【摘要】 目的 分析護理基本技能考核評分誤差產生的原因。 方法 使用單因素方差分析法對我校高中起點三年制護理專業2006級440名學生及2007年某校護理專業高中起點三年制護理專業2006級281名學生的護理基本技能考核成績進行分析，并從2006級440名學生中隨機抽取129名學生利用自制問卷進行調查。 結果 考核項目和監考教師不同是造成學生護理基本技能考核成績評分存在誤差的主要原因。 結論 監考教師應統一并細化考核標準及制定護理基本技能考核項目難度系數。【Abstract】 Objective To analyze the reasons of grading error in nursing basic technique examination. Methods The results of nursing basic technique examination of 440 three-year-college students in grade 2006 majored in nursing in Cangzhou Medical College and 281 three-year-college students in grade 2007 majored in nursing in Hebei Provincial Medical College were retrospectively analyzed by one-factor analysis of variance, and 129 students who were selected randomly from the students in grade 2006 were investigated via a self-made questionnaire. Results The reasons of grading error were different assessment items and different invigilators. Conclusion Unifying the difficulty level and the standard of the assessment may decrease the grading errors in nursing basic technique examination.
Objective To systematically review the effects of the early childhood physical activity program (ECPAP) on gross motor skill (GMS) in preschool children. Methods We searched Web of Science, PubMed, Cochrane Library, EBSCO SPORTDiscus with Full Text, CNKI, WanFangData and VIP databases to collect randomized controlled trails (RCT) about ECPAP for improving GMS in preschool children from the establishment of the database to August 8, 2022. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of the included studies. Meta-analysis was then performed using RevMan 5.4.1 and Stata 15.0 software. Results A total of 18 studies including 1 141 children in experimental group and 1 135 children in control group were included. The results of meta-analysis showed that after ECPAP, the GMS (SMD=1.96, 95%CI 1.44 to 2.49), locomotor skills (SMD=1.15, 95%CI 0.83 to 1.46) and manipulative skills (SMD=1.25, 95%CI 0.84 to 1.65) of the experimental group were significantly better than those of the control group (P<0.05). Conclusion ECPAC is considered to significantly promote the GMS of preschool children. Due to the limited quantity and quality of the included studies, more high-quality studies are needed to verify the above conclusion.
It has been absent from an accepted criteria for normalization and quality control of the thoracic surgery until now. The ideal assessing instrument which will be used to evaluate the technical skills and surgical procedures should present a few vital characterizations below: objectivity, speciality in the content, detailed structure, and quantifiability. Objective structured assessment of technical skills (OSATS) has developed as a reliable method of surgical skills measurement. This article focuses on the history of OSATS and its prospect in the thoracic surgery area by reviewing relevant literatures.
Evidence-based psychotherapy is an idea and performance reform in the clinical practice of psychology
which is influenced by evidence-based medicine. It proposes to integrate the best available evidence provided by
researchers, the clinical expertise of practitioners, and the patient’s characteristics, cultures and preferences, so as to
achieve the best treatment. The development of evidence-based psychotherapy can be divided into two stages: empirically
supported treatments and evidence-based practice. This paper reviews existing problems as well as developing tendencies.
ObjectiveTo explore the teaching effects of scene simulation of medical disputes in clinical skills training.
MethodsBetween September 2012 and June 2013, 93 clinical medicine undergraduates in Grade 2010 (8-year study) were randomly divided into the scene simulation teaching of medical disputes group (n=47) and the control group with traditional training (n=46) for clinical skills training. Teaching effects were assessed by clinical skills operation tests.
ResultsThrough scene simulation teaching of medical disputes, the trainees' clinical disposal ability, operating skills, communication skills, cultural knowledge, and legal knowledge dimension scores were all significantly better than previous tests (P<0.05).
ConclusionScene simulation of medical disputes has an obvious advantage in clinical skills training.
ObjectiveTo explore a standardized model for cardiothoracic surgery resident training program based on a combined clinical and research oriented team approach.
Methods We conducted this study in a nationally ranked Class AAA hospital among the eleven residents who were accepted into the program. Throughout their training periods, clinical surgical skills were taught by one-on-one mentoring by individually assigned doctoral degree advisors, other attending surgeons and doctoral degree candidates in the program. To foster their scientific curiosity and research skills, regular didactic lectures in basic science and statistical skills by the doctoral thesis advisors, supplemented by monthly journal clubs during which trainees were required to present and discuss a previously assigned topics based on recent clinical cases within the department, thus combining acquisition of clinical skills and theory/research at the same setting.
ResultsEleven physicians were selected for this training path. With respect to clinical surgical skills, 4 residents were judged to be sufficient at the end of the first cycle. The other seven residents at the end of the second cycle. One trainee won the third prize in the Medical Skill Competition in the hospital. As for scientific research skills, the team produced 11 scientific articles, one of which was accepted by the annual national conference in cardiothoracic surgery and the first author was invited to present the article. The team submitted four research projects, one won funding at the provincial competition and three within the medical school.
ConclusionOur proposed standardized model of cardiothoracic surgery resident training based on a combined clinical and research oriented approach appears to be practical with moderate success. Adaptation of this model by other cardiothoracic surgery training programs in the nation will further attest to its value and functionality.
