临床护理教学路径在内科的建立与应用

目的 建立内科临床护理教学路径,探讨其在临床护理教学中的效果.方法 将60名入科实习护生随机分成两组,对照组采用传统的教学方法进行综合教学,实验组采用临床护理教学方法路径进行教学.结果 实验组护生的成绩明显优于对照组,对带教老师的满意度及学习兴趣比对照组高.结论临床护理路径可以提高临床教学效果,激发护生学习兴趣,提高对老师的满意度.     

浅谈体验式教学在高中生物教学中的运用

伴随着新课改工作的深入,越来越多的教学方法被应用于现在的教学之中,本文中重点探讨了体验式教学这一教学方式在高中目前高中生物课程教学中的运用。     

基于"学习通"线上线下教学在血液内科见习中的实施与研究

目的 探讨基于"学习通"线上线下教学在血液内科见习中的实施与研究.方法 随机选取广西医科大学2019～2020学年下学期2016级五年制临床医学本科一个班为观察组,选取2018～2019学年下学期2015级的一个班级为对照组.观察组采用基于"学习通"平台线上线下结合的教学模式,对照组采用传统的病房实地见习模式,观察并比...     

病案在内科护理学教学中的应用

病案教学广泛应用在临床医学教学中,具有真实、自然、直观的特点,可使理论与实践紧密相连．更扎实地掌握知识。笔者在近年的内科护理学教学中,导入了病案教学,有效地提高了学生的参与意识,调动了教师、学生的积极性,教学效果较好。现就病案在内科护理学教学中的应用浅述如下。     

叙事性教学方法在血液内科护理实习教学中的应用

目的 探讨叙事性教学法在血液学科护理实习生临床实践及护理教学中的应用效果.方法 选择2018年7月 ～2019年7月我院血液科护理实习生为研究对象,将70名实习护生按实习单双批次依据进行分组,单批次的35名护生分为对照组,采用常规教学方法;双批次的35名护生分为实验组,采用叙事性教学法.比较两组护生出科考核成绩和教学质...     

PBL教学模式在内科临床教学的应用探讨

内科是临床科室的重要组成部分,内科教学是为培养医务工作者的重要步骤,是医学生由学生向医生角色转变的桥梁。传统临床教学以知识灌输为主,学生学习积极性较低,教学质量较低。上世纪60、70年代问题导向(PBL)的教学方法被提出,为教学改革提供了一个全新的思路。本文将PBL教学方法应用于内科临床教学工作中,结合本学科的特点,以学生为中心,以问题为向导,充分发挥学生的学习积极性,提高教学质量,促进学生主动学习能力提高,帮助医学生建立完整的内科诊疗过程思维,进而达到临床内科教学目标。     

体验式教学在食品微生物学教学中的应用探索

本文针对我国高校目前在食品微生物学课程的教学现状,引入体验式教学的理念,结合体验式教学的定义及特征,以学生为中心,通过增加学生的感官体验、互动过程、操作体验、实践经历等促使其主动去探索发现。通过"情境设置—主体体验—评价体验—体验迁移"的模式,而不是单一的知识灌输,提升学生对食品微生物学的认知兴趣和主动性,增加学生的学习积极性和创造性,启发学生进行自主的知识构建,达到更好的教学效果。     

体验式教学法在教学实践中的应用研究

体验式教学法是近年来倡导的一种教学方法,强调师生互动,学生作为课堂主体参与课堂,通过情感体验学习新的知识,提高学习效率,培养学生的动力能力和创新能力。本文介绍了体验式教学法的实施策略和操作流程,以及实践应用中的注意事项。     

基于工作过程系统化的内科护理情境教学探讨

为了突破临床教学与临床实际脱节这一教学难题,作者将先进职业教育课程改革思想融入教学实践进行探索,通过以医院典型工作任务、工作过程、工作场境为导向的以项目教学法为主要教学方法来建立课程的学习情境方案,使学生真正地融入到医院真实的护理工作环境中学习,促进＂零距离＂人才的培养,提高学生综合职业能力,使学生能够较快在护理一线工作岗位胜任常见病、多发病及急危重病的护理等工作,培养具有可持续发展能力的高素质、高技能护理技术人才.本文以肺炎患者护理工作过程的学习情境教学为例,现将方法介绍如下.     

体验式教学法在中学生物学教学中的应用

“体验式”教学法是在宽松的情境中让学生主动参与学习活动,通过学生对自身体验的省思来进行学习并完成知识的建构过程,获得自主发展的一种教学模式。论述了体验教学的内涵、策略、过程及构建该教学模式应注意的问题。     

DEU教学模式在临床护理教学中的运用

目的 探讨实习专用病房(Dedicated education unit,DEU)教学模式在临床护理实习教学过程中的应用效果.方法 选择2019年6月17日～2020年3月15日在我科实习的2017级护理大专班实习护生106名,按教学方法的不同进行分组,其中使用传统带教方式的为对照组,采用DEU临床护理教学方法的为实验...     

临床路径教学法在鼻咽癌临床护理教学中的应用评价

目的 探讨临床路径(CP)在鼻咽癌临床护理教学中的应用效果.方法 将2011年7月~2012年5月在我院放射科实习的96名护生随机分为观察组和对照组,观察组采用CP教学法,对照组采用传统实习带教法,并对两组护生的教学效果分阶段进行综合评价.结果 观察组护生在理论考核、技能考核及教学满意度方面均优于对照组,差异有统计学意义(P＜0.05).结论 CP教学有利于护生形成系统的知识结构,对临床思维及综合能力的培养起到重要作用,临床路径教学模式值得推广.     

A systematic review of evidence-based practices for clinical education and health care delivery in the clinical teaching unit

Background:The clinical teaching unit is a widespread clinical training model that requires reform to prepare physicians for practice in the 21st century. In this systematic review, we aimed to identify evidence-based practices in internal medicine clinical teaching units that contribute to improved clinical education and health care delivery.Methods:We searched several databases from 1993 until Apr. 5, 2021, to identify published studies in inpatient clinical teaching units that involved medical trainees and reported outcomes related to trainee education or health care delivery. We identified emergent themes using a narrative approach and determined confidence in review findings using the Grading of Recommendations Assessment, Development and Evaluation Confidence in the Evidence from Reviews of Qualitative Research (GRADE-CERQual) methodology.Results:We included 107 studies of internal medicine clinical teaching units, of which 93 (87%) were conducted in North America. Surveys (n = 31, 29%), trials (n = 17, 16%) and narrative studies (n = 15, 14%) were the most prevalent study designs. Practices identified as contributing to improved clinical education or health care delivery included purposeful rounding (high confidence), bedside rounding (moderate confidence), resource stewardship interventions (high confidence), interprofessional rounds (moderate confidence), geographic wards (moderate confidence), allocating more trainee time to patient care or educational activities (moderate confidence), “drip” continuous models of admission (moderate confidence), limiting duty hours (moderate confidence) and limiting clinical workload (moderate confidence).Interpretation:In this review, we identified several evidence-based practices that may contribute to improved educational and health care outcomes in clinical teaching unit settings. These findings may offer guidance for policies, resource allocation and staffing of teaching hospitals.

Medical education in North America is largely based on an educational model that is now more than a century old.¹ To keep pace with changing social, economic and health system circumstances, substantial educational reform is necessary to prepare physicians for practice in the 21st century. Over the past decade, numerous national organizations, including the Association of Faculties of Medicine in Canada and the American Medical Association, have echoed this call to action.^1,2The clinical teaching unit (CTU) provides a joint model of undergraduate and postgraduate clinical education in which trainees contribute to direct patient care, with graded levels of responsibility reflective of their level of training.³ The CTU describes an approach to delivering learner education and patient care in parallel, and since its inception in Canada in 1962, this model of care has become almost ubiquitous across clinical specialties in many countries. Although the use of CTUs is a common approach to organizing an inpatient teaching service, the implementation of CTUs is highly variable with regard to elements such as the number of learners and patients, and regionalization to specific hospital wards. Moreover, a systematic evaluation of practices that maximize the CTU’s effectiveness has not been conducted, meaning evidence to inform CTU design is lacking.The purpose of this systematic review was to identify practices in internal medicine CTUs that contribute to improved clinical education for resident physicians and medical students, as well as to health care delivery.     

互助学习在科技学院护理专业组胚教学中的尝试

目的探讨互助学习在医学专业科技学院教学中的应用效果。方法对我校科技学院2009级护理专业组胚实验教学中实施互助学习,课程结束后对学生进行成绩分析及问卷调查。结果通过互助学习学生成绩显著提高,语言表达能力、合作能力、分析解决问题能力相应增强。结论互助学习能激发学生学习兴趣,提高学习能力和实验技能,改善学生的综合素质,为科技学院学生因材施教寻找到有效教学模式。     

Hematology and clinical chemistry in dystocic and healthy post-reproductive female chameleons

Prevalence of egg-laying disorders and hematology and blood chemical parameters were analyzed in free-ranging common chameleons (Chamaeleo chamaeleon) from southern Spain. During four reproductive seasons oviposition failures occurred only during dry years. Egg binding appeared to be an important cause of mortality. Oviductal eggs of dystocic females were longer and wider than those of females with normal oviposition. Blood cell counts, white blood cell differentials, hematocrit, and concentration of hemoglobin, total plasma protein, glucose, uric acid, aspartate aminotransferase, and creatinine phosphokinase in blood were determined for eight apparently healthy post-reproductive females and considered as reference values. These chameleons differed from other reptiles in high concentrations of glucose in blood, averaging 362 mg/dl, and in high numbers of heterophils. Females with dystocia differed from reference values in an increase in monocytes and in the high concentrations of aspartate aminotransferase probably associated with tissue trauma.     

案例教学法在护理本科专业组织学与胚胎学教学中的实施与体会

组织学与胚胎学为护理本科专业学生必修课.在教学过程中采取＂学生为主体、教师为主导＂的案例教学法,激发学生的主观能动性,注重学生创新能力培养.在案例教学过程中,也发现一些问题：学生素质不一、学习目标不明确以及教师教育理念滞后等.因此,在护理本科专业组织学与胚胎学实施案例教学过程中,引导学生确立学习目标,积极思考,注重团队合作,全面调动学生学习的积极性和主动性.教师在更新教学观念的同时,提倡奉献精神,注重自身素质的培养和提高.