Challenge, opportunity and development： Influencing factors and tendencies of curriculum innovation on undergraduate nursing education in the mainland of China

Background： As the deep influence of traditional medical education, many undergraduate nursing colleges and universities in China still keep the traditional disease-focused curriculum system. However, it became outdated as the Chinese high nursing education developed. Meanwhile, the increasing demand of nursing human resources stimulates the enrollment expansion of colleges. All of these bring more difficulties and opportunities for nurse educators who are endeavoring to reform the undergraduate curriculum. Methods： The authors retrospectively reviewed the related literature, illustrated the existing challenges and opportunities during the curriculum renewal process in China. This paper also analyzed the ten- dencies of Chinese baccalaureate curriculum innovation. Results： Chinese current undergraduate nursing curriculum has larger proportion of basic medical courses, which brings great challenge for nursing educators. In the meantime, the expansion of enroll- ment brings conflicts with existing nursing education resources in China. Integration, humanization, internationalization and diversification are main tendencies leading the future nursing curriculum innovation in China. Conclusions： The more effective teaching innovations in the nursing education system are in great demand.

Developing a curriculum model of English teaching for master's degree nursing education in a Chinese medicine university

Objective:English for Specific Purpose(ESP)is the essence for developing scientific research capacity,which is a core component for postgraduate education.The objective of this article is to develop a curriculum model for ESP of Master's level nursing education in a Chinese medicine university.Method:A three-year action research approach with continuous reflection and modification was used to develop an ESP curriculum based on the RICH model.A total of 78 students of Master's Science in Nursing enrolled in 2016-2018 and three course teachers in Nanjing University of Chinese Medicine participated in the study.The ESP curriculum based on the RICH model involved research-based learning topics(R),integrated curriculum(Ⅰ),cooperative learning methods(C),and humanistic outcome(H).Results:The passing rate of the students was 100%,the excellent rate was 79.5%,with an average score of 83.16±3.43.All students were satisfied with the ESP course design and acknowledged the process of"growing up under the pressure".Four students have published five articles in the journals included by Science Citation Index(SCI).Conclusions:The study exerted a positive effect on the ESP teaching and learning and provided new ideas for the ESP curriculum integration of Master's Science in Nursing in China.

A Study on Aligning Nursing Curriculum with Hospital Clinical Competency Requirements

The purpose of this study is to coordinate the alignment between the nursing curriculum and hospital clinical competencies,identify the reasons for the gaps,evaluate the impact of these gaps on the nursing profession,and propose strategies to bridge these gaps.This study will help strengthen nursing education,improve nursing students’skills,and help students adapt to complex clinical environments.

Competency-based curriculum education in mental health nursing

Introduction: The essential problems in providing quality and safety services to patients, rapid changes in health care settings as well as information technology require educational revision. Competency-based curriculum focuses on set of skills that students should achieve. This study reviewed characteristics of competency-based curriculum in psychiatric nursing. Methods: A literature review about a competency-based curriculum in psychiatric mental health nursing was carried out by searching databases including Iran Medex, Iran Doc, and Pub Med with key words such as competency-based education, competency-based curriculum, and competency-based curriculum in psychiatric mental health nursing. No time limitation was considered. Results: Results revealed that over 30 literatures have been done about nursing curriculum, but just several studies were done regarding competency-based curriculum and just a few about competency-based curriculum in psychiatric mental health nursing. Conclusion: Competency-based curriculum development is one of the essential steps to facilitate teaching-learning process. The revision of curriculum may decrease theory-practice gap and pave the way for graduates to have essential competences for their roles.

Learning outcomes of nursing curriculum in Turkey:a cross-sectional study

Objective:To assess the nursing curriculum and point out learning outcomes in Turkey.Methods:A cross-sectional design was used in this study.This study was conducted between May and June 2017 from 23 undergraduate nursing schools'education programs for one education and academic year's curriculum.The public information of the universities collected from their web sites and learning outcomes of the schools were classified as cognitive,psychomotor,and affective domains.Results:It appears that half of the basic nursing courses are in the psychomotor domain,and the majority of basic medical sciences courses are in the cognitive domain.Learning outcomes about the affective domain mostly take place in basic nursing courses.Conclusions:The findings of the results of this study can provide insight into current nursing education and guide new curricula to be developed.

Practical Research on the Integration of Curriculum Ideology and Politics into the Teaching Reform of Nursing Specialty

“Curriculum ideology and politics”is a new concept and model of education as well as teaching innovation in colleges and universities.Focusing on the fundamental task of strengthening moral education and cultivating people along with the nursing curriculum,this article analyzes the main problems existing in the“curriculum ideology and politics”in nursing education,takes the nursing course as the starting point,and proposes suggestions for the teaching reform of“curriculum ideology and politics”in nursing education.

Community health nursing courses in baccalaureate nursing programsin China: A descriptive study based on website information

Objective:To survey current community health nursing(CHN)courses offered in baccalaureate nursing programs in the mainland of China from the perspective on information available on websites of colleges and universities.Methods:A descriptive research design was used.Data were collected from the official websites of colleges and universities providing baccalaureate nursing programs in the mainland of China.A checklist was applied to identify academic year,type of course,credit,and class hours for both theory and practice teaching of CHN courses including Community Nursing,Geriatric Nursing,Rehabilitation Nursing,and Health Education.The prescribed textbooks were consulted for teaching content.Results:Colleges(n?16)and universities(n?26)offering baccalaureate nursing programs with accessible online information for curriculum setting were recruited.The results showed that most of the accessible educational institutions(92.86%)have offered three to four investigated CHN courses.Community Nursing,Geriatric Nursing and Rehabilitation Nursing are generally offered to juniors,while Health Education is offered in half of these institutions in different academic years.Community Nursing is mainly offered as a required course with 2 credits,while Geriatric Nursing,Rehabilitation Nursing and Health Education are provided as elective courses with fewer credits.Around half of the institutions have practice hours for Community Nursing,Geriatric Nursing and Rehabilitation Nursing courses.However,the proportion of practice hours in the courses is generally less than 50%.The teaching content focuses on clinical care competencies instead of complementary competencies.Conclusion:It was revealed that CHN education in China is still in its infancy from website information of colleges and universities.CHN courses should be included in curriculum design,and teaching reforms and innovations should be taken to prepare nursing students to practice in primary health care and community settings.

Chinese nursing postgraduates'views on implementing outcome-oriented academic English course:a descriptive study

Background:According to previous studies on professional English course teaching,the evaluation of course teaching was positive,but the vast majorities focus on medical English literature reading,professional English vocabulary,and professional English translation.As an alternative,the course design based on academic learning needs under the outcome-oriented education/model emphasizes the improvement of students'comprehensive ability in oral expression,literature reading,writing,and academic communication.Objectives:The objective of this study was to analyze nursing postgraduates'opinions on learning the outcome-oriented academic English course.Methods:This is a cross-sectional descriptive study.A total of 150 first-year nursing postgraduates enrolled in the“Academic Professional English for Nursing Postgraduates”course.After completing the course learning,students scanned QR codes generated by the online questionnaire and completed it anonymously within 48 h.Results:The students who participated in this course strongly believed that it“helped them strengthen their English speakability”(4.8 points),“made them more confident to participate in international academic conferences and exchanges in the future”(4.8 points),and“helped them apply English more in the nursing professional field in the future”(4.7 points).Conclusions:The implementation of outcome-oriented course teaching helps students to understand the research of foreign scholars and effectively express their own research content with English as a tool.It motivates them to continuously use English for professional and academic communication.

Research on the Reform and Practice of “Basic Nursing Skills Practice” Course Assessment

Objective: “Basic Nursing Skills Practice” is a key course connecting classroom and clinical teaching in nursing specialty teaching. Nursing practice ability is one of the core abilities of nurse practitioners. Therefore, the teaching quality of this course is directly related to the quality of nursing work. To improve the teaching quality of practical course, the assessment reform of the “Basic Nursing Skills Practice” course was carried out among the nursing undergraduates to explore a reasonable and fair assessment mechanism. Method: In the assessment of “Basic Nursing Skills Practice” course, the assessment included individual skill operation assessment, virtual simulation assessment and team comprehensive skill assessment. The assessment proportion was adjusted from 100% for the final examination to 50% for the middle and final examinations respectively. The assessment method was changed from individual skills assessment at the end of the term to a combination of individual skills assessment at the midterm and virtual simulation assessment and team skills assessment at the end of the term. The method has changed from summative evaluation to a combination of formative evaluation and summative evaluation, and self-made questionnaire was used to investigate the effect. Results: After implementing the assessment reform, 86.84% of the students were satisfied with the assessment reform, and the percentage of students with scores above 80 reached 100%. The highest score is 93.0, while the lowest score is 83.0, and the average score was 88.0. Conclusions: High satisfaction of students with basic nursing skills examination reform promoted the learning effectiveness and professional emotions, cultivated comprehensive quality and ability, promoted the realization of talent training objectives.

Quality of Nursing Courses as Perceived by Students: Relationship with Their Academic Achievement in Palestine College of Nursing

The purpose of this study was to determine the Bachelor Science of Nursing (BSN), student’s perceptions of the quality of nursing courses taught at Palestine College of Nursing (PCN), which were fundamentals of nursing course, adult nursing course, pediatric nursing course, maternity nursing course, community nursing course, mental health and psychiatric nursing course and nursing management and leadership course, and its relationship with their academic achievement. The Palestine College of Nursing is governmental and Ministry of Health (MOH) affiliated. The sample included 467 nursing students registered in the college who studied the previously mentioned nursing courses. Data were collected using a self-administered questionnaire developed by the researcher, and guided by literature. That was to assess the included nine quality dimensions of the nursing courses as perceived by the students. Content validity and reliability tests were done for the tool. The study revealed that the total students’ perceptions of the quality of all nurses courses were within average quality level (80.42%). The nursing management course and community health nursing course were of the first two ranks of high quality level (84.54%, and 84.48%, respectively), where mental health and psychiatric nursing course, fundamentals of nursing course, adult health nursing course, pediatric nursing course and maternity health nursing course were the next ranks of average quality level. The study revealed that students’ perceptions of seven dimensions from nine were with average quality level (80.50%). The first rank was the “teacher/instructor characteristics and attributes”, dimension of high quality level (84.44%), while the last rank was “teaching methodology” dimension of average quality level (77.54%). There was a positive relationship between students’ achievement and the courses’ quality dimensions, pertaining objectives of the course, contents of the course, teacher/instructor competencies, teacher characteristics, teaching methodology, students/teacher interaction and course evaluation. The study recommended improving the quality of nursing courses for better level and to improve the quality of some dimensions like using different teaching strategies, the quality of clinical settings, and improve the quality of nursing instructors in some clinical areas. Finally the researcher recommend for further studies about concerning quality in nursing education.

Developing an educational framework for the teaching of simulation within nurse education

The use of simulations as a teaching and learning tool within health care has increasing importance;simulations are seen as the major teaching method for practicing and assessing developing skills, knowledge, attitudes and meaningful decision-making within the field of nursing. Certainly the utilisations of simulations feature widely within many aspects of health care;a greater understanding of the key conceptual notions will serve to benefit all of those engaged within their application. This literature review has enabled the construction of a conceptual model for the teaching of simulation and can serve to promote the continued positive development of simulations within education. Through a consistent and insightful approach to teaching, dynamic learning will be assured within this very important aspect of engaging the nursing student within the learning process.

本科儿科护理学渗透式课程思政教学设计与实践

目的设计儿科护理学渗透式课程思政教学方法,并评价实施效果。方法设计“线上线下、课内课外”相结合、教学方法多样的儿科护理学渗透式课程思政教学方案,并在2020级本科护理专业196名学生中开展教学。随机选取16名学生、6名教师(含临床带教教师)进行访谈,以评价渗透式课程思政的教学效果。结果对学生访谈提取出渗透式课程思政获益、渗透式课程思政不足与期待2个主题;对授课教师访谈提炼出2个主题,包括提升了课程思政育人意识和教学能力、课程思政教学反思与改进。结论儿科护理学渗透式课程思政教学取得了良好的效果,有助于学生综合素质的培养,教师的育人能力有所提升,起到了教学相长的作用。今后应进一步挖掘课程思政元素,丰富融入方式和教学方法,研发客观科学的学生考核办法。

“健康中国”视域下以教育家精神引领中医护理课程建设

教育家精神根植于中华传统文化,是中华文明的重要组成部分,中医护理也是我国人民在几千年历史进程中的伟大发明与创造,两者具有天然的共同性、密切的联系性、紧密的结合性。因此,可以以教育家精神引领中医护理课程建设,以教育家精神的科学内涵丰富中医护理课程内容,以教育家精神与时俱进为教师专业发展指路引航,以教育家精神为思政元素润物无声、潜移默化地丰富学生的精神世界,从而全面助力健康中国建设。

护患沟通学课程教学创新与实践

护患沟通学是护理专业学生从校园学习过渡到临床实践的重要桥梁课程。为解决课程教学中学生沟通自我效能感低、应对非预设问题能力欠缺和人文素养薄弱三大痛点问题,课程教学团队以建构主义学习理论的学习环境四要素“情景、协作、会话、意义构建”为指导,通过重构情景任务型教学内容模块,将理论知识与临床情景挂钩,突显高阶性;开发“设计思维驱动的问题学习法”,培养学生用创新思维寻找解决问题的能力;打造具有知行合一特色的课程思政,培育学生医学人文精神;建立全过程、多主体的评价机制,提升考核挑战度。经多轮教学实践与发展,课程取得显著成效,可为护理类课程的教学创新提供参考。

儒家生命伦理融入老年护理学课程思政的实践效果

目的:探讨儒家生命伦理融入老年护理学课程思政的实践效果。方法:采取整群抽样法,以2018级312名(对照组)和2019级266名(试验组)本科护生为研究对象,对照组采用常规教学模式,试验组开展融入儒家生命伦理的老年护理学课程思政教学,课程结束后调查试验组护生对课程思政的内容和效果的感受,分析两组护生关怀能力、服务老年人意愿和考试成绩。结果:试验组266名护生中96.2%认为我国传统文化对医学生有可借鉴的智慧和思想,83.1%认为教学设计参与性和启发性较好,92.5%对课程评价总体满意。与老人共同生活的时间、家庭关系、对老龄化问题的关注程度会影响护生服务老年人意愿(P<0.05)。试验组护生关怀能力、服务老年人意愿、考试成绩均高于对照组(P<0.05)。结论:将儒家生命伦理融入老年护理学课程思政的教学设计有助于提升护生关怀能力和服务老年人意愿,促进其道德品质提升,更好地满足社会对老年护理人才的需求。

提升高职生学习参与度的护理学基础课程混合式教学设计与实践

目的探讨护理学基础中的混合式教学活动设计对提升高职护理专业学生学习参与度的效果。方法基于探究社区理论设计一系列混合式教学活动,线上活动包括“案”“言”“赞”“图”;线下活动包括“境”“问”“比”“评”。在114名护理高职生中开展护理学基础课程教学,并应用混合式教学活动。课程结束后评价学生线上、线下学习参与度,以及期末成绩的及格率和优秀率;应用中文版探究社区量表调查学生的学习体验,并进行教学改革前后比较。结果教学任务完成率为76.3%~100%;视频观看时长782.7~1028.7(851.6±100.7)min;发表讨论话题73个,回复4210个;图表作业发布32个,回复3019个;教师回复448个,点赞2430次。线下课堂记录显示,96%的学生主动提出了问题,小组汇报平均3~5次。教学改革后的线上参与度、线下参与度、期末成绩的及格率和优秀率均高于教学改革前(P<0.05)。教学改革后学生的探究社区量表总分及各维度得分均高于教学改革前(P<0.05)。结论本研究设计的混合式教学活动可以提高学生对护理学基础课程教学的学习参与度,加速个人知识建构,提高学生学习专注度。

护理学国家级一流本科课程分类建设的实践与成效

建设护理一流本科课程是提高护理高等教育质量、培养高素质护理专业人才的重要举措。南京医科大学护理学院对标教育部关于一流本科课程建设的总体要求,对线上一流课程、线下一流课程、线上线下混合式一流课程、虚拟仿真实验一流课程及社会实践一流课程的建设进行探索与实践。该文从转变教育理念、创新多元教学方法、优化教育内容、丰富教学资源及改革成绩评定方式等方面阐述专业课程建设的举措,以期为国内其他高校护理专业课程建设提供借鉴和参考。

本科护理专业“解决问题,促进健康”课程建设情况分析

目的 分析“解决问题,促进健康”课程建设情况,结合劳动教育相关要求明确后期建设方向。方法 梳理“解决问题,促进健康”课程建设情况,采用ROST内容挖掘系统对1 032项学生项目选题和177条学生项目总结语句进行文本分析。结果 历经20余年发展,“解决问题,促进健康”课程现已成为必修课,以项目驱动的方式帮助学生提高社会实践能力。通过对学生项目选题的词频分析发现,“知识”出现的总频次(275次)最高;“老年人”出现的频次升至第二位。学生项目总结语句情感分析结果显示,85.88%(152条)为积极情绪,主要涉及项目对学生自身社会实践能力的积极影响;11.86%为消极情绪,主要为学生所关注的健康问题带来的不良影响或实践过程中的不足之处。结论“解决问题,促进健康”的课程建设在社会性和实践性教育方面已取得了初步成效,但仍有不足。后期需根据教育部关于劳动教育的指导纲要进行改革,可在一定程度上推动护理专业课程劳动教育建设。

“岗课赛证”背景下基础护理技术课程教学改革路径与实践成效

目的探讨“岗课赛证”融通背景下基础护理技术课程教学改革路径与实践成效。方法在“岗课赛证”融通背景下,以护士典型临床工作任务为主线,打造一门融合最新岗位技术、对接竞赛标准、满足考取“1+X”证书需求的基础护理技术课程,包括线上网络课堂、虚拟仿真课堂、线下理实课堂及社会实践4种形式。以引入问题、寻找方法、科学分析、有效解决和效果评价5个步骤对2020级护理专业326名学生(试验组)展开教学;对2019级护理专业319名学生则采用改革前的无“岗课赛证”融通设计的混合式教学。教学后,比较两组综合职业能力考核成绩和自主学习能力得分。结果教学后,试验组综合职业能力考核成绩、自主学习能力得分均高于对照组(均P<0.05),师生对线上课程资源的反馈良好。结论基于“岗课赛证”融通的基础护理技术课程改革,有利于增强学生的综合职业能力,提高教学质量。

高职护理专业课程思政教学评价指标体系的构建

构建高职护理专业课程思政教学评价指标体系,以期为课程思政教学评价提供参考。初步拟定了高职护理专业课程思政教学评价指标,采用德尔菲法进行两轮专家咨询,确定评价指标体系的结构和各指标的权重。最终确定了师资素养、教学资源、教学过程、教学成效等4个一级指标、11个二级指标及39个三级条目的课程思政教学评价指标体系。构建的高职护理专业课程思政教学评价体系专家积极性和权威程度高、意见协调程度好,具有较高的可靠性和科学性,可用于高职护理专业课程思政教学评价。