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Objective:To evaluate the effect of the improved team-based learning (TBL) teaching method in the undergraduate probation course of ophthalmology based on the goal of cultivating excellent doctors.Methods:The undergraduates of clinical medicine were randomly divided into experimental group and control group. The control group ( n=50) was given conventional ophthalmology probation teaching, while the experimental group ( n=50) was given ophthalmology probation teaching of improved TBL teaching method. The theoretical examination performance and skill assessment results of students in the two groups were compared, and the subjective evaluation of the students on the teaching was also compared. SPSS 23.0 was used to conduct t-test and Wilcoxon's rank sum test. Results:The theoretical examination performance of experimental group (29.68±4.52) was better than that of control group (27.84±4.33), with significant differences ( P<0.05); the skill assessment results of experimental group (32.88±5.05) were also better than those of the control group (30.88±6.99), with significant differences ( P<0.05); the subjective evaluation of teaching effect in each item of experimental group was better than that of control group ( P<0.05). Conclusion:The improved TBL teaching method can not only improve students' theoretical knowledge and experimental skills, but also improve students' self-study and teamwork ability, which will provide a feasible educational reform plan for achieving the goal of cultivating excellent doctors.
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In view of the problems existing in the probation teaching of obstetrics and gynecology, such as patients' non-cooperation, few cases and few practical opportunities. This study discusses the application effect of case teaching based on "Rain Classroom" and standardized patients in the obstetrics and gynecology probation course. The teaching is carried out by carefully selecting cases, refining pre-class preparation, adopting various teaching forms, and carrying out evaluation after class. In order to evaluate the teaching effect, an anonymous survey was carried out among 330 undergraduate interns majoring in clinical medicine, prevention, and forensic medicine in Batch 2015. The results showed that 210 (93.8%) of 224 (67.9%) students who participated in the survey believed that this method could promote learning enthusiasm and 200 students (89.3%) thought it could activate classroom atmosphere more than traditional teaching; most students thought it improved students' communication ability (163, 72.8%), clinical practice ability (189, 84.4%), and ability to analyze and solve problems (171, 76.3%) and deepening the understanding, mastery and application of knowledge (158, 70.5%). It shows that this method can improve the teaching effect of obstetrics and gynecology probation course to a certain extent.
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At present, the non-directly-administered affiliated hospitals generally have some problems in the teaching of clinical probation such as weak subjective teaching consciousness, few full-time teaching administrators, insufficient investment in teaching facilities, uneven teaching levels, unclear division of responsibilities and so on. Based on this, it is proposed to adopt the measures of strengthening consciousness, creating process and strengthening examination to explore the standardized teaching methods of clinical probation from four aspects: making clear the teaching purpose of the probation, making good preparation for the probation teaching, refining the teaching process of the probation teaching and paying attention to the actual effect evaluation after the probation, so as to improve the quality of clinical probation teaching in non-directly-administered affiliated hospitals.
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Objective:To explore the effect of mind mapping combined with scenario simulation teaching on probation teaching of abdominal trauma.Methods:The probation undergraduates from Batch 2017 five-year clinical medicine of Air Force Medical University were selected as research objects and randomly divided into experimental group ( n=98) and control group ( n=92). The experimental group was taught by mind mapping combined with scenario simulation teaching method, while the control group was taught by traditional teaching mode. After the end of the course, the effect of teaching was evaluated from two aspects: theoretical evaluation and teaching satisfaction evaluation. SPSS 19.0 was used for t test and chi-square test. Results:The results of theoretical test in the experimental group were significantly better than those of the control group [(84.03±8.99) vs. (78.53±8.97)], and the difference was statistically significant ( P<0.05). Compared with the control group, the experimental group had obvious advantages in learning interest, teamwork awareness and clear thinking, and achieved good teaching effect. Conclusion:Therefore, this teaching model helps to improve the teaching quality and provides some reference experience.
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Objective:To explore the effect of the 3D printed model assisted network teaching of neurosurgery.Methods:Seventy-six probation students were divided into: 3D printed model assisted online course teaching group (test group) and traditional teaching group (control group). After 1-month online teaching, quantitative assessment and satisfaction survey were carried out. SPSS 17.0 was used for statistical analysis of variance.Results:The department graduation test (theory and operation) scores of students in the test group were (86.7±7.4) points, which was significantly higher than those in the control group (78.2±8.2) points ( t=5.56, P<0.01). The teaching satisfaction survey showed that the test group had significantly higher scores in self-evaluation of spatial imagination ( t=3.81, P<0.01), deepening understanding of neuroanatomy ( t=5.29, P<0.01), and increasing interest in clinical learning ( t=5.12, P<0.01) than those of the control group. Conclusion:Compared with the conventional online teaching methods, 3D printed model assisted online teaching helps to improve teaching quality and students' satisfaction.
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Objective:To explore the application effects of standardized patient (SP) and breast visual palpation simulation system on clinical probation of breast surgery for medical students.Methods:A total of 110 students were randomly divided into experimental group and control group, and each group was further divided into 5 subgroups. In the experimental group, SP scripts of five common diseases in breast surgery department were designed according to the syllabus before probation, and the teachers were trained. During the probation, we first talked about the characteristics of disease diagnosis and treatment, and then the five subgroups collected the history of the disease according to the SP of different diseases mentioned above, and checked the corresponding lesions on the breast visual palpation simulation system. In the physical examination, SP responded to the students' questions. The control group also talked about the above-mentioned five diseases during the probation, and then the five subgroups carried out history collection and physical examination for specific patients in the hospital. Finally, the teaching effects were analyzed through medical record writing, theoretical examination, physical examination and student evaluation. SPSS 26.0 was used for chi-square test (or Fisher exact test) and Mann-Whitney U test. Results:There was no significant difference in the theoretical examination between the two groups. It was demonstrated that the correct rate of experimental group was significantly higher than that of the control group in medical history collection, especially in the main symptoms, incentives, aggravation and remission factors, accompanying and differential symptoms and so on. And the positive results of breast, nipple and axillary lymph node palpation in the experimental group were significantly higher than those in the control group through the physical examination operation of breast visual palpation simulation system. The analysis of students' evaluation showed that the teaching efficiency of the experimental group increased, and the students' satisfaction was improved (satisfaction rate: 92.73% vs. 76.36%).Conclusion:The application of SP and breast visual palpation simulation system in breast surgery probation teaching can not only protect the privacy of clinical patients, but also improve the teaching effects, which can be popularized in the clinical teaching of breast surgery.
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ObjectiveTo explore the effect of flipped classroom mode in the clinical probation teaching for undergraduate mental health students， so as to expand the new mode of clinical teaching in psychiatry department. MethodsA total of 85 undergraduate psychiatric students from Xinxiang Medical University in 2016 were selected. All participants were divided into experimental group （n=43） and control group （n=42） according to the random number table method. The flipped classroom clinical teaching mode was adopted to experimental group， and the traditional practice mode for control group. The probation lasted for 12 weeks. Theoretical knowledge of symptomology， psychiatric clinical skills （OSCE）， doctor-patient communication ability（SEGUE） and clinical thinking ability were assessed at the end of probation. ResultsAfter the probation， students in experimental group obtained higher scores in theoretical knowledge， clinical skills， doctor-patient communication ability and clinical thinking ability compared with control group. The differences were statistically significant ［（33.08±1.72） vs. （32.06±2.33）， （51.61±2.12） vs. （48.32±2.86）， （18.14±1.98） vs. （14.62±2.15）， （91.26±14.13） vs. （82.40±10.89）， t=2.307， 6.034， 3.230， 7.846， P<0.05 or 0.01］. ConclusionApplying the flipped classroom mode into the clinical probation teaching for mental health undergraduate students may help to improve students' theoretical knowledge level and clinical operation ability， faciliate doctor-patient communication， and have a positive impact on their clinical thinking ability.
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Objective@#To construct a scientific, practical and objective quality evaluation system for evaluating clinical probation teaching effects of Psychiatry Nursing in undergraduate students.@*Methods@#Protocol of the system was initially made via literature analysis method and experts interview method; indexes were screened via Delphi method; and the evaluation system was formed by comprehensively considering experts' suggestions. The data was analyzed by using SPSS 19.0.@*Results@#All expert authority coefficients were more than 0.8; expert activeness coefficients in two rounds were 100% and 88.3%, respectively; and expert coordination coefficient was 0.235 (P<0.01). The designed teaching evaluation system contained three first-level indexes, seven second-level indexes and forty-one third-level indexes.@*Conclusion@#The drafted teaching evaluation system for evaluating clinical probation teaching effects of Psychiatric Nursing reflects requirements and characteristics of psychiatric special training during clinical probation and pays attention to cultivate students' humanistic care and clinical practice ability, with high scientificness and reliability, so as to provide objective and quantitative basis for evaluating probation.
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Objective To construct a scientific, practical and objective quality evaluation system for evaluating clinical probation teaching effects of Psychiatry Nursing in undergraduate students. Methods Protocol of the system was initially made via literature analysis method and experts interview method;indexes were screened via Delphi method; and the evaluation system was formed by comprehensively considering experts' suggestions. The data was analyzed by using SPSS 19.0. Results All expert authority coefficients were more than 0.8; expert activeness coefficients in two rounds were 100％ and 88.3％, respectively; and expert coordination coefficient was 0.235 (P<0.01). The designed teaching evaluation system contained three first-level indexes, seven second-level indexes and forty-one third-level indexes. Conclusion The drafted teaching evaluation system for evaluating clinical probation teaching effects of Psychiatric Nursing reflects requirements and characteristics of psychiatric special training during clinical probation and pays attention to cultivate students' humanistic care and clinical practice ability, with high scientificness and reliability, so as to provide objective and quantitative basis for evaluating probation.
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A total of 105 undergraduate students of the class 2014 majoring in clinical medicine in Sun Yat-Sen University received probation teaching in our department from October 2017 to May 2018,according to the syllabus of dermatology and venereology of clinical medicine.Senior teachers in our department were responsible for probation teaching,with the help of the independent wards in our department and probation teaching at the outpatient service.The teachers recorded the whole teaching process and evaluated the students' memory after probation.Through the teaching in wards and at the outpatient service,the students mastered the requirements in the syllabus of dermatology and venereology and achieved good results.
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Taking the course's characteristics and advantages into account, this study explores the systematic implementation of standardized teaching rounds in the clinical probation sessions of the Dermatology and Venereology course , and evaluates its effect by analyzing the cases of 125 medical students from grade 2015 of Sun Yat-sen University . The results showed that the implementation of standardized teaching rounds has positive effect on the course.
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Esta tese tem como objeto as práticas extrajudiciais do Ministério Público do Estado do Rio de Janeiro, especificamente em uma promotoria de justiça de tutela coletiva da infância e juventude infracional. Seu objetivo geral é compreender a atuação ministerial referente ao fomento de políticas municipais de atendimento socioeducativo. Para tal, foi realizada uma etnografia de/com documentos, em/de eventos e em espaços do MP, Judiciário e Defensoria. Apesar da execução de medidas socioeducativas em meio aberto ser de atribuição dos Centros de Referência Especializados em Assistência Social, desde sua tipificação normativa que incluem tais medidas sob a Proteção Social Especial de Média Complexidade, uma revisão narrativa tentou evidenciar uma lacuna na literatura em ciências sociais e humanas de estudos sobre instituições de justiça, em relação a esta temática. Desse modo, frisamos que a contribuição original desta tese ao campo do conhecimento é, justamente, a realização de uma etnografia em uma promotoria de justiça de tutela coletiva infracional. Tal abordagem empírico-teórica das medidas socioeducativas em meio aberto possibilitou chegar a alguns resultados principais: (i) compreender as reuniões, presididas pela tutela infracional, como sendo espaços voltados para articulação política, alinhada com os objetivos estratégicos da Instituição no plano estadual, isto é, o fomento de políticas municipais socioeducativas; (ii) os inquéritos civis não são, exclusivamente, procedimentos voltados ao ajuizamento de ações coletivas e sim ferramentas para o diálogo, durante a apuração administrativa realizada pelo Parquet; (iii) a pesquisa constatou uma atuação eminentemente moralista por parte do Judiciário e da 2ª Instância do Parquet nos eventos públicos, enquanto a tutela infracional se encontrava, em grande medida, alinhada aos assessoramentos técnicos prestados pelo Centro de Apoio Operacional da Infância e da Juventude, do próprio Ministério Público, para fundamentar suas promoções. Enfim, a etnografia de eventos pode proporcionar ao leitor certa compreensão quanto a circulação e o compartilhamento de éticas, moralidades e orientações político-ideológicas na conformação do que se chama de "socioeducação" no contexto municipal analisado. Gradientes afetivos-cognitivos-morais orientam os "fluxos" da "matéria infracional" na Comarca da Capital, ou seja, estruturam as práticas, orientando condutas e tecendo narrativas para justificar (ou não) ações institucionais.
This doctoral dissertation has as its object the extrajudicial practices of the Prosecutor's Office of the Rio de Janeiro's State, specifically in a prosecution of collective rights of juvenile offenders. Its general objective is to comprehend the ministerial action regarding the promotion of social-educational municipal policies. For this, an ethnography of/with documents were performed, in/of events and in spaces of the Parquet, Judiciary and Public Defender's Office. Although the execution of probation-like socio-educational measures is the responsibility of the Specialized Reference Centers in Social Work, since their normative typification that includes such measures under the Medium Complexity Special Social Protection, a narrative review attempted to highlight a gap in the human and social sciences literature of justice institutions, in relation to this subject. Thus, we emphasize that our original contribution to knowledge is precisely the realization of an ethnography in a juvenile prosecutor's office of collective protection. Such an empirical-theoretical approach to probation-like socio-educational measures has enabled some main results to be reached: (i) comprehend the meetings, chaired by the juvenile tutelage's office, as spaces aimed at political articulation, aligned with the Institution's strategic objectives at the state level; that is, the promotion of municipal social-educational policies; (ii) civil inquiries are not exclusively procedures aimed at judicial collective actions, but tools for dialogue during the administrative investigation carried out by the Parquet; (iii) the research found eminently moralistic action by the Judiciary and the 2nd Instance of Parquet in public events, while the juvenile tutelage's office was largely aligned with the technical advice provided by the Operational Support Center for Children and Youth, of the Prosecutor's Office itself, to substantiate its promotions. Finally, the ethnography of events can provide the reader with some interpretation of the circulation and sharing of ethics, moralities and political-ideological orientations in the conformation of what is called "social-education" in the analyzed municipal context. Affective-cognitive-moral gradients guide the "flows" of the "juvenile matter" in the Rio de Janeiro's Capital, that is, they structure the practices, guiding behaviors and weaving narratives to justify (or not) institutional actions.
Sujets)
Politique publique , Contrôle social formel , Défense des droits de l'enfant , Judiciaire , Procureur Général , Anthropologie culturelle , Sens moralRésumé
Esta pesquisa teve como objetivo descrever trajetórias escolares de adolescentes cumprindo medidas socioeducativas em programas de liberdade assistida da Grande Vitória (ES), de modo a compreender processos de permanência e evasão escolar. Foram entrevistados cinco adolescentes evadidos da escola e cinco frequentando o ensino médio, sendo os dados textuais submetidos à análise de conteúdo. As trajetórias escolares revelaram escolas enfrentando desafios com relação à estrutura, violência e comportamentos disruptivos. Por outro lado, o discurso dos adolescentes destacou a importância da escola e mostrou o potencial protetivo desse contexto, especialmente quando estabelecidas interações sociais positivas. Foram encontradas dificuldades acadêmicas comuns ao público investigado, como reprovações, brigas e comportamentos disruptivos. De modo geral, a pesquisa enfatizou a complexidade do fenômeno investigado e, por conseguinte, mostrou que o enfrentamento da evasão escolar deve incluir ações em vários níveis, contemplando o estudante, a família, a escola e as políticas de educação do país.
This research sought to describe school trajectories of adolescents fulfilling socio-educational measures in probation programs in Grande Vitória (ES), in order to understand the processes of school dropout and permanence. Five adolescents in dropout and five attending high school were interviewed, with textual data submitted to content analysis. The school trajectories revealed schools facing challenges regarding structure, violence, and disruptive behaviors. On the other hand, the discourse of the adolescents emphasized the importance of the school and also showed the protective potential of this context, especially when established positive social interactions. Academic difficulties were common to the investigated public, such as retentions, fights and disruptive behaviors. Overall, the research emphasized the complexity of the phenomenon investigated and, therefore, showed that coping with school dropout should include actions at various levels, looking at the student, family, school, and education policies of the country.
La investigación buscó describir trayectorias escolares de adolescentes que cumplen medidas socio-educativas en programas de libertad asistida de Grande Vitória (ES), con el fin de comprender los procesos de permanencia y abandono escolar. Se entrevistó a cinco adolescentes que desertaron la escuela y cinco que asisten a la escuela secundaria, y las informaciones fueron sujetas a un análisis de contenido. Las trayectorias escolares revelaron escuelas enfrentando desafíos con relación a la estructura, violencia y conductas disruptivas. Por otro lado, el discurso de los adolescentes destacó la importancia de la escuela y mostró el potencial protector de ese contexto, especialmente cuando se establecieron buenas interacciones sociales. Se encontraron dificultades académicas comunes al público investigado, como reprobaciones, peleas y conductas disruptivas. En general, la investigación enfatizó la complejidad del fenómeno investigado y, por consiguiente, mostró que el enfrentamiento del abandono escolar debe incluir acciones en varios niveles, considerando el estudiante, la familia, la escuela y las políticas de educación del país.
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Étudiants qui abandonnent leurs études , Adolescent , Soutien social , Violence , Crime , Vulnérabilité sociale , ÉducationRésumé
Resumen Se analiza la aplicación de las instituciones del tercer grado y de la libertad condicional a infractores extranjeros, tras la reforma operada en el art. 89 del Código Penal español por la LO 1/2015, para poner de manifiesto que nos encontramos ante una modificación que utiliza ambas herramientas como vías de acceso a la expulsión de infractores extranjeros, en lugar de como vías útiles para su reinserción. Para ello, se parte del estudio del declive que ha sufrido la reinserción social en España a raíz de diversas medidas legales que el legislador ha venido adoptando, principalmente desde el año 2003, así como del análisis e interpretación de sentencias de la Audiencia Provincial española, en aras de conocer los criterios que siguen al aplicar la libertad condicional y el tercer grado a los condenados extranjeros. Se llegó a la conclusión de que se trata de medidas que no son proclives a la reinserción social de los infractores extranjeros, puesto que, en vez de utilizarse para reinsertarlos en la sociedad, se emplean para practicar su expulsión.
Abstract The application of both third grade institutions and probation/parole to foreign offenders after the reform introduced in art. 89 of the Spanish Criminal Code by organic law la LO 1/2015, in order to make clear that we are facing an amendment that uses both tools as access paths to the expulsion/deportation of foreign offenders, in lieu of useful ways for their reintegration. For this purpose, it was necessary to begin studying the decline suffered by social reintegration in Spain due to diverse legal measures that legislator have been adopting, particularly since year 2003, as well as the analysis and construction of Spanish Provincial Court judgments, in favor of getting to know those criteria following the application of conditional release/probation/parole and the third grade to convicted foreigners. The conclusion reached is that we are dealing with measures that are neither nor keen on the social reintegration of foreign offender, since in lieu of being used to reinsert them into society, they serve to put their expulsion into practice.
Resumo Analisa-se a aplicação das instituições do terceiro grau e da liberdade condicional aos infratores estrangeiros, após a reforma operada no artigo 89 do Código Penal espanhol pela LO 1/2015, para mostrar que ficamos perante uma modificação que usa ambas as ferramentas como vias de acesso à expulsão dos infratores estrangeiros, em vez de como vias úteis para sua reinserção. Para este efeito, partimos do estudo do declínio sofrida pela reinserção social em Espanha em consequência das medidas legais diversas que o legislador tem adotado, principalmente do ano 2003, assim como da análise e a interpretação das sentenças da Audiência Provincial espanhola, em favor de conhecer os critérios que seguem ao aplicar a liberdade condicional e o terceiro grau aos condenados estrangeiros. Pôde se concluir que trata-se de medidas que não são suscetíveis à reinserção social dos infratores estrangeiros, porque em vez de ser usado para sua reinserção na sociedade, são usadas para praticar sua expulsão.
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Jurisprudence , Réadaptation , Population de passage et migrants , Victimes de crimesRésumé
Objective To probe into the effect of diversified teaching methods in the teaching of di-agnostics and clinical probation.Methods One hundred clinical undergraduates were randomly divided in-to experimental class (fifty students) and traditional class (fifty students). The experimental class was based on the textbook of diagnostics.It used PBL to share teaching resources with teachers and students,and used electronic simulation and standardized patients to carry out clinical probation in combination with clinical practice. Through the objective structured clinical examination and questionnaire survey, students' learning situation of two classes was analyzed. R 3.3.3 was used to perform t test or χ2test for the data of two classes. Result The evaluation results show that the average scores of the students in the experimental class OSCE are excellent, and the average scores of the tests are higher than those of the traditional class, and the difference is statistically significant (P<0.05). The result of questionnaire showed that the students of experimental class were more satisfied than the traditional class students (P<0.05) in all aspects. Conclusions Diversified teaching methods are beneficial to cultivating students' theoretical practice trans-formation ability,clinical thinking ability and independent problem solving ability.
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Objective To explore the application effect of based-learning problem (PBL) combined with role playing method(playing teaching role,RPT)in clinical practice teaching of skin diseases. Methods 112 clinical undergraduate interns were randomly divided into experimental group (PBL teaching combined with RPT teaching group, n=56) and the control group (PBL teaching group, n=56). After the internship, clinical probation theory examination, clinical skills assessment and questionnaire survey were used to evaluate the two teaching modes,using SPSS 13.0 software for statistical analysis of the data. Results The results showed that theory examination and clinical skills examination scores in the PBL+RPT group were significantly higher than the PBL group, i.e. (74.29±3.17) vs. (66.14±2.17); (16.66±1.11) vs. (14.50± 1.51), and there were statistically significant differences. The survey showed that the experimental group was better than the control group in learning interest, doctor-patient communication ability and humanistic concern. Conclusion The teaching mode of PBL+ RPT improved the students' enthusiasm for learning, cultivated and improved the humanistic quality, clinical thinking and practical ability of medical and ob-tained the satisfactory teaching effect,It will has a good application prospect.
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OBJECTIVE: The association of offender mental illness (including those on probation) with crime has long been the subject of social interest; however, systematic management has been insufficient. The study purpose was to analyze mental illness prevalence, proportion of first offenses and recidivism with the mental illness of those on probation. METHODS: A total of 206 adults on probation were divided into groups (first offenders and repeat offenders) and they completed self-report instruments and clinical interviews designed to diagnose mental illness. RESULTS: The mental illness prevalence among those on probation was considerably higher than that of the general population, and having mental illness was related to re-sentencing probation or recidivism. In particular, alcohol use disorder, major depressive episode, manic/hypomanic episode, and antisocial personality disorder were shown to affect recidivism. CONCLUSION: To achieve the ultimate purpose of probation, social and systematic intervention on a mental health and medical basis may be required.
Sujets)
Adulte , Humains , Trouble de la personnalité de type antisocial , Crime , Criminels , Trouble dépressif majeur , Troubles mentaux , Santé mentale , PrévalenceRésumé
O presente relato refere-se à experiência de estágio realizada em um Centro de Referência Especializado em Assistência Social da Grande Florianópolis, com um grupo de adolescentes em cumprimento de Medida Socioeducativa de Liberdade Assistida. Para o desenvolvimento do trabalho, objetivou-se a reestruturação das potencialidades dos adolescentes, a discussão de questões relacionadas à descrença quanto às possibilidades de reinserção social e a promoção de estratégias para o reconhecimento de possibilidades na vida dos sujeitos. Como metodologia, foram utilizadas oficinas temáticas com assuntos relevantes no contexto cultural e social dos adolescentes. Os encontros permitiram pensar a Medida Socioeducativa de Liberdade Assistida em outra perspectiva, destacando a importância de um ambiente de socialização. Os resultados apontaram uma mudança de comportamento dos jovens, maior capacidade de se comunicarem e de expressarem suas emoções.
This article refers to the training experience in the Specialized Reference Center for Social Assistance in the Great Florianópolis with a group of adolescents in compliance with d Socio-educational Measure of Assisted Freedom. For developing the work, it was objectified restructuring the potential of teenagers, discussing issues related to the disbelief of the possibilities of social reintegration, and promoting strategies with them to recognize the possibilities in their lives. The methodology used was to hold thematic workshops on topics identified as relevant to the cultural and social context of those teenagers. These meetings allowed thinking the Socio-educational Measure of Assisted Freedom with another perspective, as an effective socialization environment. The results pointed a change in behavior of the teenagers, an improvement of their communication skills, and a better expression of their emotions.
Este artículo se refiere a la experiencia en un Centro de Referencia Especializado para la Asistencia Social en la Grande Florianópolis con un grupo de adolescentes en cumplimiento de Medida Socioeducativa de Libertad Asistida. Para el desarrollo del trabajo, fue objetivada la reestructuración del potencial de los adolescentes, la discusión de temas relacionados con la incredulidad acerca de las posibilidades de reinserción social y la promoción de estrategias para el reconocimiento de las posibilidades en la vida de los individuos. La metodología utilizada fue la realización de talleres temáticos sobre temas identificados como relevantes para el contexto cultural y social de los adolescentes. Las reuniones posibilitaran pensar la Medida Socioeducativa de Libertad Asistida en otra perspectiva, identificando la importancia de un ambiente de socialización. Los resultados indicaron un cambio de comportamiento de los jóvenes, mayor capacidad de comunicación y expresión de emociones.
Sujets)
Adolescent , Crime , Psychologie sociale , Politique publique , Services sociaux et travail social (activité)Résumé
Objective To explore the effect of comprehensive experiments on clinical practice of internal medicine nursing in the patients with advanced simulation human Simman3G.Methods Two grades of nursing students were selected by random cluster sampling and divided into the experimental group and the control group.The control group used the traditional clinical probation method to carry out clinical probation teaching in Department of internal medicine,the experimental group used the advanced simulation human Simman3G to conduct a comprehensive simulation of teaching before clinical probation.After the completion of the internship the self compiled questionnaire was given to two groups of students to investigate their opinion on the clinical probation.Then we compared,the semester examination results between two groups.Results In the experimental group,the grade of internal medicine nursing was higher than the control group at the end of the semester,P ＜ 0.05.The results of questionnaire survey showed that there was no significant difference between the two groups in the promotion of theoretical knowledge and the two dimensions of the survey of nursing work environment.In the training of clinical thinking,improve nursing skill,communication skill,and the learning interest.At the great harvest of 5 dimensions of probation,the experimental group of students' recognition degree was significantly higher than the control group,P ＜ 0.01.Conclusion Before clinical probation of internal medicine nursing,the application of high-end analog teaching can significantly improve the effectiveness of clinical probation.
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Small scale restricted online course (SPOCs)+flipped classroomteaching is expected to become an important complement to the traditional teaching of dermatology. In this teaching mode, first of all knowledge nodes are divided separately according to the syllabus and for each node, 7 to 10 minutes of micro video or micro-lecture is made, which enables students to make best use of fragmented time through the network to master relevant knowledge independently before the trainee. In the flipped classroom, based on the difficulties and misunderstandings of learning reflected from the network monitor data, teacher can make full use of time on demonstrating typical cases, organizing discussion, grouping students to take diag-nostic and therapeutic exercise, answering targeted questions, teaching clinical thinking, experience and doctor-patient communication skills. Through this teaching mode, the new teaching idea can be imple-mented that students are in dominant position while teachers are in leading position, which contributes to deepening the understanding , absorption and application of knowledge and improving students' ability of communication, cooperation, diagnosis and treatment.