Observation of the Effect of Video Assessment Method on the Operation Skills of Individual Nurses

Objective:To explore the application effect of video assessment method in clinical nurses’nursing operation skills.Method:To select 58 nurses who participated in the individual soldier standard in the children’s hospital in 2019 and 2020 as the research objects,among which the nurses who participated in the individual soldier standard in 2019 were the nurses who participated in the individual soldier standard in 2019 and 2020.A total of 29 people in the first batch were set as the control group,using traditional assessment methods.In 2020,the second batch of 29 nurses who participated in the individual soldier standard reached the experimental group.Using the video assessment method,there was no significant difference in general information between the two groups(P>0.05).After the assessment,the scores,coping with work pressure,and proactiveness of the two groups of research subjects were compared.Results:The experimental group’s nursing operation assessment scores,coping with work pressure,and proactiveness were significantly better than those of the control group,the difference was statistically significant(P<0.05).Conclusion:The application of the video assessment method improves the passing rate of nurses’operational skills examination,enhances nurses’initiative in learning,reduces examination pressure,and can be accurately,timely,and safely applied to clinical nursing work,which is worthy of study and promotion.

Exploring the Application Effect of Flipped Classroom Combined with Problem-Based Learning Teaching Method in Clinical Skills Teaching of Standardized Training for Resident Doctors of Traditional Chinese Medicine

Objective: To explore the application effect of flipped classroom combined with problem-based learning teaching method in clinical skills teaching of standardized training for resident doctors of traditional Chinese Medicine. Methods: The study used the experimental control method. The study lasted from September to November 2022. The subjects of this study were 49 students of standardized training for resident doctors of traditional Chinese Medicine from grades 2020, 2021 and 2022 of Dazhou integrated TCM & Western Medicine Hospital. They were randomly divided into experiment group (25) and control group (24). The experiment group adopted flipped classroom combined with problem-based learning teaching method, and the control group adopted traditional teaching method. The teaching content was 4 basic clinical skill projects, including four diagnoses of traditional Chinese Medicine, cardiopulmonary resuscitation, dressing change procedure, acupuncture and massage. The evaluation method was carried out by comparing the students’ performance and a self-designed questionnaire was used to investigate the students’ evaluation of the teaching method. Results: The test scores of total scores in the experimental group (90.12 ± 5.89) were all higher than those in the control group (81.47 ± 7.96) (t = 4.53, P P Conclusions: The teaching process of the flipped classroom combined with problem-based learning teaching method is conducive to improving the efficiency of classroom teaching, cultivating students’ self-learning ability, and enhancing students’ willingness to learn.

Nurses’ movements within and between various paths when improving their communication skills—An evaluation of validation method training

Aims and objectives: To explore any changes in nurses’ skills at communicating with residents with dementia disease when using the validation method, as observed in one-to-one videotaped conversations. Background: Communication difficulties due to cognitive impairment among residents with dementia disease may complicate care situations. Training can improve nurses’ communication skills and increase care quality. The validation method aims to facilitate communication with residents with dementia disease through empathic and confirmatory approaches. Evaluations of the validation method have primarily focused on the residents’ perspective, and reports on nurses’ experiences are sparse. Improved communication and relationships with residents after validation method training have been described previously. Videotaped data could provide additional information about these earlier results. Design: A descriptive qualitative design. Methods: Eight nurses participated in a year of validation method training, including videotaped conversations with eleven residents. Videotapes with at least five months between the first and last recording were analysed and compared qualitatively. Results: The analysis revealed an overall pattern: nurses’ movements within and between various paths when improving their communication skills. This was based on three sub-patterns: from controlling communication towards developing attentiveness in communication, from ambiguous communication towards developing coherence in communication, and from being open and attentive towards having a refined attuned communication. Conclusions: All nurses developed their communication skills during the programme, albeit to different degrees. The findings are in congruence with the experiences described by nurses, and so it is reasonable to believe that the programme helped to improve the nurses’ skills in communicating with residents with dementia disease. Relevance to clinical practice: A validation method training programme could give nurses the possibility to develop their skills in communicating with residents with dementia disease.

An Analysis of English-Chinese Translation Methods and Skills of UCP600 under the Three Rules of Skopos Theory

Documentary credits play an important role in China's foreign trade settlements and UCP600 is the current international uniform customs and practice for documentary credits. This paper takes UCP600 as the analytical text and combines the three rules of Skopos Theory to analyze and summarize English-Chinese translation methods and skills of UCP600, aiming to help translators especially participated in foreign trade, to have a better understanding of E-C translation of UCP600 and give them some inspira-tions on understanding and translating texts similiar to UCP600, hence making settlements of documentary credits smoothier in Chinese foreign trade.

Effectiveness of experiential teaching method on the development of nursing students’skill competence:a systematic review and meta-analysis

Objective:Skill competence is essential for nursing students and experiential teaching method has become increasingly popular in China’s nursing education.To systematically evaluate the effects of experiential teaching method on the development of nursing students’skill competence,and to provide evidence for nursing education.Methods:The China National Knowledge Infrastructure,VIP,Wanfang Data,PubMed,and Web of Science databases were searched from their inception until November 28,2019.We screened the studies according to inclusion and exclusion criteria,extracted the data,and assessed the quality.Then,a meta-analysis was conducted.Results:Totally 15 studies were included,and 1,633 nursing students were analyzed by Review Manager5.3 and Stata15.1 software.The results show that the experiential teaching method can significantly improve nursing students’nursing skills such as training(SMD=1.05,95%CI:0.95–1.16,P=0.000),learning interest(ES=0.93,95%CI:0.79–1.06),ability to analyze and solve problems(ES=0.75,95%CI:0.55–0.94),ability to judge and innovative thinking(ES=1.01,95%CI:0.77–1.25),abilities of understanding and perception(ES=0.59,95%CI:0.34–0.83),and teaching satisfaction(ES=1.26,95%CI:1.13–1.4).Conclusions:The results suggest that the experiential teaching method is more effective for the nursing students’skill competence than traditional teaching in China.However,due to the heterogeneity and bias risk,a large sample and high-quality studies are needed in future to confirm its effectiveness.

The Prediction of Non-Life Claim Reserves under Inflation—An Analysis including Diagonal Effects

The extraction of various reserves is one of the most important measures that guarantee insurance companies’ solvency. Accurate assessment of non-life insurance claim reserves needs to consider the volatility risks of inflation. This paper presents a stochastic model of claim reserves including inflation factor and diagonal effects. By applying this model, we can predict the values of the claim reserves and evaluate predicting risks. Through analyzing actual data and using the bootstrap method, we can compare Bornhuetter-Ferguson method involving diagonal effects with chain ladder method. It is shown that the former is more efficient and robust than the latter.

Three Levels of Reading Skills Teaching through CALL at a Secondary School

With the development and application of CALL in the rural areas,the traditional class has undergone great changes.The study examines the effect of CALL in teaching three levels of reading skills in a secondary school.It involves two groups of Grade seven students received the same twenty reading lessons respectively.One is through a CALL-led method and another is informed by a teacher without the help of technology devices.Both qualitative and quantitative methods and procedures were employed through pretests and post-tests and interviews and classroom observation.The study reveals that CALL-led method is more efficient than the traditional way.

The Latest Status and Progress of Domestic and Foreign Regulations on Cosmetic Efficacy Claims

The supervision and administration of cosmetics and its two supporting documents related to efficacy,cosmetics classification rules and classification catalogue and evaluation standard of cosmetic efficacy claims,have been successively introduced and implemented,making China’s cosmetics industry officially enter the era of efficacy evaluation.In the time window when the new era is coming,the definitions of cosmetics in China and other countries are compared.The latest status and progress of regulations on cosmetic efficacy claims in China and other countries are summarized,and the standard methods or guidance of cosmetic efficacy evaluation at home and abroad are introduced.The enlightenment from the supervision systems of cosmetic efficacy in other cosmetic consumer markets around the world are discussed.In addition,the opportunities and challenges for cosmetic enterprises under the background of cosmetic law reform in China are also prospected.

An Action Research Project Aiming to Improve the Students' Reading Skills and Performance in an EFL Reading Class

As is universally acknowledged,educators have endeavored for ages to seek the more effective teaching method.Then action research has become a tool which is frequently applied to the teaching practice aiming to locate the teaching mode satisfactory to both teachers and students.The English majors are required to pass the TEM-4 exam when they are sophomores.It is essential for them to acquire the effective learning skills from reading classes.But it seems that vocabulary and grammar study—so called the traditional teaching method prove boring to students.Therefore,the tapestry approach is put forward.But the question is though the tapestry approach stimulates students’interest,can it can improve their English level?In order to figure out the result,two classes will be chosen in this research—one is controlled class,the other is experimental class.The traditional teaching method and the tapestry approach will be used in these two classes respectively.The experiment will last one semester.The students will be tested on two same TEM-4 papers at the beginning and at the end of the semester.The data will be collected for comparison.If the experimental class get the higher scores in the TEM-4 paper,it demonstrates that the tapestry approach is successful in balancing the need for interests and the need for English improvement.

Cultivation of Critical Thinking Skills in College English Classrooms

This paper is a qualitative study of the cultivation of critical thinking skill in college English classrooms in China. Critical thinking has long been recognized as an important part of the curricular framework in education western countries. However, the instruction of critical thinking has not gained prominence in Chinese universities. The author does research on how to foster students＇ critical thinking skills in the college English classrooms, and proposes some methods and techniques to facilitate the skills： change teachers＇ concept of language teaching, create a flexible atmosphere in the classrooms, teach students how to raise questions, and teach them to express logically.

Some Methods on Improving Students'Spoken English Competence

如何提高英语口语能力,不仅是学生们在学习英语过程中所关心的问题,也是学习的难点所在。本文基于英语正日益成为一种国际性语言这一事实,针对国际竞争的需要,论述提高口语能力的相关办法,它们主要包括练习语音、语调、扩大词汇、语法能力,提高听说、模仿、复述、朗读等能力等等。

5A教学模式在普通外科住院医师规范化培训中的应用

目的探讨5A教学模式在普通外科住院医师规范化培训中的应用效果。方法采用随机对照研究方法,以2020年1月至2022年12月在解放军总医院第一医学中心普通外科医学部接受住院医师规范化培训并进入本研究团队主诊组轮转学习的学员为研究对象,随机分为试验组和对照组。试验组20名,采用5A教学模式;对照组20名,采用传统教学模式。对2组学员进行理论考核、临床技能考核和综合能力考核,记录考核成绩,并比较2组的教学效果。结果相对于对照组,试验组学员在消毒铺巾、切开缝合和腔镜技能考核3个方面的成绩得到提高,差异有统计学意义(P<0.05);试验组学员在团队协作和科学研究2个方面的成绩高于对照组,差异有统计学意义(P<0.05);试验组学员带教满意度高于对照组,差异有统计学意义(P<0.05)。结论5A教学模式可以显著提高学员的临床实践操作、团队协作和科学研究能力,可作为普通外科住院医师规范化培训的有效教学方法。

Assessing Hourly Precipitation Forecast Skill with the Fractions Skill Score

Statistical methods for category（yes/no） forecasts, such as the Threat Score, are typically used in the verification of precipitation forecasts. However, these standard methods are affected by the so-called ＂double-penalty＂ problem caused by slight displacements in either space or time with respect to the observations. Spatial techniques have recently been developed to help solve this problem. The fractions skill score（FSS）, a neighborhood spatial verification method, directly compares the fractional coverage of events in windows surrounding the observations and forecasts.We applied the FSS to hourly precipitation verification by taking hourly forecast products from the GRAPES（Global/Regional Assimilation Prediction System） regional model and quantitative precipitation estimation products from the National Meteorological Information Center of China during July and August 2016, and investigated the difference between these results and those obtained with the traditional category score. We found that the model spin-up period affected the assessment of stability. Systematic errors had an insignificant role in the fraction Brier score and could be ignored. The dispersion of observations followed a diurnal cycle and the standard deviation of the forecast had a similar pattern to the reference maximum of the fraction Brier score. The coefficient of the forecasts and the observations is similar to the FSS; that is, the FSS may be a useful index that can be used to indicate correlation.Compared with the traditional skill score, the FSS has obvious advantages in distinguishing differences in precipitation time series, especially in the assessment of heavy rainfall.

Impact of Life Skills Training to Improve Cognition on Risk of Sexual Behavior and Contraceptive Use among Vocational School Students in Shanghai,China

Objective To evaluate the impact of life skills training that uses participatory teaching method on improving reproductive health cognition of vocational school students of metropolitan, China.Methods Three vocational schools of an urban district in Shanghai were selected as the research sites, with two schools as the intervention groups（group A and group B） and the other as the control（group C）. Group A was provided life skills training with core of reproductive health plus peer education, while group B only provided life skills training. All the second grade students were recruited as the subjects. Baseline surveys were conducted in three schools before the implementation of the intervention, and similar surveys were conducted after two terms of the intervention to test the effectiveness of the intervention. In total, 1 612 subjects, including 810 males and 802 females, were recruited. The effects of the intervention on subjects＇ cognitions on sexual behavior and condom/contraceptive use were analyzed using mixed model with repeated measures.Results From pretest to posttest, there were significant increase of the proportions of perceiving risks in getting pregnant, infecting STDs and HIV, benefits by learning and using condom, and self-efficacy in contraceptive use, and decrease of the proportions of perceiving barriers for condom use in two intervention groups; while few similar changes in the control group. In mixed modeling analysis, interaction effects of group A × time and group B × time were found on the scores of perceived risks （P〈0.000 1）, perceived benefits （P〈0.000 1）, perceived barriers （P=0.001 2for group A and P=0.003 4 for group B）,and perceived self-efficacy （P〈0.000 1）. The significant difference of the effects between two interventions was only observed on perceived benefits （P 〈0.000 1）.Conclusion Life skills training using participatory approaches is effective in improving students＇ reproductive health cognition and could be used as an important method in educating young people about sex-related issues.

情景模拟教学法在临床基本技能培训中的应用研究

目的基于PDCA循环理论探索情景模拟教学法在临床基本技能培训中的应用模式。方法选取哈尔滨医科大学附属第一医院2019级临床医学专业96名学生作为研究对象,分别设置实验组和对照组,每组48名学生,于2022年3—12月开展技能培训。对照组采用传统方式培训,实验组采用基于PDCA循环的情景模拟教学法培训。比较分析对照组和实验组的培训效果及培训满意度。结果在实验组学生的培训效果调查中,临床基本技能操作中多方面评价结果均高于对照组,差异均有统计学意义(P<0.01)。在适当且安全的操作方式方面,两组比较差异无统计学意义(P>0.05)。在培训满意度调查中,实验组学生对培训满意度明显高于对照组,差异有统计学意义(P<0.01)。结论在临床基本技能培训中应用基于PDCA循环的情景模拟教学法,有助于提升临床基本技能培训质量和学生满意度。

基于在线开放的高职技能型课程混合式教学模式探究

“碳达峰碳中和”政策为能源电力行业的转型升级提供了根本遵循。电工技术课程作为能源电力行业的一门专业技能型课程,传统的教学模式已经不能满足该行业对新能源的需求。为了提升能源电力行业技能型课程的教学质量及综合育人质量,本研究以高职在线精品课程“电工技术”教学改革实践为例,探索实施岗位、课程、竞赛、证书与思政教育、劳动教育的有机融通,以及线上线下混合式深度融合的教学方式,构建了“岗课赛证思劳”六位一体混合式教学模式。该模式能够有效提升学习者的学习效果和实践能力,对培养新时代高素质技术技能人才具有一定的借鉴意义。

启发式临床医学与案例教学法在内分泌科临床教学中的应用

目的 探究启发式临床医学教学法与案例教学法应用至内分泌科临床教学当中对教学效果及质量的影响。方法 选取2021年2月—2023年1月在湖北医药学院附属国药东风总医院内分泌科实习的54名实习生为研究对象,将2021年2月—2022年1月参与实习的27名实习生纳入对照组,将2022年2月—2023年1月参与实习的27名实习生纳入观察组。对照组实习期间开展传统教学,观察组在实习教学期间应用启发式临床医学教学法结合案例教学法。比较2组出科考核(理论知识、实践技能、病例分析)分数,比较其入科及出科批判性思维能力测试量表(critical thinking disposition inventory-Chinese version,CTDI-CV)评分、医患沟通技能评价量表(set the stage, elicit information,give information,understand the patient’s perspective,end the encounter,SEGUE)评分,调查2组对教学方法有效性的看法。结果 观察组理论知识、实践技能、病例分析出科考核分数[(84.96±6.96)分、(81.48±6.82)分、(83.79±7.15)分]均高于对照组[(79.85±5.73)分、(74.26±6.13)分、(77.95±7.64)分],差异有统计学意义(P <0.05)。出科时,2组CTDI-CV总分高于入科时,观察组CTDI-CV总分高于对照组,差异有统计学意义(P <0.05);2组SEGUE总分高于入科时,观察组SEGUE总分高于对照组,差异有统计学意义(P<0.05)。观察组增强临床思维评价、提高自主学习积极性评价、促进团结协作评价、提高应变能力评价认可人数多于对照组,差异有统计学意义(P <0.05)。结论在内分泌科临床教学中应用启发式临床医学教学法及案例教学法,可提高实习生临床综合能力水平,增强其批判性思维,使其与患者开展高效沟通,对科室临床教学质量的提升具有促进作用。

面向稀疏奖励的机器人操作技能学习

基于深度强化学习的机器人操作技能学习成为研究热点,但由于任务的稀疏奖励性质,学习效率较低.本文提出了基于元学习的双经验池自适应软更新事后经验回放方法,并将其应用于稀疏奖励的机器人操作技能学习问题求解.首先,在软更新事后经验回放算法的基础上推导出可以提高算法效率的精简值函数,并加入温度自适应调整策略,动态调整温度参数以适应不同的任务环境;其次,结合元学习思想对经验回放进行分割,训练时动态调整选取真实采样数据和构建虚拟数的比例,提出了DAS-HER方法;然后,将DAS-HER算法应用到机器人操作技能学习中,构建了一个稀疏奖励环境下具有通用性的机器人操作技能学习框架;最后,在Mujoco下的Fetch和Hand环境中,进行了8项任务的对比实验,实验结果表明,无论是在训练效率还是在成功率方面,本文算法表现均优于其他算法.

Peyton四步教学法在泌尿外科临床实习带教中的应用

目的 评估Peyton四步教学法在泌尿外科临床实习带教中的应用效果。方法 选取2023年4月至2024年2月在北京协和医院泌尿外科小组轮转的临床实习医师14人,随机分为研究组7名和对照组7名。研究组采用Peyton四步教学法进行临床带教,对照组采用常规教学法进行临床带教。两组实习医师经过1月轮转学习后,进行理论考核和临床技能考核,同时采用调查问卷的方式评价临床带教效果。结果 研究组和对照组两组实习医师的理论成绩分别为(93.60±3.05)分和(91.80±2.39)分,差异无统计学意义。临床技能考核成绩分别为(92.00±1.87)分和(86.80±3.27)分(P<0.05),在临床技能方面,研究组成绩提升明显。调查问卷结果反馈,Peyton教学组在学生满意度和教师满意度均优于对照组。结论 应用Peyton四步教学法可以明显提高实习医师的临床技能成绩,带教老师和学生均对Peyton四步教学法模式的满意度较高,适合在泌尿外科临床推广应用。

PBL教学法在肾内科临床教学中的应用

目的 探讨以问题为基础的学习(problem-based learning,PBL)教学法在肾内科临床教学中的教学效果。方法 选取2020年1月-2022年12月30名在吴川市人民医院接受规范化培训的3+2助理全科医学生为研究对象,以随机数字表法分为研究组及对照组,每组各15名。对照组采用传统教学方法,研究组采用PBL教学法,对比2组在诊断方面考试成绩、肾脏病理诊断的准确性、肾脏病理学知识评分和满意程度。结果 2组学生诊断内容、体检内容、体检技巧、阶段笔试得分差异无统计学意义(P> 0.05)。研究组学生临床病历分析、诊断技能和行为观察得分高于对照组,差异有统计学意义(P <0.05)。研究组学生肾内科医学理念与基本理论、肾内科临床预防与健康教育评分高于对照组,差异有统计学意义(P <0.05)。研究组对提升学习兴趣、提高医患沟通能力和提高对疾病的认识的满意人数均多于对照组,差异有统计学意义(P <0.05)。结论 在肾内科临床教学过程中,应用PBL教学法能够有效提升学生的学习兴趣和主动性,以及医患之间的沟通能力,同时还能提升学生对各项知识的掌握程度,学生认可度高。