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Objective:To explore the evaluation and demand of clinical medical postgraduates for the supervisors' ethics and morality, and to explore ways to construct their ethics and morality in medical education.Methods:In the study, 2 268 clinical medical postgraduates in a medical university in Jiangsu Province were investigated with their satisfaction, compliance and suggestions. Rank sum test was carried out for the satisfaction by using SPSS 26.0, and qualitative analysis was carried out for suggestions.Results:The overall satisfaction of graduate students to the ethics and morality of supervisors was high. All the items described in the supervisors' ethics were "very consistent" more than 80%. Through qualitative analysis, the feedback were divided into six themes namely "supervision and feedback", "supervisor training", "reward and punishment system", "communication", "caring for students" and "academic guidance".Conclusion:The evaluation of clinical medical supervisors' ethics and morality is generally at a high level. The cultivation and guidance of supervisors' ethics and morality, supervision mechanism, and reward and punishment system still need to be improved.
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Objective To learn the true experiences of clinical nursing leaders like the head of nursing department and head nurses of a hospital in their implementation and management of narrative care for reference in effective implementation. Methods This study used purposive sampling and snowball sampling of phenomenological research methods. 13 nursing managers were selected from 3 tertiary hospitals in Jiangsu and Hebei province for a semi-structure interview. The interview focused on implementation of such care. Results Following four themes emerged from original interview materials. Namely, the team building experience of narrative care (led by the hospital leader, the establishment of the nursing psychology committee, and the formation of the department narrative nursing team), nurse training of narrative care (phased training, test of learning effects, and qualifications of psychological counselors ), practical management of narrative care (encouragement first, and pressure as auxiliary means), and evaluation of nursing managers on the narrative care (active role, difficulties in implementation). Conclusions As an effective way of psychological nursing care, narrative nursing deserves nationwide application. Success of the application depends on emphasis and support of nursing managers who are expected to pay high attention and promote narrative nursing with teamwork power, so as to develop the narrative care ability of nurses.
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Objective To explore the main factors of the medical communication between physicians and nurses in gynecological emergency treatments. To evaluate the function of SBAR communication mode in enhancing communication skills and to explore the countermeasures of promotion. Methods Totally 18 gynecological physicians and nurses were selected as the subjects in this study,and semi-structured interviews were conducted. After the establishment of coding and archiving system, the collected information was extracted and analyzed. Results The factors that affect gynecologic emergency medical staff effective communication included assessment of the patients′ condition, the limitation of communication conditions,the different concerns between doctors and nurses,the differences of medical communication training degree,seniority,experience and knowledge reserve,the medical team consciousness. Conclusion The effective communication of gynecologic emergency care can be promoted by improving professional levels of medical care personnel,strengthening the cultivation of the health care team,using communication skills,to ensure the accurate transfer of key information.
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Humanization is becoming increasingly significant inpatient-nurse collaboration. In China,the bed-nurse ratio is unbalanced,the medical dispute is serious and the patient′s satisfaction is not high.Narrative medicine which exertnalizing one′s experiences and emotion,are beneficial to patients′physical and mental rehabilitation. In narrative nursing, nurses entered into patients′ feeling and feel empathy,then provided higher quality nursing care.Narrative nursing effectively makes up for the lack of humanistic care. This article shows the development and shorts of humanistic care. Then discussed the practical application and limitations of narrative nursing as well as it′s significance of strengthening humanistic care.