Application of progressive case teaching method based on core competency in standardized nursing training / 中华医学教育探索杂志

Objective:To explore the application effect of progressive case teaching method based on core competency in standardized nursing training.Methods:A total of 63 nursing students rotated in department of neurosurgery from June 2020 to June 2022 were selected as the research objects and randomized into experimental group ( n=31) and control group ( n=32). The experimental group adopted the progressive case teaching method based on core competency, and the control group adopted the conventional teaching mode. The data was analyzed using SPSS 26.0 to conduct t-test or non-parametric test based on the data normality for comparing the theory results, objective structure clinical examination (OSCE) scores, core competency, self-directed learning ability scores, teaching satisfaction and nursing satisfaction of patients in two wards between the two groups. Results:The theoretical results ( t=4.74, P<0.001) and OSCE scores ( t=3.81, P<0.001) of the experimental group were better than those of the control group. The scores of core competency and autonomous learning ability ( t=4.32, P<0.001) of the experimental group were better than those of the control group. The teaching satisfaction score ( t=2.21, P=0.044) and patient satisfaction score ( t=2.92, P=0.011) of the observation group were better than those of the control group. Conclusion:The progressive case teaching method based on core competency can improve the post competency of nurses, and also improve the teaching satisfaction rate and patient satisfaction rate, which is worthy of being carried out in the subsequent teaching activities.

First aid and nursing of 3 patients with cranial orbital injury / 现代临床护理

Objective To summarize first aid and nursing key points of 3 patients with cranial orbital injury. Methods Three patients with cranial orbital injury were nursed from January 2014 to March 2014, including routine nursing, nursing of eye and cerebrospinal fluid leak and prevention of infection. Results The hospital stay of the 3 patients was from 8 to 23 d, during which 1 contracted cerebrospinal fluid leakage and another rupture of left eye ball. All patients were well recovered after discharge and could be self cared in life for their own, with one patient blind on the left eye and the other 2 with facial disfigurement. Conclusions The patients with cranial orbital injury is critical. Therefore, well done first aid and nursing are key for a better prognosis.