Research on the Relationship between Metacognition and Self-directed Learning Ability of Undergraduate Nursing Students: A Moderated Mediation Model / 中国医学伦理学

【Objective:】 To explore the effect of metacognition on self-directed learning ability of undergraduate nursing students, and the role of interpersonal communication ability and sense of self-worth between them. 【Methods:】 A total of 905 undergraduate nursing students from six colleges and universities in Shaanxi were selected as the survey subjects by convenient sampling method during August to November 2022. Metacognitive Assessment Inventory, Self-Directed Learning Ability Measurement Scale for Nursing Students, Adolescent Sense of Total Self-Worth Scale, and Supportive Communication Scale were used to conduct a questionnaire survey on undergraduate nursing students. SPSS 25.0 software was used for statistical analysis of the data. 【Results:】 Finally, 854 valid questionnaires (94.36%) were collected, and the results showed that: a) Metacognition of undergraduate nursing students significantly positively predicted self-directed learning ability (β=0.172, P<0.001). b) Interpersonal communication ability played a partial mediating role between metacognition and self-directed learning ability [β=0.019, 95%CI: 0.004~0.034)] . c) The predictive effect of metacognition on self-directed learning ability was regulated by the level of self-worth (R2=0.314, P<0.001). 【Conclusion:】 This paper indicated that the metacognition of undergraduate nursing students indirectly affects their self-learning ability through interpersonal communication ability, and their sense of self-worth plays a moderating role. It is recommended to improve the metacognitive level of undergraduate nursing students, strengthen their interpersonal communication skills, and focus on the cultivation of self-worth, so as to improve their self-directed learning ability.

Knowledge of final year undergraduate nursing students about HIV and AIDS in Eswatini

Human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) are overwhelming health issues globally. They have caused many devastating and draining health issues, which have escalated a critical need for a well-trained and sustainable healthcare workforce in order to meet the needs of people living with HIV and AIDS (PLWHA). Health science students are the future healthcare providers who will implement proper preventive measures, as well as health educational and promotional sessions to promote information and knowledge among the public regarding HIV and AIDS in Eswatini. Methods: A quantitative cross-sectional study was conducted on 140 final-year undergraduate nursing students in three nursing universities in Eswatini. A questionnaire adapted from Othman and Ali in Malaysia with closed-ended questions was modified and used to collect data. The questionnaire consisted of questions on the virus structure, transmission, prevention and management of HIV and AIDS. Statistical Package for the Social Sciences (SPSS) version 20 was utilised to analyse the data. Results: The level of knowledge about HIV and AIDS was high, as evidenced by a mean score and standard deviation of (91.02 ± 5.00). However, there were low scores on questions related to the transmission of the disease. Conclusion: Across all three universities in Eswatini, there were good nursing education programs on HIV and AIDS, evidenced by the high knowledge level about HIV and AIDS. However, there are still some knowledge gaps on HIV and AIDS transmission and management that need to be attended to contribution: This study contributed by providing knowledge of undergraduate nursing students' HIV and AIDS training and management of PLWHA.

Preceptor support during the COVID-19 pandemic: Recommendations for continuing development

Background: Mentally fit preceptors may be more capable and flexible in providing students with system, emotional and cognitive support in the clinical learning environment (CLE) in the face of any life-threatening outbreaks. Existing professional development programmes for preceptors emphasise the development of preceptor competence in a normal CLE with minimal focus on their ability to engage with adverse events that challenge their mental health. Objective: The study sought insight from preceptors' experiences during the coronavirus disease 2019 (COVID-19) pandemic to identify their professional development programme needs while providing support to students during accompaniment. Method: A mixed methods convergent parallel design was used to collect data from 24 preceptors at a nursing education institution (NEI). Eleven preceptors responded to the survey that included the coronavirus disease 2019 (COVID-19) Stress Scale (CSS) and Burnout Assessment Tool (BAT) to collect quantitative data. Semi structured interviews were conducted with five purposively selected preceptors to collect qualitative data regarding their experiences while accompanying students during the COVID-19 pandemic. Results: Subscales within the CSS and BAT instruments were mapped against an existing preceptor support framework. Overall CSS data for each subscale indicated an average score varying from no stress to moderate stress, while BAT data shows that respondents rarely experienced burnout. However, some respondents experienced very high levels of stress and burnout. Qualitative data supplemented results. Conclusion: The COVID-19 pandemic influenced preceptors' role in supporting students and reflecting that they amended their functioning role. Existing preceptor professional development programmes should be reviewed to ensure that the necessary concepts that foster resilience are integrated to enhance the functional role of preceptors in adversity.

Correlation analysis between hospice care attitude and death depression in undergraduate nursing students / 中国实用护理杂志

Objective:To explore the association between attitudes toward care of the dying and death depression in undergraduate nursing students.Methods:With stratified sampling, 380 undergraduate nursing students in Guangdong Medical University from June to September 2020 were investigated by using a self-designed questionnaire, Frommelt Attitudes Toward Care of the Dying Scale Form B (FATCOD-B-C) and Chinese version of Death Depression Scale-Revised (CCDS-R). Pearson correlation analysis was used to analyze the correlation between hospice care attitude and death depression of nursing undergraduates.Results:The score of FATCOD-B-C of 380 nursing undergraduates was (104.92 ± 7.92) points. The highest average score of dimensions of attitude toward the necessity of family support was (4.02 ± 0.38) points, and the lowest average score of dimensions of attitude toward communication with the dying person was (2.95 ± 0.42) points. The score of CCDS-R was (54.58 ± 12.52) points. The highest average score of dimensions of other death was (3.48 ± 0.80) points, and the lowest average score of dimensions of existential vacuum was (1.78 ± 0.69) points. Pearson analysis revealed that attitudes toward care of the dying had a negative association with death depression ( r=-0.34, P<0.05). Conclusions:Attitudes toward care of the dying of undergraduate nursing students is in a higher level and it has close association with death depression. It is recommended to reduce the death depression level of undergraduate nursing students through hospice care training and carrying out death education, so as to improve the positive attitudes of caring for dying patients.

Application of evidence-based nursing teaching mode in clinical teaching for undergraduate nursing students in surgical ward / 中国实用护理杂志

Objective:To examined the effects of the evidence-based nursing teaching mode for undergraduate nursing students on evidence-based practice ability, critical thinking and creativity.Methods:From July 2019 to November 2021, 79 undergraduate nursing students from 14 groups who practiced in Department of Colorectal Surgery/Thyroid Surgery of Qilu Hospital of Shandong University were randomly assigned to evidence-based nursing teaching group (33 cases) and traditional teaching group (46 cases) by random number method. The traditional teaching group conducts one-to-one teaching according to the general clinical practice plan, the teaching plan of the department, and the list of training items; the evidence-based nursing teaching group, on the basis of traditional teaching, implements three courses and corresponding practice guidance of evidence-based nursing teaching for 4 weeks. The evidence-based practice ability, critical thinking and creativity tendency of undergraduate nursing students were evaluated by the Evidence-Based Practice Competence Questionnaire, Critical Thinking Disposition Inventory-Chinese Version, and Williams Creativity Tendency Scale before and immediately after the intervention. Generalized linear models (repeated measures) were used in the analyses.Results:After the intervention, the scores of evidence-based practical knowledge, truth seeking (the dimension of critical thinking) and creative tendency in evidence-based nursing teaching group were 22.09 ± 3.15, 39.61 ± 5.26, and 109.88 ± 11.76, respectively, the traditional teaching group was 20.56 ± 3.00, 37.93 ± 4.38, and 109.37 ± 10.78, respectively. Before the intervention, the scores of evidence-based practical knowledge, truth seeking (the dimension of critical thinking) and creative tendency in evidence-based nursing teaching group were 19.54 ± 3.54, 39.24 ± 3.54 and 104.88 ± 10.97, respectively, the traditional teaching group were 19.89 ± 3.15, 40.48 ± 4.12, and 108.72 ± 10.72, respectively. The increased scores of evidence-based practical knowledge, truth-seeking (dimension of critical thinking), and creativity tendency after the intervention in the evidence-based nursing teaching group were significantly higher than those of the traditional teaching group ( F=4.51, 10.03, 4.21, all P<0.05). Conclusions:The evidence-based nursing teaching mode is conducive to the increase of evidence-based practical knowledge, improvement of the critical thinking ability and creativity of undergraduate nursing students.

Barriers encountered during online classes among undergraduate nursing students during COVID-19 pandemic in India

Background: The advents of new technologies are providing a variety of effective learning environment. However, many adult students still prefer traditional, academic settings and do not want to take online or hybrid classes.Methods: Present study included cross sectional descriptive survey design which was carried out on 394 undergraduate nursing students. Convenient sampling technique was chosen for selection of samples. A five-point Likert self-structured scale was used for data collection. Descriptive and inferential statistics were used to analyze the data in SPSS.Results: Study findings showed that there were 209 (53%) female participants. Significant difference (p=0.05) was found among participants’ gender and year of study, area of residence, father education, family income and whether they had ever attended online classes. Lack of control over the group was top perceived barrier with highest score (261 marks). Majority of participants (61%) perceived barriers encountered during online classes. Mann Whitney U test showed the significant differences of participants’ perceived barriers among male and female participants by their age, year of study, fathers’ education and family income (p<0.05).Conclusions: As more students are growing up familiar with internet-based learning, many students were still opposing to go with online classes. Barriers explored in the study can limit the acceptance of online classes among undergraduate nursing students. Higher authorities must find the ways for making online education user friendly.

The mediating effects of undergraduate nursing students self-determination motivation on personal knowledge management and high-order thinking abilities / 中国实用护理杂志

Objective@#To understand the relationships between personal knowledge management,self-determination motivation and high-order thinking abilities.@*Methods@#A total of 469 undergraduate nursing students in China Medical University were recruited and assessed with general information questionnaire,high-order thinking abilities scale,self-determination motivation scale and personal knowledge management Questionnaire.@*Results@#The score of high-order thinking abilities for undergraduate nursing students was (4.42±0.51) points,the score of self-determination motivation was (3.84±0.55) points, the score of personal knowledge management was (3.84±0.55) points. High-order thinking abilities were significantly positively related to self-determination motivation and personal knowledge management, respectively (r value was 0.437, 0.499, P<0.01 respectively).Grade and whether they were student cadres had no significant predictive effect on higher-level thinking ability of nursing undergraduates (β value was 0.000, 0.064, P > 0.05 respectively).Self-determination motivation positively predicted high-order thinking abilities (β value was 0.270, P<0.01), whereas personal knowledge management positively predicted high-order thinking abilities (β value was 0.381, P<0.01). Structural equation results showed that the direct effect value of higher-order thinking abilities of personal knowledge management was 0.41, and the indirect effect value of self-determining motivation on higher-order thinking abilities was 0.16,self-determination motivation played an intermediary role in the sense of undergraduate nursing students high-order thinking abilities and personal knowledge management.@*Conclusions@#Personal knowledge management and self-determination motivation are significant predicting factors of high-order thinking abilities.

Study on Curriculum System Setting of "3+2" Cut-through Nursing Major at Undergraduate Stage / 中国医学伦理学

Objective:To construct the "3+2" counterpart cut-through sectional training nursing major un-dergraduate curriculum system, which is oriented by vocational competence. Methods: The preliminary draft of"3+2" nursing undergraduate curriculum setting was established base on the literature review and expert group in-terview, and the 25 experts was conducted two rounds of expert questionnaire consultation using Delphi method. Results:Experts' opinions tended to be consistent after two rounds of consultation, the expert authority coefficient was 0 . 92 , the coordination coefficient of Kendall was 0 . 44 in the second round of expert consultation and finally established 5 curriculum groups, including total 28 courses of public elementary courses, professional basic cour-ses, professional core courses, professional oriented courses and centralized practice courses. Conclusion: It should construct the"3+2" counterpart cut-through nursing major undergraduate curriculum system, which is o-riented by vocational competence, and achieve effective connection between the knowledge structure and the quality of the nursing students, in order to provide the reference for perfecting the curriculum system of vocational educa-tion in our country.

Semiotics and semiology of Nursing: evaluation of undergraduate students' knowledge on procedures / Semiología y semiotécnica de enfermería: evaluación del conocimiento de los estudiantes sobre los procedimentos / Semiologia e semiotécnica da enfermagem: avaliação dos conhecimentos de graduandos sobre procedimentos

ABSTRACT Objective: to assess the knowledge of scholars on Nursing regarding simple hands hygiene (SHH), blood pressure measurement (BP), peripheral venipuncture (PV) with venous catheter and male urethral catheterization delay (UCD) procedures. Method: quantitative study carried out between February and May 2014, with 186 undergraduate Nursing students from 5th to 9th period of a public university of Rio Grande do Norte, with application of four questionnaires. One carried out descriptive and analytic analysis. Results: the students presented low average percentage of right answers, especially in blood pressure measurement (55.5%); SHH's average was higher than 70%. The average of correct answers was the highest in SHH (8.6), followed by UCD (7.8), PV (7.4) and BP (6.7). The questions regarding the topic "concepts" showed less correct answers when comparing it to the topic "technique steps". Conclusion: it is necessary to establish knowledge monitoring strategies, in order to stimulate the constant improvement.

RESUMEN Objetivo: verificar el conocimiento de los estudiantes de enfermería acerca de los procedimientos de higiene de manos (HM), la medición de la presión arterial (PA), la punción venosa periférica (PVP) con el catéter con aguja y el catéter permanente (CP) masculino. Método: estudio cuantitativo realizado de febrero a mayo de 2014 con 186 estudiantes de enfermería desde el quinto al noveno período de una universidad pública al norte de Rio Grande, con la aplicación de cuatro cuestionarios. Se llevó a cabo un análisis descriptivo y analítico. Resultados: los académicos mostraron un bajo porcentaje medio de respuestas correctas, especialmente en la medición de la PA (55,5%); la media de HM fue mayor que 70%. El número medio de respuestas correctas en las preguntas fue mayor en HM (8,6), a continuación de CP (7,8), PVP (7,4) y PA (6,7). Las cuestiones relacionadas con el dominio 'conceptos' presentaran menor proporción de respuestas correctas en comparación con el dominio 'los pasos técnicos'. Conclusión: es necesario trabajar estrategias de monitoreo de conocimiento con el fin de fomentar la mejora continua.

RESUMO Objetivo: verificar os conhecimentos dos acadêmicos de Enfermagem quanto aos procedimentos de higienização simples das mãos (HSM), mensuração da pressão arterial (PA), punção venosa periférica (PVP) com cateter agulhado e sondagem vesical de demora (SVD) masculina. Método: estudo quantitativo desenvolvido entre fevereiro a maio de 2014, com 186 acadêmicos de Enfermagem do 5° ao 9° período de uma universidade pública norte-rio-grandense, com aplicação de quatro questionários. Realizada análise descritiva e analítica. Resultados: os acadêmicos apresentaram porcentagem média de acertos baixa, especialmente na mensuração da PA (55,5%); a média da HSM foi superior a 70%. A quantidade média de acertos nas questões foi maior na HSM (8,6), seguida de SVD (7,8), PVP (7,4) e PA (6,7). As questões referentes ao domínio "conceitos" apresentaram menor rendimento de acertos ao comparar com o domínio "passos da técnica". Conclusão: faz-se necessário trabalhar estratégias de acompanhamento dos conhecimentos, a fim de incentivar o constante aprimoramento.

A path analysis of impacts of undergraduate nursing students' subjective well-being and perceived social support on their professional commitment / 中华医学教育探索杂志

Objective To explore the path of subjective well-being, perceived social support and professional commitment among undergraduate nursing students. Methods A total of 207 undergraduate nursing students in a medical university in Anhui were recruited by cross-sectional survey method. Nursing students were investigated using General Information Questionnaire, Index of Well-being, Perceived Social Support Scale, Professional Commitment Scale during October to November 2016. SPSS 16.0 was used for statistical analysis, the data were analyzed by t test or variance analysis;Multivariate analysis was performed by multiple linear regression, and AMOS 17.0 was used for mediation analysis. Results The professional commitment score for nursing students was (88.01 ±10.94); perceived social support and subjective well-being were positively correlated with professional commitment (r=0.349-0.413, P=0.000); nursing role, pro-fessional interest, perceived social support, subjective well-being can positively predict professional commit-ment (β=0.157, 0.324, 0.210, 0.220), motivation can negatively predict professional commitment;path analysis showed that perceived social support played a partial mediating role between subjective well-being and pro-fessional commitment. Conclusion The professional commitment were related to subjective well-being and perceived social support, and perceived social support plays a partial mediating role between subjective well-being and professional commitment among nursing students. Nursing educators can understand social support and subjective well-being as the breakthrough point, which actively formulate intervention strategies to enhance the professional commitment, stabilize the development of nursing team, and improve the quality of nursing.

Investigation on the Occupational Ability and Humanistic Care Strategy among Undergraduate Nursing Students / 中国医学伦理学

Objective:To investigate the current status of occupational ability and explore the influencing factors among undergraduate nursing students,and thus to provide reference for improving their occupational ability.Methods:A sample of 1314 undergraduate nursing students from Shaanxi Province was investigated using self-designed Undergraduate Nursing Students Occupational Ability Evaluation Scale.Data were analyzed by SPSS21.0 software.Results:The undergraduate nursing students' occupational ability was at a moderate level (33.6 ± 5.0).The influencing factors of undergraduate nursing students' occupational ability included gender (P ＜0.001),grade (P =0.001),extracurricular activities (P =0.040) and extracurricular humanistic quality education (P ＜ 0.001).Conclusion:The occupational ability of undergraduate nursing students is not high,and it is affected by many factors.And it can be improved by increasing extracurricular activities and extracurricular humanistic quality education.

The effect of scenario case based learning for nurse-patient communication on empathy of undergraduate nursing students / 现代临床护理

Objective To study the effect of scenario case based learning for nurse-patient communicationon empathy of un-dergraduate nursing students. Methods The undergraduate nursing students who had completed the basic nursing courses and the course of"communication in nursing"were enrolled as participants.Seventy-two students recruited in 2013 were assigned as the control group,where only individual guidance was given before taking examination;while eighty-nine students recruited in 2014 as the inter-vention group,where a self-compiled Collection of Scenarios for Nurse-Patient Communication was given when they were preparing for the final examination and the students were required to give their own communication plans based on the scenario cases from the collec-tion.The two groups were compared in view of empathy. Result The intervention group were better in empathy ability assessment, with statistically significant difference (P<0.001). Conclusions The scenario case based learning for nurse-patient communication makes up for the shortcomings of traditional teaching methods.It encourages nursing students to think from the patients'perspective and improves the empathy ability of students.

Aspects of the process of acquiring nursing competence in junior students - analysis of reflections on exercises using role-playing / 医学教育

Objectives: To reveal nursing competence acquired by nursing students via role-playing (RP) exercises and define the learning points necessary for acquiring practical nursing skills.Methods: Qualitative content analysis was performed using debriefing sheets (DSs) for adult nursing RP. There were 109 participants.Results: The DSs of 69 individuals who met the selection criteria were used as base data, and 1179 data items were extracted. The results showed that the structure included 3 main themes, 8 subthemes, 31 categories, and 121 subcategories.Conclusion: The results indicated that participants noticed the underlying elements that make up practical nursing skills, analyzed them using advance organizers based on previously learned knowledge, and applied the acquired practical nursing skills to newly proposed strategies for continuous self-management for adult patients with chronic disease and their families. One aspect of nursing competence, "ability to improve nursing quality," could not be extracted; the elucidation of this acquisition process is a task for future research.

Influencia de la formación sobre el viejismo en los estudiantes de la licenciatura en enfermería de la FES Zaragoza / Influence of the formation on the viejismo in the students of the degree in nursing of the FES Zaragoza

El término viejísimo surge con Butler desde 1975, definiéndolo como las actitudes, prejuicios o estereotipos en contra de las personas por razones de edad. En este sentido, los cambios demográficos, han hecho que este término siga vigente hoy en día, no solo en la sociedad sino también en el sector salud lo que influye en la atención que se le brinda a los adultos mayores, es por esta razón que debemos crear una cultura gerontológica desde la formación; lo cual permitirá cumplir y satisfacer las necesidades de la sociedad, así mismo brindar una atención de calidad. Objetivos: Determinar si existe influencia de la formación académica sobre el viejísimo en los estudiantes de 4to año de la licenciatura en enfermería, en la Facultad de Estudios Superiores Zaragoza. Material y métodos: Se llevó a cabo un estudio de tipo observacional, prolectivo, longitudinal, comparativo; con una muestra de 98 alumnos de cuarto año de la licenciatura en enfermería, a quienes se les aplicó un pretest a inicio del módulo teórico común, para conocer cuál era la percepción que tenían sobre los adultos mayores, para ello se utilizó un instrumento el cual contempla adjetivos relativos a los estereotipos de la vejez, así mismo la concepción del viejo en diferentes escenarios. Después de esto los alumnos continuaron con sus clases habituales, en los módulos que se imparten en 4to año. Posteriormente se aplicó un postest al término de las áreas de pre-especialización, el cual es el último módulo de la carrera, para para ello se utilizó un instrumento que contemplaba los adjetivos relativos a los estereotipos de la vejez, la formación académica en 4to año y su relación con la concepción del adulto mayor, la influencia por parte de los docentes y personal de clínicas; dicho instrumento obtuvo un alfa de Cronbach de 0.891. Para analizar los datos obtenidos se implementaron pruebas descriptivas, como frecuencias y porcentajes, la correlación de Pearson y para ver grado de significancia, t de Student y Ji cuadrada. Resultados: Se obtuvo una muestra de 98 alumnos a quienes se les aplicó un pretest al inicio del 4to año en donde el nivel de viejísimo que presentaban con mayor incidencia fue moderado en un 76% y severo 21%; al final del 4to año se les aplicó un postest en donde se observa que el nivel de viejísimo moderado aumenta en un 77%, no obstante el nivel de viejísimo severo disminuye a un 17%, para corroborar estos resultados se aplicó una t de Student, en donde se obtuvo una significancia estadística de p=0.004 lo cual nos permitió inferir que efectivamente existe un cambio significativo en el nivel de viejísimo encontrado en los alumnos al inicio de su 4to año y al final de este; por otro lado las características negativas con las que se asociaba al adulto mayor con gran facilidad fueron: susceptibles 78%, 72% repetitivos, preocupados e ideáticos 62% respectivamente, parlanchines 61%, cansados y lentos 60% respectivamente, sin embargo encontramos características positivas como sabios 96%, cariñosos y respetables 92%, bondadosos 91%, comprensivos 90%, útiles 89%, generosos 88%, sociables 84%, divertidos 83% y sinceros 83%. Los resultados encontrados en el postest no son muy diferentes, es decir, en relación a las características negativas encontramos que los alumnos perciben a los adultos mayores como susceptibles con un 77%, repetitivos 68%, preocupados 66%, parlanchines 65%, cansados 56% e ideáticos 53%. En comparación con las característica positivas las cuales si modificaron un poco observamos los alumnos refieren que los adultos mayores son confiados con un 50%, seguido por flexibles 64% y pacientes con 71%. Conclusiones: El viejísimo es un tema delicado, en algunas ocasiones se desconoce; sin embargo es un fenómeno que sigue siendo recurrente hoy en día en los diferentes escenarios en los que se desenvuelve un adulto mayor; contemplar esta situación desde enfermería permite percibir cómo es la atención que se le brinda a esta población en particular; y si abordamos esta problemática desde la formación que se le brinda al alumno nos permite identificar cómo influye la formación académica y los agentes de enseñanza, sobre la percepción y las actitudes que se tienen del adulto mayor, esto es con el fin de crear estrategias que modifiquen estas conductas a tiempo, y por ende crear profesionales que satisfagan las necesidades de esta población. Esta investigación permite corroborar que existe un cambio en la percepción del adulto mayor, sin embargo, es mínimo y es porque sólo se contemplan temas de gerontogeriatria en el 4to año de la carrera, cuando los alumnos están por egresar, y por lo cual no es una buena estrategia para crear una cultura gerontológica, puesto que esa integración entre la teoría y la práctica que se lleva en la formación académica, no se consolida del todo y por ello el cambio es mínimo, sin embargo, si se modifica el plan de estudios de la licenciatura en enfermería de modo que la formación en gerontogeriatria sea implementada desde el primer año, la visión que se tenga del adulto mayor al fin de la carrera será diferente.

The term ageism comes with Butler since 1975, defining it as attitudes, prejudices or stereotypes against persons on grounds of age. In this sense, demographic changes have made this term is still in force today, not only in society but also in the health sector which influence the attention that is given to the elderly, is for this reason that we must create a culture for gerontology training; which allow you to meet and satisfy the needs of society, also provide quality care. Objetive Determine whether there is influence of academic training on ageism in the 4th yearstudents of the degree in nursing at the Faculty of Higher Zaragoza. Material and methods An observational, prolective, longitudinal, comparative type was carried out; with a sample of 98 students in the fourth year of the degree in nursing, who were administered a pretest to start the common theoretical module, to know what was their perception about older adults, for that an instrument was used which includes adjectives relating to the stereotypes of old age, same old conception in different scenarios. After this the students continued their regular classes in the modules taught in 4th year. Subsequently, a post-test at the end of the areas of prespecialization, which is the last module of the race was applied to for it an instrument that looked adjectives relating to the stereotypes of old age was used, academic training in 4th year and its relation to the design of the elderly, the influence by teachers and clinical staff; this instrument obtained a Cronbach's alpha of 0.891. To analyze the data descriptive tests, as frequencies and percentages, Pearson correlation and to see degree of significance, Student's t and chi square were implemented. Results A sample of 98 students who were administered a pretest at the beginning of the 4th year where the level of ageism who presented with the highest incidence was 76% moderate and severe 21% was obtained; at the end of the 4th year they were administered a posttest where it is observed that the level of moderate ageism increases by 77%, however the level of severe ageism decreases to 17%, to corroborate these results we applied a Student t test, where a statistical significance of p = 0.004 which allowed us to infer that there is indeed a significant change in the level of ageism found in students at the start of their 4th year and the end of this was obtained; on the other hand the negative characteristics that are associated to the elderly easily were: susceptible 78%, 72% repetitive, worried and ideáticos 62% respectively, chatty 61%, tired and slow 60% respectively, however we found positive features 96% as wise, loving and respectable 92%, 91% kind, understanding 90%, useful 89%, 88% generous, gregarious 84%, 83% and sincere fun 83%. The results found in the posttest are not very different, ie, in relation to the negative characteristics we found that students perceive higher as susceptible adults with 77%, repetitive 68%, concerned 66%, chatty 65%, tired 56 ideáticos% and 53%. Compared with the positive feature which if changed a little observe students report that older adults are entrusted with 50%, followed by flexible 64% and 71% patients. Conclusions The ageism is a sensitive issue, sometimes it is unknown; however it is a recurring phenomenon that remains today in the different scenarios in which an older person develops; look at this situation from nursing allows us to see how attention that is given to this particular population; and if we approach this problem from the training gives students allows us to identify how it influences the academic training and teaching agents, on perceptions and attitudes that have the elderly, this is in order to create strategies that modify these behaviors in time, and thus create professionals that meet the needs of this population. This research corroborates that there is a change in the perception of the elderly, however, it is minimal and because only issues gerontogeriatry referred to in the 4th year of medical school, when students are about to graduate, and which is not a good strategy to create a gerontological culture, since the integration between theory and practice that takes in academic education, is not consolidated at all and therefore the change is minimal, however, if you change the curriculum the degree in nursing so that training in gerontogeriatry be implemented from the first year, the vision we have of the elderly at the end of the race will be different.

Application of SimMan human body simulator in nursing teaching experiments on emergency and critical care / 现代临床护理

Objective To explore the effect of application of SimMan human body simulator in nursing teaching experiments on emergency and critical care. Methods Forty undergraduate nursing students in 2012 were assigned as the experiment group, where nursing teaching experiments on emergency and critical care were conducted based on SimMan human body simulator. Forty undergraduate nursing students in 2011 were assigned as the control group, where the traditional teaching method was employed. The emergency ability of the nursing students in the two groups was evaluated, and the nursing students′ attitudes towards two teaching methods were investigated. Results The emergency ability was higher in the experiment group than that of the control group (P<0.05). The satisfaction level with teaching method in the experiment group was significantly higher than that of the control group (P<0.05). Conclusions SimMan human body simulator is effective in improving emergency ability of nursing students in nursing teaching experiments of emergency and critical care. It is worth popularizing and applying.

Comparison of the Sandwich teaching method and case teaching method in undergraduate nursing students / 中国实用护理杂志

Objective To compare the application effect of the Sandwich teaching method and case teaching method in undergraduate nursing students in clinical nursing teaching.Methods 114 undergraduate nursing students were divided into observation group and control group by random number table,and each group had 57 students.The control group used case teaching method,which the teacher used case to teach,while the observation group used the Sandwich method,including teacher guides,group discussions,cross discussion,group report,teacher's comments,case analysis,etc.Results The score of theory test in observation group was 86.14±7.24,which was significantly higher than 77.46±6.97 of the control group (t=6.515,P ＜ 0.01);Students of observation group thinking yes in the nine survey items was 85.96％ to 100.00％.Conclusions The effect of Sandwich teaching method is better than case teaching method,and has high satisfaction of nursing students.

Research about the influence of introducing standardized patient into problem-based learning to autonomous learning abilities for undergraduate nursing students based on clinical thinking training / 中国实用护理杂志

Objective To explore the influence of introducing standardized patient (SP) into problem-based learning (PBL) to the autonomous learning abilities for undergraduate nursing students based on clinical thinking training. Methods To select 2 classes randomly from full-time professional nursing undergraduate classes enrolled in 2012 from Tianjin university of traditional Chinese medicine, was divided into the experimental group and the control group by random number table method. The control group uses PBL teaching mode, and the experimental group adopts introducing SP into PBL teaching mode. Course lasts for 4 weeks, a total of 18 hours. To evaluate two groups nursing students′the percentage of asking questions by themselves and examination results in the end of the course, and evaluate nursing students′autonomous learning ability before and after the course and after three months of clinical practice respectively. Results The percentage of asking questions by themselves and examination results of the experimental group were 87.80%(36/41) and (84.24±5.12) points, (87.85±5.44) points, the control group were 68.89%(31/45) and (81.51±6.63) points, (84.40±7.96) points, the difference was statistically significant (χ2=4.46, t=2.13, 2.37, P0.05), while after course and after three months of clinical practice of the experimental group were (93.71±9.56) points, (103.27±11.92) points, the control group were (85.47 ± 9.28) points , (91.36 ± 10.56) points, the difference was statistically significant (t=3.56, 4.89, P<0.01). Conclusions The teaching mode of introducing SP into PBL can train and improve the autonomous learning ability of undergraduate nursing students,and can provide reference for nursing teaching mode reform.

Status Quo and Countermeasures on Information Literacy of Undergraduates Majoring in Nursing / 医学信息学杂志

In the paper , a self-designed questionnaire is applied to investigate the status quo of information literacy of students ma -joring in nursing from Classes 2012, 2013 and 2014 in College of Nursing , Hubei University of Chinese Medicine .Based on the analysis of existing problems , it is suggested that the major of nursing informatics should be set up and nursing information courses should be of -fered, including curriculum setting , teacher selection and teaching methods , etc.

The application of digestive endoscopy in undergraduate nursing students nursing skills / 中国医学装备

Objective:To analysis and discussion the effects of undergraduate nursing students to improve results in digestive endoscopy nursing skills by using situational approach.Methods: One hundred undergraduate nursing students of 2010 session in our school were randomly divided into a control group and the experimental group, control group used to explain the observation approach, the experimental group to implement the simulation methodology in this basis, two months later, to evaluate the effect of the digestive endoscopy nursing skills for both two groups.Results: Post-intervention, control group of digestive endoscopy theoretical knowledge points, skills to operate were 81 points, 62 points; experimental group theoretical knowledge of digestive endoscopy division, operating skills were 91 points, 81 points, The experimental group was significantly better than the control group.Conclusion: The situational approach can effectively improve the nursing theoretical knowledge and skills for undergraduate nursing students in the process of digestive endoscopy nursing.

Investigation on the attitude towards nursing undergraduate innovative talents quality evaluation in the post audience and undergraduate nursing students / 中国实用护理杂志

Objective We sought to investigate the attitude to the evaluation of nursing undergraduate innovative talents quality by post audience and undergraduate nursing students and to provide reference for the cultivation of innovative talents and quality standard construction.Methods Using convenient sampling method,we selected the medical staff,patients and junior undergraduate nursing students as the research object.A questionnaire survey on the nursing undergraduate innovative talents quality evaluation was carried out.Results The attitude to nursing undergraduate innovative talents quality evaluation from high to low was physicians,nurses,hospital patients and junior undergraduate nursing students.Different populations had different expectations for nursing undergraduate innovative talents.Conclusions To cultivate the nursing undergraduate innovative talents,we should not only focus on the ability of nursing scientific research and innovation,but also should be based on the moral and occupation quality.Only giving full consideration to demands and expectations of the nursing undergraduate innovative talents by all post audience,can we evaluate the talent quality more professionally,scientifically and systematically.