Application of OSCE-based situational simulation case teaching in Nursing Fundamentals practical training / 中华医学教育探索杂志

Objective:To study the application effect of objective structured clinical examination (OSCE)-based situational simulation case teaching on Nursing Fundamentals practical training. Methods:Using convenient sampling method, two undergraduate nursing classes of Batch 2018 in Hubei University of Chinese Medicine were chosen as the study objects. They were divided into observation group with 45 students and control group with 43 students through ball touching method. The control group used traditional teaching method, on this basis, the observation group used OSCE-based situational simulation case teaching. At the end of the semester, the results of theoretical assessment, operational skills assessment, humanistic care, health education achievements of the two groups of nursing students and students’ evaluation of the new teaching method in the observation group. SPSS 22.0 was used for t test. Results:The sores of theoretical assessment, operational skills and humanistic care assessment in the observation group were (81.01±8.53), (92.69±3.87) and (11.73±1.59), and the corresponding sores in control group were (76.94±9.74), (91.21±2.70) and (10.79±1.36). The nursing students in the observation group had significantly higher scores than the control group in above mentioned aspects ( P<0.05). In the observation group, 45 students (100.0%) believed that this teaching method could stimulate learning interest and comprehensively deal with clinical problems, 43 students (95.6%) thought that this teaching method could improve team cooperation ability, only one person (2.2%) did not agree that this teaching method could help to form critical thinking, and 42 students (93.3%) said that the teaching hours of this teaching method could be appropriately increased. Conclusion:The OSCE-based situational simulation case teaching may effectively improve the teaching quality of the nursing students and mobilize their learning activities.

Report of the 71st Annual Meeting of the Japan Society for Oriental Medicine Special Program1 — “Pre-and Post-Graduation Education of Kampo Medicine for the Next Generation”: Clinical Practice on Kampo Medicine / 日本東洋医学雑誌

At the 71st Annual Meeting of the Japan Society for Oriental Medicine held in August 2021, we conducted a special program focusing on Kampo medicine education, “Pre-graduation post-graduation Kampo medicine education for the next generation.” The following is a summary report on the practical training in Kampo medicine at each educational facility where the project was conducted. We recorded videos with explanations of topics in advance : “Four examinations,” “Decoction and crude drugs,” and “Acupuncture and moxibustion.” The report on the hands-on training in Kampo medicine was viewed 501 times by medical students, educators, and the society members across the country. This initiative was the first nationwide educational activity of the society.

Application of cosmetic suture technique in professional skill training of plastic surgery / 中华医学美学美容杂志

Objective:To explore the training methods to improve the cosmetic suture technique of junior surgeons.Methods:The training course of cosmetic suture techniques was carried out for junior residents such as plastic surgery professional graduate students and standardized training residents, through the study of the basic knowledge of cosmetic suture and the practical training of minimally invasive principles, to help them master cosmetic suture techniques systematically for the need of future clinical practice. Compared with the level of operation skills before and after cosmetic suture training in different groups (graduate students of plastic surgery and other majors, standardized training residents of plastic surgery and other majors), the residents' performance had been significantly improved. The incisions healing after half a year follow-up in cases they sutured were observed.Results:After cosmetic suture training, the suture skills of the students were significantly improved, and there was a significant correlation with the time of clinical practice. The incidence of incisions inflammation and postoperative scar formation in the cases sutured by the students with practice for 6 months was significantly lower than those for 1 month (6.42% vs 21.67%, 1.13% vs 5.56% respectively).Conclusions:The training of cosmetic suture techniques is very important to improve the professional ability of junior residents in plastic and cosmetic surgery, and it needs a long time practice to master the suture skills.

The design and reform of practical teaching in medical psychology / 中华医学教育探索杂志

To optimize the knowledge structure of medical students and implement the application of psychological skills, we launched the practical training of medical psychology in medical universities. We designed 4 practical training items and carried them out in small classes, including emotion and health, investigation of doctor-patient relationship, the application of interviewing method and the application of psychological support. This practice training was students-centered, practical, rigorous, clinical-thinking focused, easy to operate and promote. By now, this teaching reform has formed a relatively standardized teaching material for practical training , and it was well received among students.

Practice and consideration for the training teaching mode of basic nursing based on "Monitorial System" / 中华医学教育探索杂志

To cultivate nursing students' independent learning ability, improve practical skills and teaching quality, "Monitorial System" has been applied in the training teaching of basic nursing. The new teaching mode combines building monitorial selection and training mechanism, monitorial teaching and quality assurance system, incentive mechanism, scientific evaluation mechanism. The practical results de-monstrate that the new practical teaching is active and effective. In the future, it can be widely used in vo-cational education.

Estrés en estudiantes de enfermería / Stress in Nursing students

Introducción: los profesionales de la salud están expuestos a situaciones estresantes, las cuales generan importantes consecuencias negativas para la salud; incluso durante el periodo de formación. El adecuado afrontamiento de las situaciones que generan estrés durante las prácticas puede dificultar el aprendizaje y el futuro desarrollo profesional.Objetivos: evaluar el nivel de estrés en estudiantes de enfermería durante el período de formación práctica, su significación y su posible relación con el año académico cursado. Métodos: los instrumentos de medida utilizados fueron la escala de estrés percibido (PSS-14) y el cuestionario KEZKAK que mide los estresores en las prácticas clínicas. De los 744 estudiantes matriculados, se recogió una muestra compuesta por 289 estudiantes (39 porciento) pertenecientes al área de enfermería de la Universidad Alfonso X el Sabio (Madrid-España) en el periodo de los 3 cursos de formación de dicha disciplina. La media de edad de los alumnos evaluados fue de 21 años. Resultados: a lo largo de todos los cursos las mujeres sufren más estrés que los hombres. El segundo curso en el que se produce una mayor percepción de estrés. En cuanto a las situaciones que producen mayor nivel de estrés, se describen algunos componentes significativos: "Estrés por competencia profesional"," Estrés por interacción con el paciente"," Estrés por confrontación con el sufrimiento" y" Estrés por relación profesional". Conclusión: el nivel de estrés se relaciona con el año académico cursado(AU)

Introduction: Health professionals are exposed to stressful situations, which produce important negative consequences for their health, even during the training period. The appropriate way they cope with the situations that produce stress during the practices can make learning and future professional development difficult. Objective: To evaluate the level of stress in Nursing students during the period of their practical training, its significance and its possible relation with the academic year in course. Methods: The measurement instruments used were the perceived stress scale (PSS-14) and the KEZKAK questionnaire that measures stressors in clinical practice. Out of the 744 students enrolled, a sample of 289 students (39 percent) belonging to the Nursing area of ​​the Alfonso X el Sabio University (Madrid-Spain) was chosen during the three training courses of this discipline. The mean age of the students evaluated was 21 years. Results: Throughout the academic years, women suffer more stress than men. The second year is the one in which there is a greater perception of stress. As for the situations that produce a greater level of stress, some significant components are described: stress by professional competence, stress by interaction with the patient, stress by confrontation with suffering, and stress by professional relation. Conclusion: the level of stress is related to the academic year in course(AU)

Current Status and Effects of Dining with Diabetes in Korea and Abroad / 임상당뇨병

Education about self-management is critical for improving the lifestyles of diabetic patients. Medical nutritional therapy is especially important to keep blood glucose levels in the normal range. Several studies report that education involving cooperation with patients to actually improve lifestyle habits, as opposed to lecture-based education, was more effective in controlling blood glucose level as well as improving eating behavior. This review examines the current status and the effects of medical nutritional therapy and practical training in Korea and abroad. The findings of this review suggest that practical education involving hands-on training should be used as an essential treatment method of diabetic patients.

Development of supporting pole for medical detachable camouflage net at field conditions / 医疗卫生装备

Objective To develop a supporting pole for medical detachable camouflage net at field conditions to enhance the timeliness of battlefield camouflage of deployable units such as medical tent.Methods The pole had a dumbbell-shaped,hollow and columnar structure,which was composed of a base,a pole body and a terminal disc.The pole body consisted of internal and external parts.The external part had a vertical opening at its top and screw thread at its side wall,which was equipped with a binding bolt.The terminal disc had a circular structure and a 20 cm outer diameter,which was fixed 10 cm under the top of the internal pole to support the net.The base had a center hole and a sleeve to hold the lower part of the external pole to immobilize the supporting pole.Results The supporting pole decreased the deployment time of the camouflage net from 5 min to 2 min and the withdrawal time from 4 min to 1.5 min,and enhanced the timeliness of all-element deployment of mobile medical unit during field practical training.Conclusion The supporting pole meets the tactical requirements for deployment,storage,transport and robustness,and thus is worthy promoting in medical unit.

The training of scientific research and designing of graduation project on pharmaceutical students / 中华医学教育探索杂志

The design and practice of graduation project is not only an important part of teaching plan on pharmaceutical students,but also a good opportunity to train and improve their scientific research ability.In this paper,taking the practical training of graduation project on pharmaceutical students as an example,and combined with the actual teaching work,some experience from the graduation project selection,experiment design,data collection,writing papers and oral defense will be separately discussed about how to train the scientific research ability of pharmaceutical students.Through designing and practicing of the graduation project,the comprehensive quality and scientific research ability of pharmaceutical students have been effectively trained and promoted,which will lay a good foundation for continuing postgraduate research or taking drug research jobs.

A study on constructing the practice training platform of medical imaging technology in the higher vocational education conforming to the demand of society / 中国医学装备

Objective:To establish the practice training platform of medical imaging technology conforming to the demand of society and the characteristics of vocational education, and improve the training conditions and promote the quality of higher vocational talent cultivation.Methods: To carry out investigation and expert interviews in various grade hospital; analyze vocation standard and skill training grade; plan and design the layout and function position of hardware for this training platform; and then take practice research for application of this platform.Results: The training platform of medical imaging technology has been established which includes 14 digital training rooms. Every teaching function, such as radiology registration, detection, image processing, diagnostic reporting, report printing and storage capability, could achieve and correspond to a clinical task.Conclusion:This study effectively improves medical imaging technology vocational practice conditions, and has a great significance to improve teaching quality of education and ensure quality of talents cultivation.

Study on the Major Building of Internet of Things (IoT) Engineering for Medical Industry / 医学信息学杂志

Focusing on the problems in the major of Intemet of Things (IoT) engineering in some schools,such as lack of industry positioning and indefinite cultivating objectives,the paper puts forward the major building of IoT engineering oriented to the medical industry in cultivating objectives,requirements,direction setting,curriculum system,practical link setting,etc.,discusses the building of relevant laboratories and practical training bases,and introduces the functions and requirements of various laboratories.

Survey on Customer Satisfaction for Evaluation and Improvement of Physical Assessment Practical Training Seminar for Pharmacists / 社会薬学

<p>In the areas of home medical care and self-medication, the role of the pharmacist is growing, partly as a result of Japan’s aging society and the need to reduce medical costs. In response, the Kinki University Faculty of Pharmacy implemented a physical assessment practical training seminar in order to improve the physical assessment skills of practicing pharmacists. A series of questionnaires were conducted among pharmacists to investigate their perceptions of physical assessment practical training seminars. The results of the questionnaires were analyzed using Customer Satisfaction (CS) analysis and text mining. Based on a 5-point scale (1-low∼5-high), questionnaires revealed satisfaction for physical assessment practical training seminars was 4.6±0.6 (Ave.±S.D.). CS analysis revealed that the items “lectures” and “case seminars” had the highest level of satisfaction. However, items showing low levels of satisfaction were “auscultation of respiratory sounds” and “SBAR (Situation, Background, Assessment, Recommendation).” Results of text mining suggested a relationship between “physical assessment” and “difficult”. Analysis of the questionnaires showed a high level satisfaction with physical assessment practical training seminars, notably physical assessment practice methods. However, CS analysis and text mining indicate the finer techniques of physical assessment were difficult to acquire.</p>

Practical Teaching of Medical Humanistic Quality Education / 中国医学伦理学

The author analyzed the necessity and urgency of medical humanities quality education practice teaching, defined the connotation and denotation of practice teaching, put forward the principles for medical hu-manities quality education practice teaching, including: scientific theoretical guidance, closely with practice,real and touching, taking into the teaching of education system, and made a summary for training room construction, management of practice teaching, practice teaching report writing, practical carrier construction.

Qualitative research of reflections on emergency nurses' clinical practices in Shanghai suburbs / 中国实用护理杂志

Objective To understand the experiences and suggestions for clinical practice training of emergency nurses in suburb of Shanghai City,and to provide theoretical basis for further improving clinical practice training of nurses in emergency department.Methods Using the phenomenological methods and Colaizzi 7 step analysis method to refine the theme,11 interviews were conducted.Results Respondents believed emergency nurses in clinical practice training was important; Training content should follow the training outline and needed appropriate extension according with the demand of the regional students,and help to improve the students' practical ability to work.The students hoped to gain more knowledge.PBL teaching method and situational simulation assessment mode were used.The teachers' solid professional knowledge,skills,and teaching ability and professional dedication were strong.Conclusions We should listen to the voices of training students,adopt relevant suggestions,and gradually improve the clinical practice training of emergency nurses mode.

Research on practical training equipment of medical equipments maintenance major / 中国医学装备

Objective: In order to meet the training requirement for the vocational education and achieve the technical training of the specialty of medical equipment maintenance technology which is newly launched by the Beijing Health Vocational College, practical training equipments for professional core courses teaching are needed to be developed. Methods: The practical training equipments are reconstructed from the usual clinical equipments by improving the exterior structure and setting typical malfunctions for basic test points. Results:Beijing Health Vocational College successively developed 18 items including 264 training equipments and primarily built the Medical Equipment Maintenance Technology Training Center which has Electronic Technology Training Room, Medical Electronic Equipment Training Room, Medical Laboratory Science Equipment and Ultrasonic Equipment Training Room and X-ray Equipment Training Room. Conclusion:Practical training equipments have high value for practice teaching and social training.

Attitude Survey of Pharmacy Students before and after Long-term Practical Training, and the Evaluation of Pre-clinical Training / 社会薬学

We conducted a questionnaire survey involving 270 interns in the year 2011 at the pharmaceutical department of Teikyo University, in order to clarify pre- to post-practical training changes in: 1) the degree of pre-clinical training’s usefulness, 2) desired workplace in the future, 3) degree of satisfaction, 4) confidence degree of practical training, etc. The degree of pre-clinical training’s usefulness exceeded 80% in all training periods. Regarding the desired workplace in the future, a large proportion of students answered that they want to become a pharmacist in a pharmacy or hospital, both before and after their practical training in all training periods. Also, it was estimated that students decide their career with reference to their practical training experience. In terms of the degree of satisfaction with practical training, the proportions of those who answered “Satisfied” or “Somewhat satisfied” were: 95.1% in the 1st, 95.6% in the 2nd, and 86.1% in the 3rd periods. The confidence degree significantly increased after practical training in all periods. Because the confidence degree showed a tendency to be higher before the 3rd period of training compared to the other two periods, it was considered that students’ experience of practical training led to increased confidence degree. Regarding communication abilities, the degrees of before-after confidence degree and pre-clinical training’s usefulness were low, and, hence, it was suggested that pre-clinical training needs to be further improved regarding these areas.

Evaluation of improvement in patient education from long-term practical training in community pharmacy / 医学教育

Introduction: We investigated the improvement in and the priorities of patient education training in community pharmacy from the student’s point of view to improve long-term practical training.<br>Method: We conducted a questionnaire survey to assess student satisfaction and the acquisition of behavioral objectives and analyzed the results with customer satisfaction analysis. Questionnaires were distributed to 32 students who had taken part in long-term practical training in the first year.<br>Results: Customer satisfaction analysis showed that 4 factors-“the frequency of patient education,” “the period of patient education,” “the aggressiveness of the student,” and “the facilitation by pharmacists on question-asking by the student”-were preferentially improved. In addition, we found that the level of acquisition varied according to the specific behavioral objectives.<br>Discussion: These results suggest that universities and community pharmacies must work together to organize the training system to increase the frequency of patient education and to improve students’ attitudes about patient education in community pharmacy.

Relationship between the Psychological Stress Responses and Self-Efficacy in Pharmacy Students during Hospital Practical Training / 医薬品情報学

<b>Objective: </b>Pharmacy students are considered to experience various forms of stress during long-term practical training in the 6-year pharmacy education.  This study examined relationships between psychological stress responses and self-efficacy involving 77 subjects who consented to join this study in practical training conducted at Teikyo University Hospital (2010-2011FY).<br><b>Methods: </b>This study used the Profile of Mood States (POMS) for evaluating the psychological response, and an assessment form consisted of 20 items including interpersonal relationships, contents of practical training and health/life/stress coping for self-efficacy before, during, and after the training.<br><b>Results: </b>In the POMS, only the state of ‘vigor’ showed a significant difference in a comparison among before, during, and after the training; however, no significant change was observed in other mood states.  These results suggested that the students were under mild stress during the training.  Their self-efficacy was increased after the training in all 20 items except “contacting university instructors during the training”.  The results also showed that there was an association between self-efficacy and psychological stress responses.<br><b>Conclusions: </b>It is considered important that instructors and pharmacy technicians involved in pharmacy practice should understand the levels of individual stress responses or interpersonal communication skills to utilize them for coaching and maintaining students’ mental health.

Ocupação, bem-estar e satisfação de vida: a experiência de um modelo alternativo de estágio em terapia ocupacional na Austrália / Occupation, wellness and life-satisfaction: the experience of an alternative training model within occupational therapy in Australia / Ocupación, bienestar y satisfacción con la vida: la experiencia de un modelo alternativo de formación en terapia ocupacional en Australia

Apresenta-se um modelo alternativo de estágio em terapia ocupacional desenvolvido na Deakin University - Austrália, denominado Ocupação, bem-estar e satisfação de vida - Occupation, wellness and life-satisfaction (OWLS). O OWLS oferece, aos estudantes, a oportunidade de atuação em contextos não tradicionais, permitindo um aprendizado estratégico em ambientes não clínicos, incluindo o trabalho com outros profissionais não-terapeutas ocupacionais e com diferentes culturas de trabalho e práticas, em resposta a lacunas identificadas na comunidade. Favorece oportunidades para desenvolver habilidades, tais como: a promoção da saúde, avaliação e educação em saúde e intervenção em escolas, melhorando, assim, a saúde e o bem-estar da comunidade. O programa tem contribuído para o desenvolvimento de novos projetos, com resultados positivos alcançados pelos estudantes, representando uma importante estratégia de ensino para capacitação do profissional de terapia ocupacional, ampliando, assim, a área de atuação.

An alternative training model within occupational therapy developed at Deakin University, in Australia, named Occupation, Wellness and Life-Satisfaction (OWLS) is presented. OWLS provides students with opportunities to practice in nontraditional settings, thus enabling strategic learning in non-clinical settings, including working with professionals who are not occupational therapists and with different work cultures and practices, in response to gaps identified within the community. It promotes opportunities for developing skills such as health promotion, health education and assessment and interventions in schools, thus improving the health and wellbeing of the community. The program has contributed towards development of new projects, with positive results achieved by students, thereby representing an important educational strategy for professional occupational therapy training and expanding the field of activities.

La propuesta es presentar un modelo alternativo de formación en terapia ocupacional de la Universidad de Deakin - Australia, llamado Ocupación, bienestar y satisfacción con la vida - Occupation, Wellness and Life-Satisfaction (OWLS). OWLS ofrece a los estudiantes la oportunidad de practicar en lugares no que permite aprendizaje estratégico en entornos no clínicos, incluyendo el trabajo con profesionales no terapeutas ocupacionales, con culturas y prácticas diferentes, en respuesta a las lagunas identificadas en la comunidad. Promueve oportunidades para desarrollar habilidades, como promoción de la salud, educación sanitaria y evaluación e intervención en las escuelas, mejorando así la salud y el bienestar de la comunidad. El programa ha contribuído al desarrollo de nuevos proyectos, con resultados positivos, lo que representa una importante estratégia educativa para la formación profesional en terapia ocupacional, por lo tanto de aumento de la zona de actuacion.

Study and practice on nursing skills training methods under 24 hours shift system / 中国实用护理杂志

Objective To explore a new training method of nursing skills under 24 hours shift system in the practical training base in the college. Methods The practical training base in the college was rebuilt into a simulated hospital. 120 three-year-course nursing students in grade 2007 were divided into the control class and the experimental class with 60 students in each class. The control class adopted routine teaching method, including teacher demonstration, single project training, concentrated training before clinical practice. The experimental class participated in the tutoring mode of nursing skills under 24 hours shift system in simulated hospital. The cases were pre-designed and students acted as patients by tums. One teacher led 4 students into nursing skill training by day shift, evening shift and mid-night shift. The teaching effect was compared between two classes. Results There was significant difference between the two groups in comprehensive technique test and graduation theoretical test score. Clinical nursing teachers thought the skill training in simulated hospital under 24 hours shift system can help students prepare for the nursing work in hospital ahead of time and improve their comprehensive capability. Conclusions Training mode of nursing skills in simulated hospital under 24 hours shift system is feasible for enhancing nursing skills.