目的探讨SBAR(situation,background,assessment and recommendation)沟通联合案例情景模拟教学模式对妇产科见习的医学生的医际沟通和批判性思维的影响。方法2022年11月—2023年5月参加妇产科临床见习培训的临床医学本科生共156人,随...目的探讨SBAR(situation,background,assessment and recommendation)沟通联合案例情景模拟教学模式对妇产科见习的医学生的医际沟通和批判性思维的影响。方法2022年11月—2023年5月参加妇产科临床见习培训的临床医学本科生共156人,随机分成观察组和对照组。对照组应用传统的见习教学模式,针对医际沟通的教学以授课和床旁观察形式进行。观察组医学生入科时进行SBAR沟通模式联合案例情景模拟教学,其余教学同对照组。比较两组见习生出科考核成绩(理论知识成绩和临床技能成绩)、批判性思维能力和对临床见习教学的满意度。结果观察组病史采集和医际沟通成绩优于对照组,差异具有统计学意义(P<0.05),但两组理论知识成绩和临床技能操作成绩无统计学差异(P>0.05)。观察组的批判性思维总分显著高于对照组(P<0.05),其中分析能力、系统化能力、批判性思维自信心和认知成熟度四个维度的得分均高于对照组,差异具有统计学意义(P<0.05),但两组的寻找真相、开放思维和求知欲三个维度的得分差异无统计学意义(P>0.05)。观察组学生对教学满意度高于对照组,差异具有统计学意义(P<0.05)。结论在临床医学本科生妇产科见习阶段引入SBAR沟通模式联合案例情景模拟教学,有利于本科生提高学习兴趣,增强批判性思维能力,提升医际沟通能力,可在各类学科的见习教学中推广。展开更多
Global and international security cannot be provided from a single point or a set of separate points whatever powerful these might be(even with quantum supercomputers!).It should rather be deeply embedded and integrat...Global and international security cannot be provided from a single point or a set of separate points whatever powerful these might be(even with quantum supercomputers!).It should rather be deeply embedded and integrated with bodies of real systems wherever in physical,virtual,or combined spaces they may exist.So global security capabilities should not only be distributed,but rather be really spatial,self-organized,and dynamic,also exhibiting overall integrity,awareness,and consciousness features.The paper describes applicability of the patented and revealed in 10 books Spatial Grasp Model and Technology(SGT)and its basic Spatial Grasp Language(SGL)which conceptually and functionally match security problems of large distributed and heterogeneous systems.It investigates very practical security solutions for finding and tracing distribution of forbidden items,world roaming criminals,recovery from natural and human-made disasters,tracing and elimination of moving dangerous objects in terrestrial and celestial spaces,as well as analysis and restoration of damaged transport networks.It advises how different security infrastructures can be organized and managed,and how to cooperate and integrate within global security systems with higher awareness and consciousness levels over them.The provided security-oriented version of SGL can be quickly implemented and integrated with existing distributed management and security systems.展开更多
文摘目的探讨SBAR(situation,background,assessment and recommendation)沟通联合案例情景模拟教学模式对妇产科见习的医学生的医际沟通和批判性思维的影响。方法2022年11月—2023年5月参加妇产科临床见习培训的临床医学本科生共156人,随机分成观察组和对照组。对照组应用传统的见习教学模式,针对医际沟通的教学以授课和床旁观察形式进行。观察组医学生入科时进行SBAR沟通模式联合案例情景模拟教学,其余教学同对照组。比较两组见习生出科考核成绩(理论知识成绩和临床技能成绩)、批判性思维能力和对临床见习教学的满意度。结果观察组病史采集和医际沟通成绩优于对照组,差异具有统计学意义(P<0.05),但两组理论知识成绩和临床技能操作成绩无统计学差异(P>0.05)。观察组的批判性思维总分显著高于对照组(P<0.05),其中分析能力、系统化能力、批判性思维自信心和认知成熟度四个维度的得分均高于对照组,差异具有统计学意义(P<0.05),但两组的寻找真相、开放思维和求知欲三个维度的得分差异无统计学意义(P>0.05)。观察组学生对教学满意度高于对照组,差异具有统计学意义(P<0.05)。结论在临床医学本科生妇产科见习阶段引入SBAR沟通模式联合案例情景模拟教学,有利于本科生提高学习兴趣,增强批判性思维能力,提升医际沟通能力,可在各类学科的见习教学中推广。
文摘Global and international security cannot be provided from a single point or a set of separate points whatever powerful these might be(even with quantum supercomputers!).It should rather be deeply embedded and integrated with bodies of real systems wherever in physical,virtual,or combined spaces they may exist.So global security capabilities should not only be distributed,but rather be really spatial,self-organized,and dynamic,also exhibiting overall integrity,awareness,and consciousness features.The paper describes applicability of the patented and revealed in 10 books Spatial Grasp Model and Technology(SGT)and its basic Spatial Grasp Language(SGL)which conceptually and functionally match security problems of large distributed and heterogeneous systems.It investigates very practical security solutions for finding and tracing distribution of forbidden items,world roaming criminals,recovery from natural and human-made disasters,tracing and elimination of moving dangerous objects in terrestrial and celestial spaces,as well as analysis and restoration of damaged transport networks.It advises how different security infrastructures can be organized and managed,and how to cooperate and integrate within global security systems with higher awareness and consciousness levels over them.The provided security-oriented version of SGL can be quickly implemented and integrated with existing distributed management and security systems.
