Table of Content

20 January 2014, Volume 11 Issue 1    Next Issue

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The level and influence factors of teaching efficacy among nursing teachers in colleges or universities WAN Xia， DENG Ren-li， HUANG Yi， WU Cai-hong， ZHU Ming-lan， HOU Wei-wei， SUN Li-li 2014, 11 (1):  7.  doi: 10.3761/j.issn.1672-9234.2014.01.001 Abstract ( 400 )   PDF (888KB) ( 54 )   Save References | Related Articles | Metrics Objective To investigate the level and influence factors of teaching efficacy among nursing teachers in colleges or universities. Methods Totally 134 nursing teachers in Zunyi Medical University were investigated with University Teaching Efficacy Scale. Results The score of teaching efficacy was（3.72±0.43）； the factor score of general teaching efficacy was the lowest and no significant difference was found between the factor score of personal teaching efficacy and professional teaching efficacy. Multiple regression analysis showed that teaching efficacy was influenced by proficiency of using multimedia， application of innovated teaching methods， the time of on-line learning， the times of attending peer lectures， writing papers and textbooks. Conclusion The teaching efficacy of nursing teachers in colleges or universities is influenced by teaching and research activities， which is needed to be further improved.

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Relationship among general self-efficacy，critical thinking and self-directed learning in undergraduate nursing students WANG Gui-min，ZHANG Xin-yu，YIN Bing 2014, 11 (1):  10.  doi: 10.3761/j.issn.1672-9234.2014.01.002 Abstract ( 819 )   PDF (443KB) ( 188 )   Save References | Related Articles | Metrics Objective  To investigate the level of self-directed learning ability among undergraduate nursing students， and to analyze the relationship among general self-efficacy， critical thinking and self-directed learning. Methods  Totally 193 undergraduate nursing students were investigated with the Self-directed Learning Questionnaire， General Self-Efficacy Scale（GSES） and Critical Thinking Disposition Inventory-Chinese Version（CTDI-CV）. Results  The total scores of self-directed learning，general self-efficacy and critical thinking were（106.79±11.82），（2.52±0.44） and（285.94±31.78），respectively. Self-efficacy， inquisitiveness， systematicity and critical thinking self-confidence were influence factors of self-directed learning. Conclusion  Self-efficacy and critical thinking affect nursing students’ self-directed learning ability. It is suggested to promote students’ self-directed learning by enhancing their self-efficacy and critical thinking.

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The impact of personality and self-consistency on subjective well-being in associate nursing students TANG Ya-ting, ZOU Jin-hui, LI Min, LIANG Jie 2014, 11 (1):  13.  doi: DOI：10.376l/j.issn.1672-9234.2014.01.003. Abstract ( 364 )   PDF (833KB) ( 77 )   Save References | Related Articles | Metrics Objective  To investigate the impact of personality and self-consistency on subjective well-being in associate nursing students. Methods  Totally 392 associate nursing students were investigated with Eysenck Personal Questionnaire（EPQ）， Self Consistency and Congruence Scale（SCCS）， and General Well-being Schedule（GWB）. Results  The score of subjective well-being of associate nursing students was（110.24±12.32）， the score was highest in the second academic year（114.75±10.75）and lowest in the third academic year（108.26±12.56）. Moreover, the self-consistency and congruence level was low in the third academic year（94.49±14.62）. Subjective well-being was correlated with personality and self-consistency； self-consistency played a mediating effect on the relationship between personality and subjective well-being. Conclusion  The level of subjective well-being is high in associate nursing students. Self-consistency plays a mediating role between personality and subjective well-being.

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The students satisfaction and attitudes towards different training modes of ICU master program WAN Li-hong，YOU Li-ming，XIE Wen，ZHANG Mei-fen，LI Qing 2014, 11 (1):  18-21.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.004 Abstract ( 337 )   PDF (673KB) ( 99 )   Save References | Related Articles | Metrics Objective  To investigate the students satisfaction and attitudes towards different training modes of ICU master program. Methods  Different training modes were used in Grade 2011 and Grade 2012. Fifteen master students were investigated with a self-designed questionnaire about their satisfaction and attitudes towards different training modes. Results  The students’ satisfaction in Grade 2011 was 62.5%. All students supported the new training mode. The most unsatisfied items were lack of self-directed learning time（46.7%），stress from graduation thesis（13.3%） and clinical teachers’ educational skills（13.3%）. Conclusion  The new training mode of ICU master program is accepted by the students. It is suggested to ensure enough time for clinical practice，attach great importance both to practice and research，and strengthen the training of clinical teachers.

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Qualitative research on the experience of nursing students in PBL history taking learning in clinical settings LI Juan，HU Chen，ZHU Da-qiao，ZHANG Xiao-yun，XU Yan，ZHOU Lan-shu 2014, 11 (1):  22-26.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.005 Abstract ( 376 )   PDF (878KB) ( 48 )   Save References | Related Articles | Metrics  Objective  To explore the experience of nursing students in PBL history taking learning in clinical settings. Methods  Twelve nursing students who had experienced PBL interviewing learning in clinical settings were interviewed with a semi-structured guide. The data was analyzed using the method of Colaizzi content analysis. Results  Four themes were extracted including stress and challenge，coping strategy，perceived instructors’ support，gain and reflection. Conclusion  PBL history taking learning in clinical settings can contribute to the improvement of nursing students’ knowledge and skills，and promotion of nursing students’ professional identity. Simulation history taking teaching based on standardized patients and medical record are suggested for further teaching reform.

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Application of problem-based learning in surgical nursing Lv Jing，YAN Li，ZHANG Xin-ye，WANG Dan-dan 2014, 11 (1):  27-29.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.006 Abstract ( 257 )   PDF (588KB) ( 59 )   Save References | Related Articles | Metrics This paper introduced the application and effects of problem-based learning（PBL） in surgical nursing. The nursing care of breast cancer patients was selected as the focus to apply PBL for 4 academic hours in 96 nursing students in Grade 2010. The application of PBL made the students learn from passively to actively，broadened the students’ knowledge scope，improved the students’ self-directed learning and abilities to analyze and solve problems，promoted the students’ critical thinking，induction ability， communication skills and teamwork spirit，as well as improved the teaching outcomes in surgical nursing.

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Teaching reform in the course of Emergent and Critical Care for undergraduate nursing students QIN Hai-hong 2014, 11 (1):  30-32.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.007 Abstract ( 247 )   PDF (511KB) ( 92 )   Save Related Articles | Metrics  Objective  To explore the methods and effects of teaching reform in the course of Emergent and Critical Care for undergraduate nursing students. Methods  The main measures included inviting clinical experts to participate in theoretical teaching； applying videos and CAI teaching materials，expanding practical settings by sending students to emergency department and intensive care units（ICU），and carrying out scenario simulation in lab teaching. The students took the final theory and skills exam and were investigated with a self-designed questionnaire. Results  The mean score of the 127 students in the final exam was（81.80±5.72） and the score of teaching process rated by the students was（134.12±10.65）. Conclusion  The students’ performance in the final exam is satisfactory and the students gave high appraisal on the teaching process. However，there are still several problems to be solved such as unstable clinical teaching settings lack of effective communication between students and clinical experts，over-emphasizing on the practicability of teaching and discrepancy on the understanding of teaching objectives.

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Construction of the experimental teaching center under the background of modern nursing education LIN Su-lan，JIANG Yue-ying，DAI Ya-li 2014, 11 (1):  33-35.  doi: 10.3761/j.issn.1672-9234.2014.01.008 Abstract ( 358 )   PDF (529KB) ( 51 )   Save References | Related Articles | Metrics  In order to cultivate nursing students’ practical competence，innovation ability and comprehensive clinical thinking，an experimental teaching center was constructed as the core of training high-quality practical nursing talents. The measures included changing the philosophy of experimental teaching，increasing funds on experimental teaching，innovating the experimental teaching mode，improving management system and strengthening team building of experimental personnel. After two years of practice，the experimental teaching center has achieved preliminary effects in teaching，research and social services.

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Emergency first aid ability and training needs of medical students LI Shu-lan， WU Ying， ZHANG Ke-jun 2014, 11 (1):  36-38.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.009 Abstract ( 433 )   PDF (534KB) ( 130 )   Save References | Related Articles | Metrics Objective  To investigate the emergency first aid ability and training needs of  medical students. Method  Totally 245 medical students were investigated with a self-designed questionnaire. Results  The results indicated that 86.94% of the students had learned knowledge and skills of emergency first aid, but only 8.57% to 18.78% of them had completely mastered the first aid skills. 34.69% of the students regarded field first aid in public accidents as the preferred learning project; 67.76% of them preferred vivid demonstration as the training means. Conclusion  Medical students are future team to cope with public accidents. It is necessary to train them with competent first aid knowledge and skills.

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The integration of theory with practice in the course of English of Nursing for vocational nursing students CHEN Yan，GE Wei，DONG Li-fang 2014, 11 (1):  39-41.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.010 Abstract ( 239 )   PDF (543KB) ( 50 )   Save References | Related Articles | Metrics Objective  To evaluate the teaching effects of integrating theory with practice in the course of English of Nursing for vocational nursing students. Methods  The vocational nursing students in Grade 2011 and 2010 were recruited as the experimental group and the control group，respectively. Traditional teaching method was used in the control group，while the reformed teaching method which integrated the theory with practice was used in the experimental group. Results  The students’ performance in the final test in the experimental group was significantly higher than that of the control group（P<0.01）. The students appraised highly on the new teaching method. Conclusion  The teaching method of integration of theory with practice can mobilize students’ learning enthusiasm and creativity，enhance teamwork and prepare them to be an international nurse.

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The risk behaviors of nursing errors among nursing undergraduates in clinical practice LI Jin-hou，ZHANG Wen，ZHANG Xue-yan，WU Shuang 2014, 11 (1):  45-47.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.012 Abstract ( 320 )   PDF (512KB) ( 39 )   Save References | Related Articles | Metrics Objective  To investigate the risk behaviors of nursing errors among nursing undergraduates in clinical practice，and provide reference for clinical teaching reform. Methods  Totally 188 nursing undergraduates in clinical practice were investigated with a self-rating risk behaviors scale of nursing errors. Results  25.7% of the nursing students reported nursing errors during clinical practice. The risk behaviors of nursing errors were being impatient for success，lack of concentration and insufficient skills. There were significant differences in the dimension of lack of rigor and negative knowledge-seeking among students in different hospitals（P<0.05）. Conclusion  The incidence of nursing errors among nursing students during clinical practice is high. Nursing educators should strengthen nursing safety education for nursing students so as to avoid medical disputes.

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Career planning of nursing students in clinical practice DING Li-pin，CHEN Yu 2014, 11 (1):  48-51.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.013 Abstract ( 312 )   PDF (676KB) ( 70 )   Save References | Related Articles | Metrics Objective  To investigate the status of career planning among nursing students in clinical practice，so as to provide basis for career planning education. Methods  Totally 228 nursing students in clinical practice were investigated with a self-designed questionnaire. Results  The total score of career planning was（3.05±1.03）. Female students got higher score than male students（P<0.01），and undergraduate students got higher score than associate students（P<0.01）. Income（64.04%） and opportunities of personal development（49.56%） were the first two factors which affected occupation selection；competency（64.91%） and major（40.79%） were rated as the critical determinants of career planning. Conclusion  The status of career planning among nursing students is not ideal. The career planning is better in female students and undergraduate students compared to male students and associate students，respectively.

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The level and training methods of specialized knowledge and skills among new pediatric nurses XU Zhi-yu 2014, 11 (1):  52-54.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.014 Abstract ( 210 )   PDF (516KB) ( 80 )   Save References | Related Articles | Metrics Objective  To investigate the level of specialized knowledge and skills in new pediatric nurses，and explore the methods and effects of training. Methods  The specialized knowledge and skills among 150 new pediatric nurses were assessed. Then，targeted training was provided aimed at 14 kinds of common diseases and 10 specialized skills. The training effects were evaluated by exams and questionnaires. Results  All new nurses passed the exams of knowledge and skills. Their satisfaction was 98.0% in the curriculum and contents of training，92.6% in the teachers of theoretical knowledge and 96.8% in the skills instructors. Conclusion  New pediatric nurses lack 14 kinds of pediatric diseases knowledge and 10 specialized skills. The training outcomes are satisfactory.

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Effect of oral stimulation on oral feeding in premature infants HUANG Xiao-xia，FENG Xiao-fang，HU Guan-qiong 2014, 11 (1):  60-62.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.017 Abstract ( 271 )   PDF (470KB) ( 42 )   Save References | Related Articles | Metrics Objective  To evaluate the effect of oral stimulation on oral feeding in premature infants. Methods Totally 115 premature infants were randomly divided into two groups. The 58 infants in the control group received routine care. In addition，the 57 infants in the experimental group received oral stimulation once a day. The initial time of oral feeding，the time of full oral feeding，the time of body weight regain and the hospital stay were recorded. Results  The initial time of oral feeding，the time of full oral feeding，the time of body weight regain and the hospital day in the experimental group were significantly shorter than those of the control group（P<0.01）. Conclusion  Oral stimulation can promote the oral feeding of premature infants，shorten the time of full oral feeding，accelerate the growth of body weight and shorten the hospital stay.

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Correlation between uncertainty in illness and anxiety in 40 patients with atrial fibrillation WU Hang-zhou，WANG Wei-wei，CHEN Xue-hai 2014, 11 (1):  63-65.  doi: DOI：10.3761/j.issn.1672-9234.2014.01.018 Abstract ( 265 )   PDF (502KB) ( 59 )   Save References | Related Articles | Metrics Objective  To investigate the level of uncertainty in illness and anxiety in patients with atrial fibrillation（AF），and to analyze the correlation between them. Methods  Forty AF patients were investigated with Mishel’s Uncertainty in Illness Scale（MUIS） and Zung’s Self-Rating Anxiety Scale（SAS）. Results  The total score of uncertainty in illness was（114.59±13.48）； the total score of anxiety was（70.48±16.92）. Anxiety was positively correlated with the total score of uncertainty in illness（r=0.393，P=0.008） as well as the factor scores in unclear（r=0.244，P=0.001），complexity（r=0.369，P=0.019），lack of information or inconsistency（r=0.564，P=0.000），while not correlated with the factor score in unpredictability（r=0.166，P=0.306）. Conclusion  AF patients show a high level of uncertainty in illness and anxiety，and they are interacted with each other.

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Nursing care of an elderly patient with multidrug-resistant tuberculosis lv Shi-qin 2014, 11 (1):  66-68.  Abstract ( 360 )   PDF (654KB) ( 28 )   Save References | Related Articles | Metrics This paper summarized the nursing care of an aged patient with multidrug-resistant pulmonary tuberculosis. Individualized nursing measured were provided for the patient including psychological care，health education，central venous catheter care，close monitoring of vital signs and adverse drug effects. The patient completed two years of standard treatment and recovered well after intensive care.