Application of the Living Lab concept combined with the case-based study and reference-induced self-education model in thoracic surgery nursing teaching / 中华医学教育探索杂志

Objective:To investigate the application effect of the Living Lab concept combined with the teaching model of case-based study (CBS) and reference-induced self-education (RISE) in thoracic surgery nursing teaching.Methods:A total of 132 nursing students who participated in 11 rounds of training (12 nursing students per round) in Department of Thoracic Surgery, The Affiliated Hospital of Inner Mongolia Medical University were included in the study, and according to the teaching method, they were divided into control group and observation group, with 66 nursing students in each group. The students in the control group received routine teaching, and those in the observation group received the Living Lab concept combined with CBS-RISE teaching. Assessment results were compared between the two groups, and the critical thinking ability and degree of satisfaction with teaching were evaluated for both groups. SPSS 22.0 was used to perform the t test. Results:Compared with the control group, the observation group had significantly higher objective question score (48.82±4.21 vs. 46.73±4.54, P<0.05), subjective question score (33.12±3.86 vs. 31.59±3.47, P<0.05), and total score (81.02±7.57 vs. 76.34±7.91, P<0.05). After training, compared with the control group, the observation group had significantly higher total score and scores of the dimensions such as truth seeking, open mindedness, analyticity, systematicity, self-confidence, inquisitiveness, and cognitive maturity ( P<0.05). The observation group also had a higher degree of satisfaction with teaching methods, teaching contents, and teachers compared with the control group ( P<0.05). Conclusion:In thoracic surgery nursing teaching, the application of the Living Lab concept and CBS-RISE can improve the assessment results of nursing students and enhance their critical thinking ability, with a high degree of teaching satisfaction among nursing students.

Diabetes self-management education program (DSME) among adolescents with type 1 diabetes mellitus

@#<p style="text-align: justify;">The DSME program is aimed to educate adolescents about diabetes mellitus: disease process, survival skills, exercise management, drug management, diet management, prevent acute and chronic complications and optimize quality of life. This study utilized the quasi experimental pre and post-test design involving 15 adolescent patients with Type 1 Diabetes Mellitus. The DSME materials were composed of five modules that included topics in diabetes awareness, survival skills, exercise, drug and diet management. Knowledge, Fasting Blood Sugar (FBS), Random Blood Sugar (RBS) and waist and hip ratio (WHR) were tested. The Intervention phase was implemented in three months where each module was completed by patients in two weeks. Pre and post-test examinations were done after each module. Participants have very satisfactory knowledge in diabetes awareness, survival skills, exercise, drug management before and after the DSME program. However, participants knowledge in diet management were unsatisfactory before and after the DSME program. FBS were high but RBS levels and WHR were in normal levels before, during and after the DSME program. Knowledge scores were significantly different before and after the implementation of all the modules (Module 1 to Module 5) to the participants. RBS results were significantly different after the implementation of the Module 1- DM awareness and Module 5- diet management. However, no significant differences were obtained in the RBS results of the participants after the implementation of Module 2, 3, 4, and 5. No significant differences were also obtained in the WHR parameters of the participants in each of the implementation of DSME. No significant differences in the FBS results were obtained after the implementation of the DSME modules. The module type DSME is effective in increasing knowledge of the adolescent patients in diabetes and its management. The content of the diet management module needs to be strengthened and be tested again for its effectiveness in increasing knowledge of adolescent patients.</p>

Assessment of knowledge and skills of barangay health workers: Basis for diabetes education program for lay persons

@#This study aimed to determine the level of knowledge and skills of the barangay health workers (BHW) about diabetes management. A descriptive correlational design that included 121 BHWs in Bustos, Bulacan was utilized in the study. A test and skill demonstration checklist was utilized to determine the knowledge and skills of BHWs about diabetes management. Categorical variables such as the respondents' profile were described using frequencies and percentages. Continuous variables such as level of knowledge and skills were summarized using central tendency measures (mean) with standard deviation. Pearson correlation test for association was used to test for relationship between level of knowledge and skills. Pearson Chi square was used to test association between demographic variables and level of knowledge and skills. Ap value of <0.05 was considered significant in the analysis of the results. Results showed that the overall level of knowledge of the BHWs was satisfactory but varied in many aspects of diabetes management. The BHWs level of knowledge in determining signs and symptoms and diagnosis of diabetes was high but low in determining types of diabetes mellitus. The level of skills of the BHWs was high in blood pressure measurement but low in blood glucose monitoring. BHWs have varied knowledge and skills in diabetes care management. There is a need to train the BHWs further to develop their knowledge and skills. The nurse diabetes educators must provide diabetes education program for BHWs that are focused on competencies to deliver safe and appropriate health teaching activities utilizing the basic concepts and principles of diabetes management

Integration of Volunteer Service and Humanistic Quality of Medical Students / 中国医学伦理学

The long-term development of volunteer service depends on the level of humanistic quality of par-ticipants, the improvement of humanistic quality needs the practical support of volunteer service, and the integra-tion of volunteer service and humanistic quality of medical students has its theoretical rationality. "Caring for peo-ple"is its common cultural foundation,"subjectivity" is its common ideological foundation, and"group nature" is the common practice foundation for both. At present, the integration of volunteer service and medical students' hu-manistic quality is mainly facing the development issues including medical students and those who are served misun-derstand the volunteerism, the lack of medical students' humanistic spirit leads to instrumental tendency of volun-teer service behavior and the limited channels of volunteer service objectively limit the enhancing effect of humanis-tic quality of medical students. It should promote the organization of volunteer service for medical students and cul-tivate the humanistic spirit of medical students;promote the professionalization of medical students' volunteer service and enhance the self-education ability of medical students;promote the normalization of medical students' volun-teer service and enhance the social responsibility of medical students to provide reference for the integration and de-velopment of volunteer service and medical humanistic quality.

Case-based study (CBS) in combination with reference-induced self education (RISE) in clini-cal teaching of digestive endoscope diagnostics / 中华医学教育探索杂志

Objective To explore the effect of applying Case-based study (CBS) in combina-tion with Reference-induced self education (RISE) in clinical teaching of Digestive endoscope diag-nostics. Method One hundred and twenty undergraduates in Grade 2012 of clinical imaging speciality of Beihua University were selected as the objects of study and classified at random into experiment group (60 students) and control group (60 students), In the course of teaching, the traditional LBL study and CBS-RISE study were separately employed, and examined through theoretical assessment in combination with case analysis, and the teaching effect in experiment group students was also evaluated through examination paper. SPSS 16.0 statistic soft ware was employed for data treatment and analysis, t test was used for quantity data and expressed as x±s, and x2 test for number counting data, and P<0.05 as the statistical significant difference. Results In experiment group, the total result, and the results of theoretical examination and case analysis were all superior to the control group, and the dif-ference between two groups exhibited statistical significance (P values respectively 0.008, 0.017 and 0.021). The excellent and good rate of the experimental group's theory examination score was 70%, which was higher than that of the control group (48.3%). The excellent and good rate of the experimen-tal group in the case analysis of examination results was 63.3%, higher than that of the control group (43.3%), and the difference was statistically significant (P values respectively 0.016 and 0.028). The students in experimental group showed better degree of satisfaction to the teaching model of CBS-RISE. In general, they considered that the CBS-RISE model could stimulate the learning interest of students, enhance the ability of analyzing and solving problems, deepen the understanding of knowl-edge, train a better clinical thinking model, and also develop a cooperative group idea. Conclusions CBS-RISE teaching model is feasible in the application of teaching in digestive endoscope diagnostics, and beneficial to the training of self learning ability and clinical consideration, deserving populariza-tion.

Medical Students' Self-education of Divergent Thinking / 中华医学教育探索杂志

Raising students'divergent thinking should be combined with the whole college education.But for the medical students,it is more vital to realize the importance of divergent thinking,make full use of education resources in university,consciously urge themselves to break through the limits of routines,develop their divergent thinking and make various measures to reinforce the self-education of divergent thinking.

Discussion on Self-Education during Medical Ethics Education for Medical Students / 中国医学伦理学

During medical ethics education for medical students,we promote self-education with the idea of human-oriented university management.On the one side,it keeps with the requirements of time and the long-lasting characteristic of medical ethics education.On the other side,it also meets the need of cultivating top-notch talents with innovative ideas.Self-education should conform to the law of medical ethics education,which calls for us to place more emphasis on scientific,objective stratified,practical features of medical ethics education.By strengthening the construction of medical ethics education,establishing a harmonious communication between teachers and students,valuing mental health of medical students,we will surely arouse students' independent thought and create a fine atmosphere on campus to realize self-education of medical ethics.

On the "Tri-Self" Education for Undergraduates with Financial Problems / 中国医学伦理学

Education for the undergraduates with financial problems has been put into spotlight.Therefore,new methods to educate and manage undergraduates with financial problems should be advanced under new circumstances.It is necessary and practical to promote "tri-self" education,including self-education,self-management and self-service for those undergraduates with financial problems.We should put this education into effect through ideal and faith education,students' self-help union,assistance to poor household and improvement of the mental health service system.