Research on the application of Cornell's note-taking method in pediatric nursing teaching / 中华医学教育探索杂志

Objective:To explore the application effect of Cornell's note-taking method in pediatric nursing teaching.Methods:A total of 100 nursing students of 2019 who practiced in department of pediatrics were selected as the research objects, and they were randomly divided into a control group and a study group, with 50 students in each group. The control group used traditional teaching, and the research group used Cornell's note-taking method of teaching. After the internship, the teaching effect of the two groups of intern nursing students was evaluated through subject assessment, teaching satisfaction and teaching evaluation. SPSS 22.0 was used for t test and chi-square test. Results:The theoretical knowledge, nursing operation skills and comprehensive ability of the nursing students in the study group were better than those of the control group, and the difference was statistically significant ( P<0.05). The satisfaction degree of nursing students in the control group was 90.00% (45/50), and the satisfaction degree of nursing students in the study group was 100.00% (50/50), with statistically significant differences ( χ2=5.26, P=0.022). More than 88% of interns in the research group believed that Cornell's note-taking method could mobilize learning initiative and enthusiasm, improve learning efficiency and knowledge mastery, improve analysis and problem-solving skills, cultivate assessment and comprehensive judgment skills, and enhance nurse-patient communication skills, thereby improving the overall quality. Conclusion:Cornell's note-taking method can improve the theoretical knowledge, clinical practice skills and comprehensive ability of pediatric nursing students, which is recognized by the interns, and obtains high teaching satisfaction and evaluation.

Experience of Associate Professor Huang Lixing Using Xingsu San in Treating Infantile Cough / 浙江中医药大学学报

Objective] To analyze the clinical experience of associate professor Huang Lixing in the treatment of cough in children.[Method] By following teacher Huang Lixing clinical studies,organizing the relevant case data,to summarize the academic thoughts and clinical experience of professor Huang in treating infantile cough,and for proven cases. [Results] Associate professor of Huang Lixing believes that the children of delicate organs,coupled with parents nursing or treating improper,vulnerable to the formation of phlegm damp retention in the lung,complex sense of cold cough syndrome.The treatment is to eliminate the cold outside and remove the phlegm dampness.The evidence is based on treatment mechanism and flexible use of medicine,it has achieved good results. [Conclusion] According to the special characteristics of children's diseases,Huang dialectically uses the treatment of Xingsu San,and expands its application range.It is worth the majority of doctors for reference.

Drug use in the pediatric outpatient department of Ningbo Women & Children′s Hospital / 药学实践杂志

Objective To investigate the drug use in the pediatric outpatient department of Ningbo Women & Children′s Hospital ,summarize the existing problems and analyze the causes in order to ensure the safety and effectiveness of the drug use .Methods A total of 9 000 prescriptions were randomly sampled from January to December 2015 for the statistical analysis of the drug use ,the amount of money spent on the drugs and the number of irrational prescriptions at the pediatric outpatient department in our hospital .Results Based on the amount of money spent ,the four most commonly used drugs were Chinese traditional drugs ,anti-infective ,respiratory and digestive system drugs .A total of 122 electronic prescriptions were considered as irrational drug use (1 .34% ) which include improper administration method ,wrong dosage or indications ,computer input errors ,etc .Conclusion Overall ,the drug use is appropriate at the pediatric outpatient department in our hospital .The Chinese traditional drugs are the most commonly used medications .However ,clinical doctors and pharmacists still need the comprehen-sive trainings to promote the rational drug use ,which could reduce unnecessary disputes between patients and doctors .

Pediatric scalp intravenous needle transfusion applications with care / 中国医学装备

Objective:To pediatric patients with scalp venous indwelling needle infusion therapy, and special care for children, and analyze its clinical effect. Methods:from 2011 February to 2012 August in our hospital outpatient department of pediatrics infusion in 180 cases, All the children were using scalp venous indwelling needle infusion therapy, and special care for children, and observe its clinical index. Results:after the treatment, the disposable puncture success rate was 93.3%, the blood pollution rate is 5.6%, the injection time (P<0.01) and before use, contrast, statistically significant differences. Conclusion:infusion of pediatric patients with scalp superficial vein indwelling, in clinical application is safe and reliable, convenient and feasible, but also can reduce the pain of patients, reduce the workload of nursing staff, is worthy of clinical use.

Survey on the pressures from night shifts and the countermeasures / 现代临床护理

Objective To investigate the pressures from night shifts among nurses from pediatrics department and find the countermeasures.Methods A self-designed questionnaire was used to investigate the pressures from night shifts among 112 nurses from pediatrics department as well as the reasons.Results 110 of the nurses(98.2%) assumed that the pressures from night shifts was intensive.The main reasons for the pressures came out of heavy workload,shortage of staff and stuff and the unsettled balance between job and family.Conclusion Such measures as reasonable distributions of nurses,abound supply of stuff and reduced working links may be effective for the alleviation of the pressures on nurses at night shifts,motivated activeness in them and then the enhancement of nursing quality.

An analysis on follow-up results about the high quality of nursing in the department of pediatrics / 中国实用护理杂志

Objective To investigate the satisfaction degree of family members of children patients with the quality of nursing by follow-up analysis using telephone.Methods We used the high quality nursing questionnaire as the follow-up investigation.311 parents of the discharged pediatric patients were enrolled in this study,and answered the questionnaire within 1 ～2 weeks after their children were discharged from hospital.Meanwhile,we collected specific comments through asking questions by telephone.Then we analyzed and summarized the results by the content analysis.Results We found the total satisfaction rate was 96.65％ and there were three levels after qualitative analysis on the specific recommendations:evaluation of the hospital system,evaluation of professional knowledge and skills of the medical workers,evaluation of the attitude of the medical workers.Conclusions The parents of pediatric patients are satisfied with the high quality nursing which has pediatric features.However,what the parents focused on had already beyond the scope of the high quality nursing itself.We should expand the concept of quality service to every aspect of the hospital work,in order to meet the needs of the parents of pediatric patients in the department of pediatrics.

Nurse and patient communicate circumstances of inexperienced nurses in paediatrics of pediatrics and the countermeasures / 中国实用护理杂志

Objective The authors report nurse and patient communicate circumstances be short of 30 inexperienced nurses in paediatrics of pediatrics,answer ability accident when they encounter clamant circumstances.Letter press be dead against be short of bring forward measure,acquire approve of effect. Methods Accept ways of give lessons,selective examination,assess and extend invalid questionnaire,strengthen nurse knows in nurse and patient communicate importance and dispute correlation concept,advance ethics level,answer skill and handle skill,accordance relation of nurse and patient. Results After nurse act norm,approve of patients have advanced,bring a lawsuit against of patient have cut down. Conclusion Cut down nurse dispute depend on look up cause of dispute,betimes build up flaw.

Analysis of disease entities and medical costs in the Pediatric Department of a hospital / 医学研究生学报

Objective: To learn the disease entities and medical costs of the patients admitted in the Pediatric Department of a general hospital.Methods: We collected from the Hospital Information System(HIS) the related data of the patients admitted in the Department of Pediatrics from October 2001 to October 2007 and analyzed the patients' main types of diseases and medical expenditure.Results: Among the total number of 8 062 patients,diseases of the genitourinary,respiratory and digestive systems and of blood and hematogenic organs accounted for 47.82%,36.78%,4.22% and 3.16%,ranking as the first 4 disease entities.The per patient medical costs in the first 4 places were those of the diseases of the musculoskeletal system and connective tissues($6 368),tumors($5 845),diseases of the genitourinary system($5 818) and congenial anomalies($5 469).Conclusion: The largest number of patients were those with genitourinary system diseases,and the highest medical costs per patient were those of the diseases of the musculoskeletal system and connective tissues in the Department of Pediatrics.

The progress of the use of PICC in pediatric clinic / 肠外与肠内营养

Peripherally inserted central catheter(PICC) is now often used in pediatric patients.PICC is easily inserted,safe,and cost-effective.Although it has many benefits,physicians and nurses remain acutely aware of the problem involved with placement of PICC lines.This review is about the research progress of PICC line related problems.