Application of the “Six-Step Teaching Method” in the Nursing Teaching of Obstetric Interns

Objective: The “six-step teaching method” is a teaching method, which is summarized based on practical experience. This study aimed to explore the effect of “six-step teaching method” in clinical teaching of obstetrics. Methods: A quasi-experimental study design was used, 30 nursing students who entered obstetrics practice from March 2022 to July 2022 were selected as the control group according to the order of time, and traditional teaching methods were adopted. From August to December 2022, 30 interns were selected as the experimental group, and the “six-step teaching method” was adopted. After 8 weeks of clinical practice, the assessment results and teaching effect satisfaction of the two groups were compared. Results: The scores of obstetrical specialty in the experimental group were higher than those in the control group, and the difference was statistically significant (P < 0.05);The evaluation of teaching methods, teaching quality, classroom atmosphere and individual observation ability, clinical thinking ability and nurse-patient communication ability of the experimental group were higher than those of the control group, and the differences were statistically significant (P Conclusion: “six-step teaching method” can effectively master the professional knowledge of obstetrics, stimulate the clinical thinking ability of interns, and improve the teaching effect and satisfaction. .

Analysis of the application of Chinese medicine nursing technology in obstetrics

Objective:To analyze the application value of traditional Chinese medicine(TCM)nursing technology in obstetrics.Methods:204 patients with obstetrics were enrolled in the study and entered into the Chinese medicine group and thereference group according to the random number(n=102).The reference group received routine care,and the Chinesemedicine group received Chinese medicine nursing.The anxiety and depression scores of the two groups of patientsand the patient's nursing satisfaction status were compared.Results:There was no difference in the scores betweenthe pre-treatment groups.The value of the reduction in anxiety and depression scores in the TCM group wassignificantly higher than that in the reference group.The numerical comparison was statistically significant(P<0.05).The comprehensive nursing satisfaction rate of patients in the Chinese medicine group was 99.02%,and the comprehensivenursing satisfaction rate of the reference group was 80.39%.The numerical comparison was statistically significant(P<0.05).Conclusion:The application of TCM nursing technology in obstetrics helps to improve the negativeemotions of patients and improve the overall satisfaction rate of patients.The value of nursing intervention is higher

Assessing Strategies of Obstetric Fistula Management by Nurses/Midwives of Yaoundé Central Hospital and University Teaching Hospital

Every minute, a woman dies in pregnancy, and for every woman who dies 20 - 30 others will survive with morbidity, one of which is obstetrical fistula. Women who suffer from obstetric fistula experience continuous incontinence of urine and/or stool, stigma, social isolation and associated health problems. The World Health Organization estimates that there are currently more than 2 million women living with untreated obstetric fistula mostly in sub-Saharan Africa and South-East Asia, as well as in various other parts of the world. Caring for fistula patients and nursing them back to full physical and mental health can be one of the most challenging and also rewarding tasks undertaken by nurses. The surgery cannot succeed without proper pre-, peri- and post-operative care. The patients undoubtedly recover better with high-quality care—meaning the truly holistic, generous, and selfless care of a nurse who has the skills, understanding and determination to help these very vulnerable patients. Objective: This research seeks to assess the strategies of obstetric fistula management by nurses/midwives of Yaoundé central hospital and CHU by exploring the care they offer to clients pre-operatively, post-operatively, and when they are discharged from the hospital. Achieving Millennium Development Goal (MDG) 3 still remains a challenge to the developing countries although maternal mortality reduction is a priority agenda of each country. Methodology: This retrospective cross-sectional descriptive study design employed a sample of 100 nurses/midwives on active service, and who have at least managed a case of obstetric fistula. A quantitative questionnaire was used to collect data, which was analyzed using SPSS version 23. Results: The study proved a highly significant difference between management and qualification, with a p-value of 0.002. Also, it showed that there was a statistically significant difference between longevity of service and management with a p-value of 0.001. A majority of respondents were nurse assistants (52%), and up to 43% of respondents had 11 - 20 years of work experience. Up to 53% did not offer standard care with respect to their qualification, and up to 52% did not offer standard care with respect to their longevity in service. Conclusion: VVF is the most common type of obstetric fistula with a frequency of 6 to 10 cases, there is an overall poor management of obstetric fistula by nurses and midwives in YCH and CHU. There is an urgent need to train and retrain these health workers on the management strategies of obstetric fistula and to remind them of their personal commitment as care givers.

Correlation between resilience and social support and anxiety in obstetric nurses

Objective: The aim of this study was to explore the correlation between psychological resilience and social support and anxiety in obstetric nurses and to provide theoretical basis for improving the mental health of obstetric nurses.Methods: In this study, 190 obstetric nurses were included, using the general information questionnaire and The Connor-Davidson Resilience Scale(CD-RISC), Social Support Rating Scale, and survey of Self-evaluation of Anxiety Scale.Results: There are differences in the type of work and the score of psychological resilience(P<0.05), obstetric nurses’ resilience score was 65.58±10.65; self-rating anxiety score of obstetric nurses was 36.89±6.87; and social support score of obstetric nurses was44.3717.86. The psychological elasticity score and anxiety were negatively related(P<0.01), whereas the resilience score and total score of social support were positively related(P<0.01).Conclusions: Obstetric nurses have many responsibilities and stress. Nursing managers should focus on obstetric nurses’ mental health, lighten the obstetric nurses’ anxiety, and thus improve their mental flexibility and optimize the quality of nursing service better,with more passion into work.

Exploring the Relationship between Obstetrical Nurses’ Work and Pregnancy Outcomes

The Registered Nurses Association of Ontario Healthy Work Environments Best Practice Guideline recommends that employers promote safe, healthy workplaces. Healthy workplaces include addressing the unique needs of nurses who work while pregnant. The purpose of this descriptive study, summarizing information from 120 pregnancies reported by 95 nurses, was to determine if the workload of obstetrical nurses was associated with negative pregnancy outcomes, including preterm delivery and birth weight. Full-time obstetrical nursing work is a predictor of reduced birth weight, but not of preterm birth when compared to outcomes of obstetrical nurses working part time. One third of nurses reported pregnancy complications and most nurses experienced work-related and personal stress. Further research evaluating work modifications during pregnancy is indicated to improve birth outcomes.

The Extent of Partograph Use and Associated Factors among Obstetric Care Providers in Government Hospitals in Southern Ethiopia: A Cross-Sectional Study

Background: Prolonged labor is a significant contributor to maternal morbidity and mortality. The World Health Organization encourages using the partograph to keep track and solve this issue. The extent of partograph use in Ethiopia, however, is hardly understood. This study aimed to ascertain the level of partograph use and related variables among obstetric care providers in government hospitals in southern Ethiopia. Methods: A cross-sectional institutional study was conducted among obstetric care providers in government hospitals in southern Ethiopia, from March to December 2015. The data were collected using a pre-tested questionnaire and format. To establish a statistical relationship, an odds ratio with a 95% confidence interval was utilized. Results: A total of 212 (55.1%) obstetric providers reported routine use of partograph to monitor labor. Midwives [AOR: 3.4, 95% CI: (1.2, 9.4)], clinical nurses [AOR: 3.0, 95% CI: (1.1, 7.6)], knowledge of partographs [AOR: 2.0, 95% CI: (1.2, 3.5)], positive attitudes toward partograph use [AOR: 3.7, 95% CI: (1.7, 7.7)], service of 2 - 5 years [AOR: 3.4, 95% CI: (2.8, 4.4)] and service of more than five years [AOR: 2.3, 95% CI: (2.0, 3.3)] were associated with partograph use. Conclusion: This study has shown that the use of partographs to monitor labor among obstetricians is consistent with other studies from developing countries. However, this does not mean that obstetric care does not need to be strengthened, as a significant proportion of obstetricians still do not use the partograph for labor monitoring. Therefore, it is recommended that midwives and nurses be given preference in the delivery of obstetric services, the knowledge and attitudes of providers be improved, and mechanisms be developed that can help keep senior care providers.

基于共同养育理念的剖宫产产妇泌乳分期护理方案构建及实施

目的探讨基于共同养育理念的泌乳分期护理在剖宫产产妇母乳喂养中的应用效果。方法将200对行剖宫产手术的产妇及配偶按照住院时间分为对照组和试验组各100对。对照组给予常规护理,试验组采用基于共同养育理念的泌乳分期护理,将泌乳过程分为乳腺分化期、乳腺活化期、泌乳建立、泌乳维持4个阶段给予针对性的主题教育及干预措施。结果对照组和试验组分别95对和97对产妇及配偶完成研究及随访。试验组首次母乳喂养得分显著高于对照组,泌乳启动时间显著早于对照组(均P<0.05);试验组中配偶母乳喂养知识水平、出院时纯母乳喂养率、产后6周产妇感知配偶母乳喂养支持总分及各维度得分显著高于对照组(均P<0.05)。结论基于共同养育理念的泌乳分期护理可提高首次母乳喂养得分、新生儿父亲母乳喂养知识水平,缩短泌乳启动时间,提升出院时纯母乳喂养率,改善产妇感知配偶母乳喂养支持情况,从而促进母乳喂养。

Mini-CEX结合DOPS教学在产科护理教学中的应用

目的探讨对于产科护理实习生的教学工作,采用迷你临床演练评估(mini-clinical exercise evaluation,Mini-CEX)、操作技能直接观察评估(direct observation of procedural skills,DOPS)教学的应用效果。方法选择2022年2—12月接收的112名产科护理实习生,按随机数字表法分为研究组和对照组,每组56名。对照组采取常规护理教学方式,研究组采取Mini-CEX结合DOPS教学,经过2个月实习,对2组实习生进行Mini-CEX考核和DOPS考核,并且应用自制的满意度问卷来调查实习生的意见,评价教学满意度情况。结果研究组的产科护理实习生Mini-CEX考核的各项分值高于对照组,差异有统计学意义(P<0.001);研究组产科护理实习生的DOPS考核总分[(90.12±3.26)分]高于对照组DOPS考核总分[(81.15±3.12)分],差异有统计学意义(P<0.001);研究组的产科实习生满意度(94.64%)高于对照组满意度(78.57%),差异有统计学意义(P<0.05)。结论产科护理教学中应用Mini-CEX结合DOPS教学的效果满意,可提高实习生的满意度。

低危孕妇孕产保健服务方案的临床实施效果评价

目的评价以助产士为主导的低危孕妇孕产保健服务方案的应用效果。方法将在上海市某三甲妇产科医院预约初诊建卡的低危孕妇随机分为干预组485例和对照组499例。对照组接受以产科医生为主导的常规孕产保健服务;干预组在对照组的基础上接受以助产士为主导的低危孕妇孕产保健服务方案,包括孕期8次助产士门诊访视、微信群组干预及电话访视、产时陪伴分娩及产后访视。结果干预组助产士门诊访视中位数为7次,分娩计划制定率和执行率分别为76.70%和84.68%。干预组剖宫产率为27.68%,显著低于对照组的35.25%(P<0.05)。干预组硬膜外镇痛率、人工破膜率、会阴切开率、新生儿转入NICU率、第三产程出血量、产后2 h出血量及总出血量显著低于对照组(均P<0.05)。干预组孕期保健服务体验、分娩体验、产后保健服务体验、孕晚期生殖健康素养、产前母乳喂养自我效能、分娩自我效能评分及出院前纯母乳喂养率显著高于对照组(均P<0.05)。结论以助产士为主导的低危孕妇孕产保健服务方案的临床实施有利于促进正常妊娠分娩,提升孕产保健服务体验,实现孕产妇和助产士之间的双重赋能。

LPCBL联合Seminar教学法在产科护理带教中的应用

目的 探讨应用以授课、问题、案例为基础的教学法(lecture,problem,case-based learning,LPCBL)联合Seminar教学法对于产科护理的带教价值。方法 选取2021年5月—2022年1月南京市妇幼保健院产科接收的106名护理实习生作为研究对象,按照随机数字表法的原则,分成观察组与对照组2组,每组学生均为53名。对照组应用以教师为主体教学方式(lecture-based learning,LBL),观察组采取LPCBL联合Seminar教学法。对比2组实习生在经2个月实习的理论与实践操作考核成绩,实习生对于带教工作满意度。结果 在实习生的考核中,观察组的理论知识考核成绩(92.02±4.28)分、实践操作考核成绩(89.25±4.15)分均要比对照组更高,差异有统计学意义(P <0.001);调查实习生对于教学工作满意度情况,观察组的各个方面满意度得分高于对照组,差异有统计学意义(P <0.001)。结论 在对产科的护理带教工作中,采取LPCBL联合Seminar教学法的教学手段,能够取得良好教学成效,有助于提高实习生对理论知识掌握,并且也对实习生操作水平以及满意度提高有利。

新医科背景下基于校院合作的妇产科护理学混合式教学模式的构建研究

目的探讨新医科背景下基于校院合作的混合式教学模式在妇产科护理学课程中的应用与效果。方法选择我校2019级110名护理本科生为对照组、2020级113名护理本科生为观察组。对照组采用传统教学模式,观察组采用新医科背景下基于校院合作的妇产科护理学混合式教学模式。课程结束后,比较两组的期末考试成绩、自我导向学习能力、评判性思维能力和教学满意度。结果观察组的期末考试成绩及优良率高于对照组(P<0.05)。观察组的自我导向评定量表各维度得分及总分均高于对照组(P<0.01)。观察组的评判性思维能力各维度得分及总分均高于对照组(P<0.05)。观察组的各项教学满意度评分均高于对照组(P<0.05)。结论新医科背景下基于校院合作的妇产科护理学混合式教学模式能有效提高学生的学习成绩、自我导向学习能力和评判性思维能力,进而能提高护理本科生整体教学质量。

基于高职院校教学能力大赛的课程改革与实践——以“妇产科护理技术”课程为例

“妇产科护理技术”课程以全国职业院校技能大赛教学能力比赛为指引,对接岗位新需求重构序化课程内容。在精准分析学情的基础之上,结合人才培养方案、课程标准、岗位需求确定教学目标,制定教学策略。教学实施过程中本着学生主体、教师主导的原则,借助信息化手段,鼓励学生自主学习,小组合作探究。采用多元多维教学评价方式,促进学生持续发展。最终达到提升教学质量、提高学生综合素养的目的。

责任制带教在妇产科护理教学中的应用效果

目的探讨责任制带教在妇产科护理教学中的应用效果。方法选取潍坊医学院附属医院40名护理学生为研究对象,研究时间为2022年5月至2023年5月,根据随机数字表法分为两组,对照组(20名)开展常规带教模式,观察组(20名)在此基础上开展责任制带教,比较两组的带教效果评分及学生考核成绩和满意度。结果观察组时间分配合理、操作技能掌握、查阅资料、团队协作、知识广度及深度评分高于对照组(P<0.05);与对照组比较,观察组基础理论知识、临床实践操作成绩更高(P<0.05);与对照组比较,观察组总满意率更高(P<0.05)。结论责任制带教在妇产科护理教学中的应用效果较好,可以提高学生学习能力与实践能力,强化自身理论知识水平,掌握知识内容,达到预期的教学目标,学生满意度较高,具有较高的临床应用价值。

目标管理教学法在产科临床护理带教中的应用效果

目的探讨目标管理教学法在产科临床护理带教中的应用效果。方法选取2022年6月至12月在潍坊医学院附属医院产科实习的30名实习护生作为对照组,2023年1月至6月在潍坊医学院附属医院产科实习的30名实习护生作为观察组。对照组采用传统教学法,观察组采用目标管理教学法。比较两组考核成绩与教学满意度。结果教学后,两组理论成绩与技术成绩均高于教学前,且观察组高于对照组(P<0.05)。观察组各项教学满意度评分均高于对照组(P<0.05)。结论目标管理教学法在产科临床护理带教中的应用效果较好,可提高护生考核成绩及教学满意度。

案例教学法联合角色扮演+互换教学法在产科护士规培中的应用

目的探讨案例教学法联合角色扮演+互换教学法在产科规范化培训(简称规培)中的价值。方法选取2021年8月—2022年8月在南京医科大学附属妇产医院产科规培的138名护士为研究对象,采用随机数表法分为观察组(n=69)与对照组(n=69)。对照组应用常规教学法,观察组应用案例教学法联合角色扮演+互换教学法。评价观察组和对照组在规培前后的护患沟通能力、学习能力、规培效果,通过问卷调查规培护士的满意度情况。结果规培前,2组护患沟通能力、学习能力各项得分以及理论知识和实践操作考核成绩比较,差异无统计学意义(P>0.05)。规培后,观察组护患沟通能力、学习能力各项得分均高于对照组,差异有统计学意义(P<0.05)。观察组理论知识和实践操作考核成绩均高于对照组,差异有统计学意义(P<0.05)。观察组教学总满意率(94.20%)高于对照组(81.16%),差异有统计学意义(P<0.05)。结论案例教学法联合角色扮演+互换教学法可有效提高规培护士的护患沟通能力、学习能力以及专业能力,增加护士对教学工作的满意度。

PBL+EBL+情景模拟教学方法在妇产科护理带教中的应用

目的:探讨PBL+EBL+情景模拟教学方法在妇产科护理带教中的应用效果。方法:选择2020年在我院妇科实习的护理本科生为研究对象,分为对照组和试验组,对照组采用传统教学方法,试验组采用PBL+EBL+情景模拟的教学方法,比较两组护生考试成绩、批判性思维能力、沟通技能和满意度。结果:试验组护生考试成绩、批判性思维能力、沟通技能和满意度均高于对照组(P<0.05)。结论:PBL+EBL+情景模拟教学方法有利于培养批判性思维能力和沟通能力,值得推广应用。

高职助产实习护生妇产科实习真实体验的质性研究

目的 了解高职助产实习护生在妇产科临床实习的真实体验,为临床实习管理及助产教育采取针对性的策略提供参考依据。方法 运用质性研究中的现象学研究方法,选取12名已完成产房、产科、妇科、妇产科门诊实习轮转的助产实习护生进行一对一深入访谈。结果 经过资料分析共提炼出3个主题:学习核心技能体验(能力提升不足、获得成就感、角色适应不良),职业角色体验(正负性体验并存),人际关系体验(师生关系、护患关系)。结论 医院管理者及助产教育者应健全校院合作机制,协同育人。可以从课程思政、教学模式、临床实习管理、临床实习带教与评价等多方面进行改革,改善助产实习护生的临床实习体验,提高岗位胜任力,保障母婴健康。

一种妇产科多功能会阴护理辅助装置的设计

妇产科手术患者或孕产妇分娩前后常需进行会阴部查体、清洁、消毒、伤口换药、阴道放药等操作。操作时患者取仰卧位,双腿屈膝外展,充分暴露会阴部。常规方式为患者身下放置便盆或一次性护理垫,不易充分暴露会阴部,不便于医护人员操作,且冲洗液返流易打湿床单,增加工作量。此外,患者因手术或分娩等因素,体力虚弱,刀口疼痛,抬臀支撑费力,长时间双腿屈膝外展易疲乏,无法有效配合操作,且舒适度低。为了较好地解决上述问题,本研究设计了一种妇产科多功能会阴护理辅助装置(实用新型专利:ZL 202321454075.8),现介绍如下。

融合循证护理理念的妇产科护理学混合式教学效果评价

观察融合循证护理理念的妇产科护理学混合式教学设计在护理学本科生教学中的应用效果。结果表明,在妇产科护理学混合式教学中融入循证护理内容增强了学生的循证护理能力和自信心,教学实践顺利实施并收到了良好的教学效果,是值得推广的教学方式。

双胎妊娠11周突发主动脉窦瘤破入右心房患者的围手术期护理

总结1例双胎妊娠11周突发主动脉窦瘤破入右心房患者的围术期护理体会。护理要点:术前孕妇心脏功能监测,包括瘤体及破裂状况监测、预警右心衰竭及猝死,术中并发症监测及预防,术后精准容量管理及肾功能监测,围术期胎儿监测,健康教育及出院指导。经过9d的精心治疗和护理,患者康复出院,随访36周后经剖宫产分娩双胎,母儿状况良好。