Objective:This study investigated and compared the clinical thinking ability of undergraduate nursing students of different grades,and searched for influencing factors of clinical thinking ability of nursing undergrad...Objective:This study investigated and compared the clinical thinking ability of undergraduate nursing students of different grades,and searched for influencing factors of clinical thinking ability of nursing undergraduate students.Methods:The convenience sampling method was used to select the Subject of the study.In total,180 third-year fourth-year,and fifth-year nursing undergraduate students were enrolled in this study.A self-designed scale of clinical thinking ability was used to collect the data.SPSS17.0 was used to analyze the data.Results:The average scores of clinical thinking ability of undergraduate nursing students were 68.14 ±9.13.In addition,71.1%of the students have a higher level of clinical thinking ability and only 7.2%of the students have the best level.The ANOVA test showed that the fourth-year students had the highest scores(72.96 ± 8.64),and the third-year students had the lowest scores(62.35 ± 8.09),which indicated a significant difference in the scores of the three groups(F =26.79,P < 0.05).Multiple linear regression analysis indicated that the frequency of academic activities and the frequency of department rounds were significantly correlated to clinical thinking ability(P <0.05).Conclusion:We must pay attention to the changes and influencing factors of clinical thinking a—bility of nursing undergraduate students.Thus,traditional teaching methods need to evolve and be revised to host the capacity of clinical practice most effectively and,eventually promote the development of clinical thinking ability of nursing undergraduate students.展开更多
Objective:To assess the effectiveness of simulation-based learning regarding the management of post-COVID complications in terms of knowledge,clinical decision-making ability,and self-efficacy among nursing students.M...Objective:To assess the effectiveness of simulation-based learning regarding the management of post-COVID complications in terms of knowledge,clinical decision-making ability,and self-efficacy among nursing students.Methods:This was a quasi-experimental study conducted among 1152nd-year nursing students.The participants were selected by a simple random sampling technique.The participants were divided into an experimental(n=56)and a comparison group(n=59)by a random table method.Data were analyzed using descriptive and inferential statistics with SPSS version 20.Results:There were significant differences in mean post-test knowledge scores(P=0.03)and mean post-test self-efficacy scores(P=0.001)between the experimental and the comparison groups while the difference in mean post-test clinical decision-making ability scores between the two groups was non-significant(P=0.07).A positive correlation was found between knowledge and clinical decision-making ability in pre-test(P=0.03)and in post-test(P<0.001)and a non-significant correlation was found between pre-test knowledge and self-efficacy score(P=0.52)among the experimental group.Conclusions:Simulation-based learning regarding the management of post-COVID complications is effective among nursing students.Simulation labs should be established in health care settings where simulation training can be provided for updating the knowledge,clinical decision-making ability,and self-efficacy of nursing personnel during program installment and continuous nursing education.展开更多
Objective To investigate the molecular characteristics and intracellular growth ability of Legionella pneumophila(L. pneumophila) strains from 1989 to 2016 in Sichuan Province, China. Methods Seventy-nine isolates of ...Objective To investigate the molecular characteristics and intracellular growth ability of Legionella pneumophila(L. pneumophila) strains from 1989 to 2016 in Sichuan Province, China. Methods Seventy-nine isolates of L. pneumophila were collected from environmental and clinical sources, including cooling towers, hot springs, bath water, fountains, and patients, and identified with 16 S rRNA gene analysis and serum agglutination assay. The isolates were then typed by Sequence-Based Typing(SBT), and Genotyping of forty-two LP1 strains were analyzed by means of multiple-locus VNTR analysis with 8 loci(MLVA-8). All strains were further analyzed for two virulence genes: Legionella vir homologue(lvh) and repeats in structural toxin(rtx A). The intracellular growth ability of 33 selected isolates was determined by examining their interaction with J774 cells. Results All isolates were identified to L. pneumophila including 11 serogroups, among which the main serogroup were LP1, accounting for 54.43%. Thirty-three different sequence types(STs) from five main clonal groups and five singletons were identified, along with 8 different MLVA patterns. Both the lvh and rtx A loci were found in all 79 strains. Thirty isolates showed high intracellular growth ability in J774 cells. Conclusion L. pneumophila is a potential threat to public health, and effective control and prevention strategies are urgently needed.展开更多
The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master...The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master Degree of Nursing(specialty) students was de?ned, and the characteristics were interpreted to provide references for future in-depth studies.展开更多
Aim: To measure the effect of an educative intervention on the clinical ability of family physicians of two First Contact Units, (UMF, IMSS) from the metropolitan area of Guadalajara, in the Risk Factor Identification...Aim: To measure the effect of an educative intervention on the clinical ability of family physicians of two First Contact Units, (UMF, IMSS) from the metropolitan area of Guadalajara, in the Risk Factor Identification of metabolic syndrome. Methodology: A quasi-experimental study was carried out with a control group using basal and final measurements. The educative intervention of the experimental group included one in-the- classroom work and another at the consulting room. Instrument was validated by a panel of experts and consisted of 40 questions of five cases presenting problems, reaching a reliability index of 0.84. Results: There was no significant difference at base measurement among the different levels of clinical ability among groups (p = 0.82). At the end of the follow-up, a significant increase in the experimental group (29 with 20 - 23 vs 29 with 24 - 33 in the control group) was observed. Conclusions: The advantage observed at the different levels of the experimental group reflects the impact of the alternative educative program which needs to be a programmatic guide for future educative interventions for health workers seeking to transform their own clinical practice.展开更多
Clinical thinking have the uncertainty, by which there are not a few mistakes caused. So it is necessary to discuss how to deal with the uncertainty of clinical thinking, which originates from the uncertainty of the o...Clinical thinking have the uncertainty, by which there are not a few mistakes caused. So it is necessary to discuss how to deal with the uncertainty of clinical thinking, which originates from the uncertainty of the objective world, social world and medicine knowledge, and can be seen all over clinical activities;Critical thinking which cautious about the interpretation and prediction of scientific theory is the best practice to explore the uncertainty. The essential purpose of medicine is rescuing people, So it is necessary and scientific to take “excluding life-threatening symptoms first” as the first principle of clinical thinking, which is also the primary method to deal with the uncertainty of clinical thinking;By the limited certainty of clinical thinking, procedural thinking is conducive to building a safer health system that is “easy to do right and difficult to do wrong”.展开更多
This aim is to clarify thinking process of nursing students’ clinical judgment, i.e., how nursing students act and think and what influences this thinking process of identifying approaches necessary for the children ...This aim is to clarify thinking process of nursing students’ clinical judgment, i.e., how nursing students act and think and what influences this thinking process of identifying approaches necessary for the children under their care in pediatric nursing practicum. By the analysis of M-GTA, students concurrently performed “A: Analytically contemplating the state of this child’s body” and “B: Contextually contemplating this child’s?individuality”. As a result, they acquired “C: Understandingof this child as a familiar existence.” This allows students to enable them to “D: Identify the necessary approach using judgment criteria for this child.” Furthermore, as situations that promote thinking by relating to all processes of thinking, students experienced “E: Attempts to solve problems through various measures” and “F: Encouragement of thinking through reflection.” Meanwhile, “G: Stagnation of thinking because of concerning matters” inhibited the progress of thinking. We found a need for education after grasping the process of student thought.展开更多
In information economy era,training innovative talents is an important step for high speed development of country.Education is an important way to training innovative talents,and the effective cultivation of students;...In information economy era,training innovative talents is an important step for high speed development of country.Education is an important way to training innovative talents,and the effective cultivation of students;innovative ability is an important symbol of the success of education.Innovative thinking is the basis of innovation ability,we must first improve innovative thinking ability in order to improve innovation ability.In the field of education,middle school is the key step for students to learn diverse thinking,especially innovative thinking.The objective of this paper is to study this step and how can we help students improve their innovative thinking ability.展开更多
According to the purposes of reading,it is divided into two Parts:language learning and information acquiring. Information acquiring is based on the purpose of gaining knowledge and information,language learning is ba...According to the purposes of reading,it is divided into two Parts:language learning and information acquiring. Information acquiring is based on the purpose of gaining knowledge and information,language learning is based on the purpose of improving. The two parts supplement each other,Hence,language learning is based on information acquiring. The way of thinking in reading and the accuracy of understanding can improve students' English level.展开更多
Improving the ability of predictive thinking is conducive in seeking the future and mastering initiative.In order to improve the ability of predictive thinking,it is necessary to strengthen the spirit of active explor...Improving the ability of predictive thinking is conducive in seeking the future and mastering initiative.In order to improve the ability of predictive thinking,it is necessary to strengthen the spirit of active exploration to give full play to people's subjective initiative.Scientific methodology is the basis for improving this ability.It is necessary to learn and apply dialectical materialist methodology and to master advanced methods in specific subject areas.A deep and broad knowledge system is the fundamental for the development of predictive thinking,hence a deep professional knowledge system and a broad multifield knowledge reserve must be formed.The development of science and technology provides traction in discovering new forecasting directions,more advanced tools for forecasting research,and philosophical epistemological guidance for forecasting.Therefore,there is a need to pay great attention to the development of science and technology.展开更多
This research paper delves into the connection, between problem-solving and music. It’s a topic that has piqued the interest of scholars in fields, including science and neuroscience. The study explores how music can...This research paper delves into the connection, between problem-solving and music. It’s a topic that has piqued the interest of scholars in fields, including science and neuroscience. The study explores how music can influence our ability to think divergently which is an aspect of creative thinking. It builds upon advancements in methods to investigate the relationship between music and divergent thinking aiming to uncover potential correlations. Doing it offers insights into the interplay between artistic expression and cognitive innovation. This research combines an analysis of existing literature with data collected from a group of participants shedding light on how music impacts our capacity for creative thinking. It demonstrates that music plays a role as a catalyst, for stimulating and enhancing thinking abilities.展开更多
This study aims to explore the effect of project-based teaching methods on improving students’ abilities in normal universities. This study delves into the practice teaching system based on ability training implement...This study aims to explore the effect of project-based teaching methods on improving students’ abilities in normal universities. This study delves into the practice teaching system based on ability training implemented in normal universities, examining the application of this teaching model in teacher education and the potential challenges it may encounter. Our case study reveals that the Project-Based Learning (PBL) approach can effectively transform students from passive recipients of knowledge into active problem solvers, thereby enhancing their critical thinking, problem-solving, teamwork, and communication skills. However, challenges do exist, including ensuring active participation from all students, providing equal opportunities for each student to develop and showcase their abilities, and completing complex projects within a limited timeframe. Therefore, teachers may need to adjust their teaching strategies, and schools need to provide more resources and support. These adjustments can help the practice teaching system based on ability training better serve teacher education and offer students a higher-quality educational experience.展开更多
Objective: To explore graduation practical ability assessment mode of graduate students in nursing (Master of Nursing Specialist, MNS). Methods: All 28 MNS 2020th graduate students in a university were selected as sub...Objective: To explore graduation practical ability assessment mode of graduate students in nursing (Master of Nursing Specialist, MNS). Methods: All 28 MNS 2020th graduate students in a university were selected as subjects by convenient sampling method, using the improved 4-station objective structured examination (Objective Structured Clinical Examination, OSCE) model. The assessment content included nursing assessment, nursing diagnosis, basic nursing operation, specialist nursing operation, theoretical written test and oral test and overall evaluation. And self-made questionnaire was used to evaluate the effect of the assessment model and the improvement of clinical practice ability of graduate students. Results: The overall satisfaction rate of graduation assessment was 89.51%, the overall satisfaction rate of graduation assessment mode and practical ability improvement evaluation was 84.66%, the pass rate of assessment results was 100%, and the excellent rate was 71.42%. Conclusion: The MNS graduation practical ability assessment model has a high degree of satisfaction, objectively evaluates the knowledge, skills, attitudes and emotions of graduate students, promotes the comprehensive quality and ability of graduate students, which is worthy of promotion.展开更多
基金supported by the Project of Department of Science & Technology of Shandong province(2012 YD 18033)
文摘Objective:This study investigated and compared the clinical thinking ability of undergraduate nursing students of different grades,and searched for influencing factors of clinical thinking ability of nursing undergraduate students.Methods:The convenience sampling method was used to select the Subject of the study.In total,180 third-year fourth-year,and fifth-year nursing undergraduate students were enrolled in this study.A self-designed scale of clinical thinking ability was used to collect the data.SPSS17.0 was used to analyze the data.Results:The average scores of clinical thinking ability of undergraduate nursing students were 68.14 ±9.13.In addition,71.1%of the students have a higher level of clinical thinking ability and only 7.2%of the students have the best level.The ANOVA test showed that the fourth-year students had the highest scores(72.96 ± 8.64),and the third-year students had the lowest scores(62.35 ± 8.09),which indicated a significant difference in the scores of the three groups(F =26.79,P < 0.05).Multiple linear regression analysis indicated that the frequency of academic activities and the frequency of department rounds were significantly correlated to clinical thinking ability(P <0.05).Conclusion:We must pay attention to the changes and influencing factors of clinical thinking a—bility of nursing undergraduate students.Thus,traditional teaching methods need to evolve and be revised to host the capacity of clinical practice most effectively and,eventually promote the development of clinical thinking ability of nursing undergraduate students.
文摘Objective:To assess the effectiveness of simulation-based learning regarding the management of post-COVID complications in terms of knowledge,clinical decision-making ability,and self-efficacy among nursing students.Methods:This was a quasi-experimental study conducted among 1152nd-year nursing students.The participants were selected by a simple random sampling technique.The participants were divided into an experimental(n=56)and a comparison group(n=59)by a random table method.Data were analyzed using descriptive and inferential statistics with SPSS version 20.Results:There were significant differences in mean post-test knowledge scores(P=0.03)and mean post-test self-efficacy scores(P=0.001)between the experimental and the comparison groups while the difference in mean post-test clinical decision-making ability scores between the two groups was non-significant(P=0.07).A positive correlation was found between knowledge and clinical decision-making ability in pre-test(P=0.03)and in post-test(P<0.001)and a non-significant correlation was found between pre-test knowledge and self-efficacy score(P=0.52)among the experimental group.Conclusions:Simulation-based learning regarding the management of post-COVID complications is effective among nursing students.Simulation labs should be established in health care settings where simulation training can be provided for updating the knowledge,clinical decision-making ability,and self-efficacy of nursing personnel during program installment and continuous nursing education.
基金supported by grants from the National Natural Science Foundation of China [81672048]the Youth Innovation Project of Sichuan Medical Association Foundation [Q15081]the Priority Project on Infectious Disease Control and Prevention [2018ZX10714002]
文摘Objective To investigate the molecular characteristics and intracellular growth ability of Legionella pneumophila(L. pneumophila) strains from 1989 to 2016 in Sichuan Province, China. Methods Seventy-nine isolates of L. pneumophila were collected from environmental and clinical sources, including cooling towers, hot springs, bath water, fountains, and patients, and identified with 16 S rRNA gene analysis and serum agglutination assay. The isolates were then typed by Sequence-Based Typing(SBT), and Genotyping of forty-two LP1 strains were analyzed by means of multiple-locus VNTR analysis with 8 loci(MLVA-8). All strains were further analyzed for two virulence genes: Legionella vir homologue(lvh) and repeats in structural toxin(rtx A). The intracellular growth ability of 33 selected isolates was determined by examining their interaction with J774 cells. Results All isolates were identified to L. pneumophila including 11 serogroups, among which the main serogroup were LP1, accounting for 54.43%. Thirty-three different sequence types(STs) from five main clonal groups and five singletons were identified, along with 8 different MLVA patterns. Both the lvh and rtx A loci were found in all 79 strains. Thirty isolates showed high intracellular growth ability in J774 cells. Conclusion L. pneumophila is a potential threat to public health, and effective control and prevention strategies are urgently needed.
基金supported by planning project of “12th Five-Year” in philosophy and social sciences of Sichuan province(No.SC13B081)
文摘The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master Degree of Nursing(specialty) students was de?ned, and the characteristics were interpreted to provide references for future in-depth studies.
文摘Aim: To measure the effect of an educative intervention on the clinical ability of family physicians of two First Contact Units, (UMF, IMSS) from the metropolitan area of Guadalajara, in the Risk Factor Identification of metabolic syndrome. Methodology: A quasi-experimental study was carried out with a control group using basal and final measurements. The educative intervention of the experimental group included one in-the- classroom work and another at the consulting room. Instrument was validated by a panel of experts and consisted of 40 questions of five cases presenting problems, reaching a reliability index of 0.84. Results: There was no significant difference at base measurement among the different levels of clinical ability among groups (p = 0.82). At the end of the follow-up, a significant increase in the experimental group (29 with 20 - 23 vs 29 with 24 - 33 in the control group) was observed. Conclusions: The advantage observed at the different levels of the experimental group reflects the impact of the alternative educative program which needs to be a programmatic guide for future educative interventions for health workers seeking to transform their own clinical practice.
文摘Clinical thinking have the uncertainty, by which there are not a few mistakes caused. So it is necessary to discuss how to deal with the uncertainty of clinical thinking, which originates from the uncertainty of the objective world, social world and medicine knowledge, and can be seen all over clinical activities;Critical thinking which cautious about the interpretation and prediction of scientific theory is the best practice to explore the uncertainty. The essential purpose of medicine is rescuing people, So it is necessary and scientific to take “excluding life-threatening symptoms first” as the first principle of clinical thinking, which is also the primary method to deal with the uncertainty of clinical thinking;By the limited certainty of clinical thinking, procedural thinking is conducive to building a safer health system that is “easy to do right and difficult to do wrong”.
文摘This aim is to clarify thinking process of nursing students’ clinical judgment, i.e., how nursing students act and think and what influences this thinking process of identifying approaches necessary for the children under their care in pediatric nursing practicum. By the analysis of M-GTA, students concurrently performed “A: Analytically contemplating the state of this child’s body” and “B: Contextually contemplating this child’s?individuality”. As a result, they acquired “C: Understandingof this child as a familiar existence.” This allows students to enable them to “D: Identify the necessary approach using judgment criteria for this child.” Furthermore, as situations that promote thinking by relating to all processes of thinking, students experienced “E: Attempts to solve problems through various measures” and “F: Encouragement of thinking through reflection.” Meanwhile, “G: Stagnation of thinking because of concerning matters” inhibited the progress of thinking. We found a need for education after grasping the process of student thought.
文摘In information economy era,training innovative talents is an important step for high speed development of country.Education is an important way to training innovative talents,and the effective cultivation of students;innovative ability is an important symbol of the success of education.Innovative thinking is the basis of innovation ability,we must first improve innovative thinking ability in order to improve innovation ability.In the field of education,middle school is the key step for students to learn diverse thinking,especially innovative thinking.The objective of this paper is to study this step and how can we help students improve their innovative thinking ability.
文摘According to the purposes of reading,it is divided into two Parts:language learning and information acquiring. Information acquiring is based on the purpose of gaining knowledge and information,language learning is based on the purpose of improving. The two parts supplement each other,Hence,language learning is based on information acquiring. The way of thinking in reading and the accuracy of understanding can improve students' English level.
文摘Improving the ability of predictive thinking is conducive in seeking the future and mastering initiative.In order to improve the ability of predictive thinking,it is necessary to strengthen the spirit of active exploration to give full play to people's subjective initiative.Scientific methodology is the basis for improving this ability.It is necessary to learn and apply dialectical materialist methodology and to master advanced methods in specific subject areas.A deep and broad knowledge system is the fundamental for the development of predictive thinking,hence a deep professional knowledge system and a broad multifield knowledge reserve must be formed.The development of science and technology provides traction in discovering new forecasting directions,more advanced tools for forecasting research,and philosophical epistemological guidance for forecasting.Therefore,there is a need to pay great attention to the development of science and technology.
文摘This research paper delves into the connection, between problem-solving and music. It’s a topic that has piqued the interest of scholars in fields, including science and neuroscience. The study explores how music can influence our ability to think divergently which is an aspect of creative thinking. It builds upon advancements in methods to investigate the relationship between music and divergent thinking aiming to uncover potential correlations. Doing it offers insights into the interplay between artistic expression and cognitive innovation. This research combines an analysis of existing literature with data collected from a group of participants shedding light on how music impacts our capacity for creative thinking. It demonstrates that music plays a role as a catalyst, for stimulating and enhancing thinking abilities.
文摘This study aims to explore the effect of project-based teaching methods on improving students’ abilities in normal universities. This study delves into the practice teaching system based on ability training implemented in normal universities, examining the application of this teaching model in teacher education and the potential challenges it may encounter. Our case study reveals that the Project-Based Learning (PBL) approach can effectively transform students from passive recipients of knowledge into active problem solvers, thereby enhancing their critical thinking, problem-solving, teamwork, and communication skills. However, challenges do exist, including ensuring active participation from all students, providing equal opportunities for each student to develop and showcase their abilities, and completing complex projects within a limited timeframe. Therefore, teachers may need to adjust their teaching strategies, and schools need to provide more resources and support. These adjustments can help the practice teaching system based on ability training better serve teacher education and offer students a higher-quality educational experience.
文摘Objective: To explore graduation practical ability assessment mode of graduate students in nursing (Master of Nursing Specialist, MNS). Methods: All 28 MNS 2020th graduate students in a university were selected as subjects by convenient sampling method, using the improved 4-station objective structured examination (Objective Structured Clinical Examination, OSCE) model. The assessment content included nursing assessment, nursing diagnosis, basic nursing operation, specialist nursing operation, theoretical written test and oral test and overall evaluation. And self-made questionnaire was used to evaluate the effect of the assessment model and the improvement of clinical practice ability of graduate students. Results: The overall satisfaction rate of graduation assessment was 89.51%, the overall satisfaction rate of graduation assessment mode and practical ability improvement evaluation was 84.66%, the pass rate of assessment results was 100%, and the excellent rate was 71.42%. Conclusion: The MNS graduation practical ability assessment model has a high degree of satisfaction, objectively evaluates the knowledge, skills, attitudes and emotions of graduate students, promotes the comprehensive quality and ability of graduate students, which is worthy of promotion.
