Table of Content

20 January 2016, Volume 13 Issue 1 Previous Issue    Next Issue

Select

The application and effects of unfolding case-based learning in the course of Medical Nursing HONG Shao-hua， LI Yang 2016, 13 (1):  7-11.  doi: 10.3761/j.issn.1672-9234.2016.01.001 Abstract ( 352 )   Save Related Articles | Metrics Objective To apply the unfolding case based learning in nursing education and evaluate the effectiveness. Methods Totally 122 undergraduate nursing students participated this one-year research program and were divided into two groups. The experiment group was taught with unfolding nursing cases， while the normal nursing cases were applied to the control group. The effectiveness of this pedagogical was evaluated via the Critical Thinking Disposition Inventory-Chinese Version（CTDI-CV） and the final examination. Results After one year‘s experiment， the experiment group scored 303.77±15.24 of CTDI-CV， while the control group scored 288.34±13.94. The difference was statistically significant. And the experiment group got significant better performance in the final examination. Conclusions The pedagogics of applying unfolding nursing cases in nursing education is effective to facilitate the nursing students’ critical thinking and academic performance.

Select

The level and influencing factors of academic emotion among undergraduate nursing students HUANG Wei-xiao，YAO Jin-lan，LIU Ya-nan 2016, 13 (1):  12-15.  doi: 10.3761/j.issn.1672-9234.2016.01.002 Abstract ( 418 )   Save Related Articles | Metrics Objective To investigate the level and influencing factors of academic emotion among undergraduate nursing students. Methods Totally 258 undergraduate nursing students were investigated using the General Aca demic Emotion Questionnaire（GAEQ）. Results The scores of boredom，hopelessness and anger among undergraduate nursing students were significantly higher than those of general college students（P<0.01），while the scores of relief，pride，shame，enjoyment，hope and interest were significantly lower than those of general college students（P<0.01）. Multiple regression analysis showed that recruitment level，academic performance and grade were influencing factors of academic emotion（P<0.01）. Conclusion Undergraduate nursing students show lower level of positive academic emotion while higher level of negative academic emotion.The recruitment level，academic performance and grade are significant factors which influence undergraduate nursing students’ academic emotion.

Select

The establishment of graduation practice situation simulation program for undergraduate nursing students based on the transition shock model LIU Dan，LIN Ping，YANG Shu-fen，XUE You-ru，ZHAO Zhen-juan，LI Ling，GAO Xue-qin，CHEN Wei 2016, 13 (1):  16-20.  doi: 10.3761/j.issn.1672-9234.2016.01.003 Abstract ( 422 )   Save Related Articles | Metrics Objective To develop a graduation practice situation simulation program for undergraduate nursing students based on the transition shock model. Methods Two rounds of expert consultation was conducted among 40 experts using Delphi technique. Results The returning rates of questionnaires in the first and second round expert consultation were 90.91% and 92.50% ， respectively. The authority coefficient of the experts was 0.88，and the coordination coefficient of experts‘ opinion was 0.31. The program included 16 learning target，57 compiling indicators，16 time arrangement and 6 kinds of evaluation. Conclusion The result of the study is reliable and the program can provide reference for the development of strategies to promote new nurses’ role transition， and also provide basis for the implementation and evaluation of simulation teaching.

Select

The effect of osteoporosis club on patient’s disease-related knowledge and self-efficacy CHEN Qiu-hua，LIN Run，LIN Shuo，CHEN Yan，TU Jing 2016, 13 (1):  21-24.  doi: 10.3761/j.issn.1672-9234.2016.01.004 Abstract ( 340 )   Save Related Articles | Metrics Objective To evaluate the effect of osteoporosis club on patients‘ disease-related related knowledge and self-efficacy. Methods Ninety-six patients with osteoporosis received health education in the form of osteoporosis club for six-months. The patients were investigated using Osteoporosis Knowledge Tests（OKT） and Osteoporosis Self-Efficacy Scale（OSES） before and after intervention. Results After the intervention，the total knowledge score and fa ctor scores of risk factors，sports，calcium，as well as the total score of self-efficacy and factor score of calcium intake were significantly higher than baseline（P<0.05）. Conclusion Osteoporosis club can effectively improve patients’ disease-related knowledge and self-efficacy，which plays an active role in the prevention and treatment of osteoporosis.

Select

Application of concept map in the course of Pharmacology in secondary vocational nursing students QIN Li-lian 2016, 13 (1):  25-30.  doi: 10.3761/j.issn.1672-9234.2016.01.005 Abstract ( 364 )   Save Related Articles | Metrics Objective To evaluate the effects of concept map strategy in the course of Pharmacology in secondary vocational nursing students. Methods Two classes of secondary vocational nursing students were recruited as the experimental group and the control group. Traditional teaching method and concept map was applied in the course of Pharmacology in the control group and the experimental group，respectively. The outcomes were evaluated using students‘ performance in final exam and questionnaires survey among students in the experimental group. Results The students’ performance in final exam was significantly higher in the experimental group than that of the control group（88.72 versus 79.71，t=7.959，P<0.001）. 61.54% of the students in the experimental group preferred concept map strategy very much. They agreed that concept map could motivate their learning interest（53.85%）， improve their self-directed learning ability（52.31%），cooperative learning ability（56.92%），detecting problem and problem-solving ability（50.77%）. Conclusion Concept map teaching strategy can not only improve academic performance of secondary vocational nursing students，but also motivate students‘ learning interest and cultivate students’ abilities of self-directed learning and cooperative learning.

Select

Application of microlectures in the experimental teaching among undergraduate nursing students ZHUANG Shu-mei 2016, 13 (1):  30-33.  doi: 10.3761/j.issn.1672-9234.2016.01.006 Abstract ( 292 )   Save Related Articles | Metrics Objective To evaluate the effects of microlectures in the experimental teaching among undergraduate nursing students. Methods Microlectures were provided for 56 undergraduate nursing students in the experimental teaching. The outcomes were evaluated using students’ performance in theory exam and skill test，as well as students‘ self-directed learning rated by Self-Rating Scale for Self-Directedness in Learning（SRSSDL）. Results The students’ performance in theory exam（t=1.854，P=0.033） and skill test（t=2.141，P=0.017） as well as the score of self-directed learning （t=12.881，P<0.001）were significantly improved than baseline. Conclusion Microlectures can effectively enhance the teaching outcomes and improve undergraduate nursing students’ abilities of self-directed learning and communication ability.

Select

The application of case-based learning in combination with authentic assessment in experimental course of genecology and obstetrical nursing Ran Xi，LIAO Bi-zhen 2016, 13 (1):  34-38.  doi: 10.3761/j.issn.1672-9234.2016.01.007 Abstract ( 327 )   Save Related Articles | Metrics Objective To explore the application method and effect of case-based learning in combination with authentic assessment in the experimental course of gynecology and obstetrical nursing. Methods Nursing undergraduates enrolling in 2011 were selected as objects in this study. A new teaching method，case-based learning in combination with authentic assessment，was taken in the course of gynecology and obstetrical nursing teaching. The teaching effect was compared with that of undergraduates enrolling in 2010 who got conventional teaching. And the attitude to new teaching methods was investigated. Results The final theory test scores of two groups show no statistical significance（P>0.05）. Performance in the class of undergraduates enrolling in 2011 was better with statistical significance（P＜0.05）.Their attitude towards the new teaching method was satisfied. Conclusion Application of case based learning in combination with authentic assessment to course of gynecology and obstetrical nursing teaching of nursing students can promote the development of the comprehensive abilities of the nurse students，the teaching ability and the quality of teaching of teachers.

Select

Effects of simulation teaching to reduce nursing students’ occupation hazards CHEN Chang-lian 2016, 13 (1):  39-42.  doi: 10.3761/j.issn.1672-9234.2016.01.008 Abstract ( 330 )   Save Related Articles | Metrics Objective To evaluate the effects of simulation teaching in the prevention of occupation hazards in nursing students. Methods Eighty-seven nursing students were randomly assigned to the experimental group（n=44） and the control group（n=43）. Students in the experimental group received simulation teaching in the course of occupational protection, while students in the control group received traditional teaching. Students on occupation protective attitude rate of correct answers and the occupation protection knowledge rate were investigated when the courses were completed. The occupation hazard occurrence and the occupation protection behaviors were examined at the end of the internship. Results The occupation protective attitude rate of correct answers and the occupation protection knowledge rate were significantly higher in the experimental group than that in the control group（P＜0.05）. The occupation protection behaviors scores in the experimental group was 41.56±8.20, which was significantly higher than the scores in the control group（32.45±6.28）（P＜0.05）. The number of students suffered from more than one occupation hazards in the experimental group was significantly less than that in the control group（P＜0.05）. Conclusion Occupation protection simulation teaching can improve the quality and effectiveness of occupation protection teaching in nursing students，as well as the occupation protection knowledge level and the protecting behavior.

Select

The practice and effect of nursing cooperative learning among nurses with different levels in the Gastroen-terology Department ZHAO Li-ping，CHI Jing，WANG Ping，WANG Rui 2016, 13 (1):  43-46.  doi: 10.3761/j.issn.1672-9234.2016.01.009 Abstract ( 340 )   Save Related Articles | Metrics Objective To evaluate the effects of interactive group learning in stratified nurse training. Methods Thirty-eight nurses in the digestive department were trained by stratified nurse training in 2013 and trained by interactive group learning based on stratified nurse training in 2014. Then the performance evaluations and self-eval-uation of all these nurses were conducted. Results The application of interactive group learning improved the score of young nurses and senior nurses，and strengthened their personal traits，clinical nursing skills，communication skill， ability of critical clinical thinking and professional skills. Conclusion The interactive group learning helps to improve the effect of stratified nurse training and can strengthen the professional competence.

Select

Nursing safety management for 410 children receiving dental treatment under general anesthesia SUN Li-jun，WANG Jian-hong，WANG Chun-li 2016, 13 (1):  47-49.  doi: 10.3761/j.issn.1672-9234.2016.01.010 Abstract ( 267 )   Save Related Articles | Metrics This paper introduces the practice of nursing safety management for children with dental treatment under general anesthesia based on the analysis of potential safety hazards. The measures included enhancing the management and fixation of tubes，controlling the environment of the operating room，strengthening preoperative management，monitoring of vital signs，protection of heads，eyes，lips and buccal mucosa，and enforcing intraoperative care and postoperative nursing. As a result，tube slipping，fever during the operation and postoperative hypothermia was seen in once case，respectively. Five cases suffered from slight buccal mucosa damage. There was no serious consequence after timely treatment and nursing care.

Select

The effect of psychological intervention on the T lymphocyte function of patients with nasopharyngeal carcinoma LUO Hui-yu，HUANG Li-jie，ZHENG Qiu-hong，KE Xi，CHEN Xiu-mei，LIU Qin-ying 2016, 13 (1):  49-52.  doi: 10.3761/j.issn.1672-9234.2016.01.011 Abstract ( 380 )   Save Related Articles | Metrics Objective To evaluate the effect of psychological intervention on T lymphocyte functions in patients with nasopharyngeal carcinoma（NPC）. Methods Totally 117 patients with NPC received five-session group psychological intervention. Patients were investigated using Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS） before and after intervention. Moreover，patients’ blood samplings were collected to measure T lymphocyte fu nctions before and after intervention. Results After the intervention, patients’ SAS score and SDS score were significantly lower than baseline（P<0.01）. The percentages of CD3+，CD4+，CD56+ T lymphocyte were significantly higher than baseline（P<0.01），while the percentage of CD8+ of T lymphocyte was significantly lower than baseline（P<0.01）. Conclusion Group psychological intervention can effectively relieve the anxiety and depression of patients with NPC, and improve the patients’ immunity.

Select

The effects of case management for patients with type 2 diabetes mellitus WANG Hui-li，LIANG Zong-hua，ZHANG Li 2016, 13 (1):  53-56.  doi: 10.3761/j.issn.1672-9234.2016.01.012 Abstract ( 743 )   Save Related Articles | Metrics Objective To evaluate the effects of case management model in the health management of patients with type 2 diabetes mellitus. Methods Totally 152 diabetic patients were divided into two groups according to the wards of department of endocrinology. Case management model and routine health management model was applied in the experimental group and the control group，respectively. All patients were investigated using the self-manage-ment ability questionnaire before and after intervention. Moreover，the fasting blood glucose，2h postprandial blood glucose and glycosylated hemoglobin were compared between the two groups. Results After intervention，the factor scores of dietary control，foot care and coping with high-low blood glucose management were significantly higher in the experimental group than those of the control group（P<0.05），while no significant differences were found in the total score of self-management and factor scores of sports management and drug monitoring between the two groups （P>0.05）. After intervention，the fasting blood glucose and postprandial 2h blood glucose in the experimental group were significantly lower than those of the control group（P<0.05），while no significant difference was found in the glycosylated hemoglobin between the two groups（P>0.05）. Conclusion The application of case management model in the health management of patients with type 2 diabetes mellitus can improve the self-management ability in dietary control，foot care and coping with high-low blood glucose，and enhance the control of glucose metabolism.

Select

Study on the effect of rehabilitation nursing for patients with cerebral apoplexy LIU Chang，REN Jun-cui，YUAN Xiu-yin 2016, 13 (1):  57-59.  doi: 10.3761/j.issn.1672-9234.2016.01.013 Abstract ( 435 )   Save Related Articles | Metrics Objective To evaluate the effect of continuing rehabilitation nursing for stroke patients. Methods Totally 522 stroke patients discharged from a tertiary upper hospital were divided into the experimental group and the control group according to their residence community. All patients received routine nursing care. In addition， community nurses visited patients in the experimental group regularly to give the rehabilitation intervention through home visit and telephone follow up. The patients‘ physical，mental condition and their satisfaction with nursing service were evaluated when they were discharged and 6 months after. Results There was no significant difference between the two groups when the patient were discharged. After 6 months，the Barthel Index and mental condition in the experimental group were better than those in the control group significantly （P<0.05）. Conclusion Continuing rehabilitation nursing can effectively improve the rehabilitation and mental health of patients with stroke，improve the quality of life and satisfaction.

Select

The acceptance and attitude towards male nurses among community residents and hospitalized patients LI Jia，LIU Jia-xian 2016, 13 (1):  60-63.  doi: 10.3761/j.issn.1672-9234.2016.01.014 Abstract ( 669 )   Save Related Articles | Metrics Objective To investigate the acceptance and attitude towards male nurses among community residents and hospitalized patients，and provide evidence for educating eligible male nursing students and stabilizing male nursing team in hospitals. Methods Totally 297 community residents and 241 hospitalized patients or relatives were investigated with a self-deigned questionnaire. Results 60.27%（179/297） of community residents and 72.20% （174/241） hospitalized patients or relatives knew about or cared by male nurses，43.43% （129/297） of community residents and 70.12% （169/241） of hospitalized patients would like to accept nursing care by male nurses. The awareness and acceptance of hospitalized patients was significantly higher than that of community residents（P<0.01）. Male hospitalized patients，community residents and hospitalized patients with higher educational level showed higher acceptance towards male nurses （P<0.05 or P<0.01）. The main factors which people were reluctant to male nurses were traditional concept，considering the privacy，sense of occupational accomplishment，poor operating capacity and lack of communication ability. Conclusion The awareness towards male nurses of community residents and hospitalized patients needs to be improved，and male nurses should develop occupation planning as early as possible.

Select

The level and influence factors of PICC related knowledge among nursing students after clinical practice HONG Ai-jun，FAN Ai-fei，WEN Shu-ping，DING Xiao-rong 2016, 13 (1):  64-67.  doi: 10.3761/j.issn.1672-9234.2016.01.015 Abstract ( 302 )   Save Related Articles | Metrics Objective To investigate the level and influence factors of peripheral central venous catheter（PICC） related knowledge among nursing students after clinical practice. Methods Totally 160 nursing students after clinical practice were recruited by convenience sampling method. They were investigated using a self-designed questionnaire. Results The average score of PICC related knowledge was（64.87±15.59）. 44（27.5%） students scored lower than 60 points，94（58.8%） and 22（13.8%） students scored ranged from 60 to 80 points and over 80 points，respectively. Multiple linear regression analysis showed that educational level，the number of practice departments involving PICC skills，PICC pathway infusion times，times of washing and sealing catheters，and the number of mistakes in PICC operation were influence factors of PICC related knowledge. Conclusion PICC related knowledge among nursing students after clinical practice is at medium level，and the relevant knowledge is not yet comprehensive. It is suggested to strengthen the training of PICC related knowledge and skills for nursing students，in order to improve their ability to handle problems in PICC nursing in clinical practice and guarantee the safety of nursing care.

Select

Study engagement among associate nursing students in different grades：a longitudinal study ZONG Sheng-lan，TAO Xin-hua 2016, 13 (1):  67-70.  doi: 10.3761/j.issn.1672-9234.2016.01.016 Abstract ( 437 )   Save Related Articles | Metrics Objective To investigate the change tendency and possible reasons of study engagement among associate nursing students in different grades. Methods Totally 270 associate nursing students were investigated using Utrecht Work Engagement Scale-Student at each year and 14 students were interviewed. Results The total score and dimension scores of study engagement among first-year and third-year nursing students were significantly higher than those of second-year students（P<0.05）.The possible reasons of changes in study engagement were that students in the first grade were curious about new knowledge，the learning interest decreased with the increased difficulty of learning content in the second grade，the learning needs and interest in the third grade were stimulated by clinical practice. Conclusion Nursing teachers in junior colleges should pay more attention to the study engagement of second-year nursing students，increase opportunities of clinical practice and take multiple teaching methods to stimulate students’ learning interests and needs，and thereby to improve their study engagement.

Select

The status and influencing factors of attitude toward caring for dying patients in undergraduate nursing students CHEN Jing-jing，ZHANG Xuan，WU Wei-wei，LIN Yan 2016, 13 (1):  71-74.  doi: 10.3761/j.issn.1672-9234.2016.01.017 Abstract ( 241 )   Save Related Articles | Metrics Objective To investigate the status and influencing factors of attitude toward caring for dying patients in undergraduate nursing students，so as to provide evidence for the design of hospice care program. Methods Totally 324 undergraduate nursing students in a university in Fujian province were investigated with a self-designed general information questionnaire and the Frommelt Attitude Toward Care of Dying（FATCOD）. Results The total score of attitude toward caring for dying patients in undergraduate nursing students was（110.90±17.14）. Multiple linear regression analysis showed that gender，religion belief，hospice care training，place of birth could explain the total variance of 30.6% for taking care of dying patients. Conclusion Undergraduate nursing students show positive attitude toward caring for dying patients. Gender，religion belief，hospice care training and place of birth are influencing factors of attitude toward caring for dying patients. Nursing educators should provide nursing students with hospice care education in order to improve their attitude toward caring for dying patients.