醉科护士综合抢救技能,并获得护士的认可。
文摘目的:评价以问题为基础的教学法(problem-based learning,PBL)联合高级综合模拟人(emergency care simulator,ECS)在心内科临床教学中的效果,进而探讨心内科临床教学的新方法。方法:68例来自南京医科大学五年制临床专业的学生随机分为实验组及对照组。实验组采用PBL联合ECS教学模式,对照组采用传统教学模式(lecture based learning,LBL),比较分析两组的教学效果。结果:对照组和PBL联合ECS教学组在基础理论成绩方面差异无统计学意义,实验组在病历分析,临床思维能力,急救意识等方面的能力明显优于传统教学组。结论:采用PBL教学法联合ECS进行心内科临床教学,有利于培养学生的临床思维能力和创新精神,显著促进了教学质量的提高。
文摘Point-of-care ultrasound(POCUS)is a powerful diagnostic tool and provides treatment guidelines in acute critical settings.However,the limitation of using POCUS is operator dependent.Appropriate and validated training for acquiring and using skills in practice must be conducted before using POCUS in clinical settings in order to keep patients safe.Simulation education models have been introduced as a way to solve and overcome these concerns.However,the commercial simulator with sufficiently secured fidelity is expensive and not always available.This review focused on the inexpensive and easily made simulators for education on POCUS in critical specific situations related to the airway,breathing,circulation,and disability.We introduced the simulators that used non-infectious materials,with easily transportable features,and that had a sonographic appearance reproducibility similar to human tissue.We also introduced the recipe of each simulator in two parts:Materials surrounding disease simulators(surrounding materials)and specific disease simulators themselves(target simulators).This review article covered the following:endotracheal or oesophageal intubation,lung(A-lines,B-lines,lung sliding,and pleural effusions such as hemothorax),central vein access,pericardial fluid(cardiac tamponade),the structure related to the eyes,soft tissue abscess,nerve(regional nerve block),and skull fracture simulators.
文摘目的 评价以问题为基础的教学法（problem based learning,PBL）结合高级综合模拟人（emergency care simulator,ECS）在社区居民推广2010版心肺复苏指南的应用效果及价值.方法 将586名社区居民随机分为研究组和对照组各293名,研究组采用ECS结合PBL教学法进行CPR培训,对照组采用常规方法培训,比较两组教学效果.结果 研究组心肺复苏理论考核及格267人（91.13％）,对照组及格250人（85.32％）,差异有统计学意义（x2=4.7474,P=0.0293）.研究组心肺复苏技能考核及格271人（92.49％）,对照组及格245人（83.62％）,差异有统计学意义（x2=10.9672,P=0.0009）.结论 ECS结合PBL教学法有助于社区居民掌握心肺复苏的基本理论和CPR的操作技能,值得推广和应用.
文摘Objective: To assess a training approach in Emergency Obstetric and Neonatal Care (EmONC) to strengthen skills of healthcare providers and reduce maternal mortality. Materials and methods: The approach was based on the skills training using the so-called “humanist” method and “life saving skills”. Simulated practice took place in the classroom through thirteen clinical stations summarizing the clinical skills on EmONC. The evaluation was done in all phases and the results were recorded in a database to document the progress of each learner. Results: We trained 432 providers in 10 months. The increase in technical achievements of each participant was documented through a database. The combination of training based on the model “learning by doing” has ensured learning and mastering all EmONC skills particularly postpartum haemorrhage management and reduced missed learning opportunities. Conclusion: The impact of training on postpartum haemorrhage management and maternal mortality is a major challenge in terms of prospects.
文摘Ptanning the design of the emergency department （ED） is a complex process. Hospital readers and architects must consider many complex and interdependent factors, including evolving market demands, patient volume, care models, operational processes, staffing, and medical equipment. The application of digital toots, such as discrete event simulation （DES） and space syntax analysis （SSA）, arrows hospital administrators and designers to quantitativety and objectively optimize their facilities. This paper presents a case study that utitized both DES and SSA to optimize the care process and to design the space in an ED environment. DES was apptied in three phases： master planning, process improvement in the existing ED, and designing the new ED. SSA was used to compare the new design with the existing layout to evatuate the effectiveness of the new design in supporting visuat surveiltance and care coordination. This case study demonstrates that DES and SSA are effective toots for facilitating decision-making retated to design, reducing capital and operational costs, and improving organizational performance. DES focuses on operational processes and care flow. SSA complements DES with its strength in linking space to human behavior. Combining both tools can lead to high-performance ED design and can extend to broad applications in health care.
