Pentasanal nursing is highly specialized and practical, the structure of the five senses system is fine, special function, operation and rigorous requirements, so it should have its own unique teaching methods, in order to adapt to the teaching of specialized nursing. The following is a paper I organized for you related to the five senses nursing, for your reference. System and other ways to stimulate students' interest in learning, mobilize students' learning enthusiasm and subjective initiative, improve students' independent learning ability, so that they can become a comprehensive quality, core skills of strong practical nursing talents.
Keywords Pentaclinic Nursing; Teaching Reform; Discussion
CCTS G642 Literature Identifier B Article No. 1004-7484(2014)07-4609-02
Pentaclinic Nursing is a branch of Clinical Nursing, a compulsory course for nursing majors, including ophthalmic, otorhinolaryngological and stomatological nursing. This course lectures a lot of content, less hours, non-focused subjects, belongs to the examination subjects, also not in the scope of the nursing licensing examination, long-term not get enough attention from students, students learning lack of enthusiasm and initiative, teaching effect is not good. This passive learning mode of students will reduce the enthusiasm of teachers to teach and implement teaching reforms, leading to the slow development of the discipline. How to carry out teaching reform of the curriculum to cultivate practical nursing talents with high comprehensive quality and strong core skills is a problem that must be solved in teaching. The author combined with many years of teaching experience to summarize the following insights for the exchange of ideas.
1 to establish a student-oriented teaching concept
Constructivist theory that knowledge is not obtained through the teacher's teaching, but the learner in a certain situation that is the social and cultural context, with the help of others (including teachers and learning partners), the use of the necessary learning materials, through the way of constructing meaning. That is to say, learning is in the context created by the teacher, students with existing knowledge and experience, active exploration, active communication and collaboration, and gradually construct their own knowledge process. This means that learning is active, rather than passive knowledge, highlighting the teaching activities of the student's main position and the leading role of the teacher. The traditional teaching model tends to emphasize the teacher's? Teaching? , ignoring the individual differences of students and the role of the main body, resulting in a lack of student learning initiative and enthusiasm, learning potential has not been developed, learning ability has not been improved. How to change this status quo? This requires teachers to update the concept of teaching, change the role from a single knowledge transmitter into a facilitator of student learning, helpers and guides.
2 Improve the quality of teachers themselves.
With the development of science and technology, the understanding of diseases of the five senses is constantly updated, and new technologies and new methods of clinical and nursing care are constantly emerging. But the textbooks often lag behind the clinical, simply rely on the textbooks as teaching resources can not meet the teaching needs, and can not achieve the goal of talent training. Therefore, it is necessary to establish the concept of lifelong learning for teachers, which can be started from the following four aspects. First, teachers should be dual-teacher teachers, actively participate in specialized nursing work, to improve their own job practice ability; in the work of collecting a large number of clinical cases and other teaching resources that can be used for teaching, to master the new clinical progress, to ensure that the theory of teaching and clinical practice is closely integrated. Secondly, through self-study, participation in academic activities, visiting schools or improving academic qualifications and other forms of learning, to enrich their own professional knowledge, update the knowledge system, to achieve the optimization of the knowledge structure, the formation of their own unique academic charm. Thirdly, because teachers are mostly medical or nursing professionals who have not received systematic teacher education and have less mastery of pedagogy-related theories, they need to improve their theoretical knowledge of pedagogy by participating in higher education-related theoretical training or academic activities to ensure that the teaching is in line with the basic laws of higher education.
3 Optimize the design of teaching content, highlighting the characteristics of the profession.
Pentaclinic nursing teaching content, knowledge and technology updated quickly, but the class time is small, to allow students to master the limited hours of clinical care of common diseases, diseases related to knowledge, which is a teacher is not a small problem. How to solve this challenge and optimize the design of teaching content is crucial. There are more than 80 common diseases in Pentacenter Nursing***, and it is impossible to teach all of them in teaching. Therefore, teachers should start from the needs of specialized nursing work, based on the objectives of talent training, the course for a reasonable overall design and unit design, follow the principle of less but more precise, carefully select the teaching content, highlight the key points and difficulties in teaching, and appropriately absorb the latest developments related to the disease, so that the teaching content to be thorough and concise, subtle and perfect.
4 Flexibility and diversification of teaching methods and tools.
Teachers should utilize appropriate teaching methods for the selected textbook and content. In the teaching process, combined with the characteristics of the teaching content, flexible use of teaching methods, such as inspirational, participatory, interactive, situational simulation, role-playing and case teaching methods. By allowing students to participate in the teaching process, we cultivate students' ability to raise questions, analyze problems and solve problems, improve their clinical thinking ability and innovative thinking ability, enliven the classroom teaching atmosphere, and realize positive interaction between teachers and students, so as to further improve the quality of teaching. Pentaclinic nursing is highly specialized, and the teaching of local anatomy and diseases of tissues and organs requires a large number of color charts, clinical pictures, videos and other teaching materials, but traditional teaching methods cannot make so many teaching materials together with illustrations and text, intuitive and vivid in the teaching show. The application of multimedia technology to solve this problem, it makes up for the shortcomings of the traditional means of teaching, expanding the knowledge capacity of classroom teaching, so that the content of the teaching is more intuitive, image, vivid, so that the students get direct perceptual experience, but also stimulate the students' interest in learning, active classroom atmosphere, and help to improve the quality of teaching.
5 Emphasis on experimental teaching and clinical practice teaching.
Pentaclinic nursing is a highly practical discipline, experimental operation and clinical practice teaching is an important part of teaching. The purpose of laboratory teaching is to cultivate students' hands-on ability, so that they can be competent to meet the needs of the workplace. However, most of the higher vocational colleges and universities have outdated and insufficient laboratory specialist examination equipment and few teaching hours, which makes students lack sufficient attention to the experimental class, and their interest and enthusiasm are not high, which seriously affects the cultivation of students' cognitive ability and operational ability. How to solve this problem? First, schools need to pay enough attention to gradually update and supplement the experimental teaching equipment. The second is to establish the integration of science and practice training room. In the teaching process according to the ? Student-centered, ability-based? The teaching concept of "student-centered, competence-based", we can adopt the teaching methods such as scenario simulation and role-playing, so that students can actively participate in experimental teaching, which can help to stimulate students' interest in learning, and also explore students' innovation ability while cultivating students' clinical thinking ability and operation ability. Third, 10 minutes before the end of the laboratory class, the teacher should do the corresponding summary, random sampling of students, and its operation of the detailed comments, so that the students in the pressure and incentive ****exist under the mechanism of more serious learning. Fourth, we should provide students with more opportunities for practical operation, such as practical training room after school hours or weekends open to students. The current tense doctor-patient relationship requires us to pay special attention to training students in laboratory teaching based on humanistic care of doctor-patient communication skills, so that students become willing to communicate with patients, good communication nursing talent.
Clinical practice teaching is a key link to help students closely integrate the basic theoretical knowledge learned in the classroom with clinical nursing practice, and is an important way for students to acquire the professional skills, attitudes and behaviors necessary for professional nurses [1]. However, there are some common problems in the clinical practice teaching of Pentaclinic Nursing, such as the lack of strong sense of teaching, uneven level of teaching, and lax management, which makes the clinical apprenticeship more than a formality, and it is difficult for students to closely link the theoretical knowledge they have learned with the clinical practice, and it is difficult to achieve the purpose of the clinical apprenticeship. How to solve this problem? The relevant departments need to set up a nursing teaching and research department, to determine the director of the teaching and research department - teaching secretary - with the teaching team leader - with the teaching teacher responsibility system, responsible for the management of the teaching work, the implementation of the qualification and training of the teaching teacher, to ensure that the teaching quality of the apprenticeship, so that the students have a more real clinical care of the Pentacameral Clinical Nursing, personal knowledge. 6 Reform the examination and evaluation system to build a diversified student learning evaluation system.
The examination is an important part of the teaching process, the examination has a strong guiding role in educational activities, is an important method of evaluating the effectiveness of learning and teaching, and is an important means of guiding students to independent creative learning [2]. At present, most of the higher vocational colleges and universities have a single form of assessment, focusing on summative evaluation, assessment instead of evaluation, lack of formative evaluation, and the content of the examination is old, the quality of the test questions is not high and so on, which can not accurately evaluate the learning effect of the students, and it can not play the function of checking and evaluating, educating and motivating, feedback regulating and cultivating and supervising that the examination should have. How can we change this status quo? This requires teachers to reform the assessment and evaluation system and establish a diversified student learning evaluation system. Diversified learning evaluation system is a comprehensive evaluation of students' knowledge, ability, quality of the pluralistic system, reflected in the evaluation of the content, process, mode, method, means and its management and other aspects of the diversity. Its construction needs to formulate regulations, strengthen the process of monitoring, improve the examination method and evaluation mode, and ultimately form a multifaceted evaluation process, multifaceted evaluation, multifaceted examination content, multifaceted results composition, examination management, such as full-spectrum, full monitoring of the evaluation system.
7 Cultivate students' independent learning ability.
Ancient saying: ? Teach a man to fish, only for the need of a meal; teach a man to fish, will be used for life. The essence of teaching is not how much knowledge teachers impart, but students learn to learn under the guidance of teachers, that is, independent learning, to build their own knowledge system. How to cultivate students' independent learning ability? The author believes that we can start from the following four aspects: First, we should cultivate students' awareness of independent learning, strengthen students' learning willpower and self-confidence, to ensure their persistence in learning. Secondly, we should build a teaching resource platform suitable for students' independent learning and multiple teachers' collaborative teaching. Thirdly, learning seminars should be held by grade or class as a unit to carry out learning experience exchanges, difficult problems and related exchanges on the content of the curriculum and related disciplines [3], so that students can actively participate in teaching activities, which not only improves students' language expression ability and analyzing ability, but also promotes the improvement of the quality of teaching. Fourthly, we should actively guide students to learn independently. For example, in the teaching process, teachers can provide appropriate resources such as the professional website of Pentacarpal Nursing, organize students to set up extracurricular exploration groups, arrange extracurricular exploration assignments, and guide students to learn and explore subject knowledge independently; they can also organize students to actively participate in the Challenge Cup for college students, innovative projects, national or provincial Pentacarpal operation skills competitions and social practice activities, which not only mobilizes the enthusiasm for learning, but also This not only mobilizes learning enthusiasm, but also cultivates students' scientific research and innovation ability, which is conducive to their future further study and development.
In short, in the process of teaching Pentaclinic Nursing, we can change the teaching concept, improve the teacher's own quality, optimize the teaching content, and flexibly adopt the teaching methods and means to stimulate the students' interest in learning, mobilize the students' learning enthusiasm and initiative, and pay attention to cultivate the students' ability to learn on their own, so as to make them become the practical nursing talents with high comprehensive quality and strong core skills.
References:
[1] Du Huimin, Yu Ruiying, Luo Wenchuan. Strengthening clinical teaching management to improve nursing teaching quality [J]. Journal of Nursing Management. 2003, 3(3):42-43.
[2] Duan Yingli. A preliminary study on the reform of examination system in Chinese universities [J]. Journal of China Youth Institute of Politics.2006, 25(5): 119～123.
[3] Shen JY, Zu Qin, Huang Q. Thinking and practicing about independent learning of medical students[J]. Chinese Journal of Medical Education.2010, 30(4):570-572.
Pentacameral Nursing Related Essay Sample 2: Pentacameral Nursing ExperiencesAbstract: To analyze the situation of the patients who were admitted to the Pentacameral Nursing Department of our hospital in the period of 2011～2012, and to improve the quality of nursing care by lowering the rate of occurrence of the insecurity factors in the pentacameral nursing care. quality and better serve patients.
Keywords: Pentacenter; unsafe factors; quality of care
With the continuous development of modern society, the level of medical care is constantly improving, and the medical environment is becoming increasingly tense. As the nursing staff with the most contact with patients, in the implementation of patient care at the same time, but also face a certain degree of insecurity. As an internal and external hospital department, the nursing work of the Pentacenter is an important part of clinical nursing, which not only requires nursing staff to master solid basic nursing theory, basic knowledge, basic skills, but also requires good professionalism, rigorous work attitude, and excellent psychological quality. Now on the work of the five official nursing may appear insecurity factors and how to improve the quality of care to do the following description.
1 unsafe factors
1.1 Departmental characteristics and patient factors Pentacenter involves the human eye, ear, nose, pharynx, larynx, organ special, not only affects the patient's appearance, but also relates to the respiration, swallowing, vision, hearing, etc., the perioperative care is more difficult. Many car accident injuries, machine injuries, explosion injuries and injuries to a large area, involving more organs, easy to cause airway obstruction, respiratory difficulties, intraocular hemorrhage, nose bleeding, etc., a little negligence, prone to errors and accidents. Patient age difference is large, elderly patients with hypertension, cardiovascular and cerebrovascular diseases, diabetes, etc., children more emotional, rebellious, if the nursing staff lack of good professional quality, skillful operation skills, good communication skills, easy to cause dissatisfaction of patients and their families.
1.2 Nursing factors
1.2.1 Insufficient human resources Because of the hospital support system is not perfect, the pursuit of economic efficiency and other reasons caused by the ratio of beds and nurses do not meet the standard, nurses will be due to the workload and simplify the nursing process. At the same time, nursing staff in addition to health education, basic care, infusion, issue of drugs and other duties, but also to undertake some non-professional tasks, such as: urge patients to pay, delivery and inspection of the relevant instruments, explaining the cost details, etc., greatly increasing the workload of the nursing staff and take up the time of communication between nurses and patients.
1.2.2 Problems of professionalism Some nursing staff do not have a strong sense of responsibility, observation is not meticulous, can not understand the patient's detailed situation, if not timely detection of changes in the condition of the patient, sometimes the patient will be unnecessarily harmed. Or do not strictly comply with the operating system, standardize the process, causing harm to the patient, and in serious cases, even endangering the patient's life. Such as flushing the tear ducts when ignoring the patient's sitting position, resulting in eye injuries; the issuance of oral medication, if the drug with a film shell issued to patients with visual impairment, easy to cause their direct swallowing leading to tracheal or esophageal foreign body.
1.2.3 Nurse-patient communication problems In clinical work, some nursing staff do not pay attention to humane care, and patients and their families to take the initiative to communicate poorly. Nursing staff and patients exchange too little information, lack of information that patients urgently want to know [1]. Or the lack of communication skills of nursing staff, inadequate, unreasonable and unprofessional answers to the difficulties of patients and their families, leading to dissatisfaction of patients and their families, which in turn causes disputes and so on. For example, when laryngeal tumor patients were admitted to the hospital, nursing staff did not explain to them the possible postoperative effects of swallowing, and the patients' postoperative laryngeal obstruction situation would generate disputes. At the same time, the expectations of certain patients are too high, and when problems occur, it is easy to blame the nursing staff for their poor sense of responsibility and lack of work experience [2].
1.2.4 Weak legal awareness With the increasing awareness of patients' self-protection and rights protection, nursing complaint cases are increasing year by year. Nursing documents as a record of nursing personnel specific operational process of important documents, with legal effect, but also an important evidence of medical malpractice disputes. As the nursing staff of the Department of Pentaclinic, if the patient's admission assessment is not careful, the description is not clear, and the diagnosis is not reasonable, it will affect the patient's next diagnosis and treatment work. For example, the admission assessment of patients with glaucoma only emphasizes the clinical manifestations caused by high intraocular pressure, and ignores the unsafe factors caused by small visual field and unfamiliar environment due to glaucoma. On the other hand, the low age of nursing practitioners, lack of nursing experience, focusing only on solving patients' health problems and ignoring potential legal issues can all lead to medical errors.
2 Improve the quality of care
2.1 Improve the departmental environment Hospitals should supplement the number of nursing staff in a timely manner, according to the number of beds to adjust the distribution of personnel, and appropriately reduce the work pressure of nursing staff. The patient's needs are assessed, the patient's thoughts are taken into account, the patient is the center of attention, the signs are clearly defined, special arrangements are made to guide the patient, the indoor lighting is strengthened, and special blind alleys are paved. Provide patients with necessary psychological guidance and health education, introduce the situation of the department, make patients eliminate tension and mistrust, and solve practical problems for patients. The establishment of a security early warning system, so that each nursing staff to master a variety of emergency response to the occurrence of unforeseen events, pay attention to the safety education, to eliminate by the patient or family members in violation of the hospital security system caused by the security problems.
2.2 Improvement of specialized nursing technology With the continuous application of high-tech diagnostic and therapeutic instruments to the clinic, the level of medical technology has entered a new stage. Pentacameral nursing staff should keep up with the times and constantly improve specialty knowledge. Adapt to the development needs. Because of the wide variety of diseases in the Pentacameral Division, it is necessary to carry out regular lectures on professional knowledge, specialty nursing room, nursing skills training, and encourage nursing staff to use the Internet, participate in continuing education and other ways to obtain more specialty nursing technology.
2.3 Raise awareness of occupational risk and strengthen legal knowledge education The prerequisite for improving nursing quality is to ensure nursing safety. Regularly organize the study of laws and regulations, nursing adverse events discussion, at the same time, pre-service training to increase the education of legal knowledge related to nursing, the establishment of medical and nursing negligence cases and nursing disputes cases thematic discussion, enhance the legal awareness of nursing staff, improve self-protection awareness, and think y about the potential problems that exist in the nursing work.
2.4 Emphasis on preoperative and postoperative education Although the surgery of the Pentacameral Division is shorter than other surgical procedures, the scope is small, less bleeding, but the surgical requirements are fine, involving more anatomical structures, coupled with the fact that many patients have more concerns about the surgery, there is a sense of fear, which increases the difficulty of the surgery. So it is especially important to do a good job of preoperative and postoperative education. Nursing staff should strengthen the psychological care of patients, and provide good psychological guidance for the different performance of patients. The possible complications and dysfunctions should be communicated accordingly. After surgery, closely observe the patient's condition changes, help patients reduce pain, promote sleep, carry out postoperative rehabilitation and functional exercise. Such as helping laryngectomy patients for eating function training, nasal surgery patients for ventilation function training, inner ear surgery patients for balance training.
2.5 Strengthen communication to prevent disputes Harmonious working atmosphere and good communication is to reduce the occurrence of adverse events prerequisite to the patient as the center, always pay attention to the patient's situation, for the actual situation of different patients, to strengthen the humanistic care, give psychological guidance. Master communication skills, seriously answer the difficult questions of patients and their families, pay attention to the protection of patient privacy, and to do the purpose of each operation, risk, precautions to inform patients and their families, if necessary, to fulfill the informed consent to sign, both for the protection of patients, but also for the self-protection of nursing staff. At the same time, communication between nursing staff and health care workers is also necessary to check each other's shortcomings, supervise each other, and discuss and come up with solutions to problems that arise in the course of their work.
3 Discussion
Nursing safety refers to the implementation of nursing care throughout the process, the patient does not occur outside the scope of the law and legal regulations allow psychological, human structure or function damage, obstacles, defects or death [3]. The safety of nursing care directly affects the quality of medical care. Through the implementation of the above nursing management measures, the enthusiasm of nursing staff wages has been stimulated, the professionalism of nursing staff has been improved, the legal awareness of nursing staff has been strengthened, and the concept of human-centered care has been established, and the quality of care has been improved.
References:
[1] Xiao Peiyi, Zhang Guifen, He Yanmei, et al. Causes analysis and management effectiveness of emergency nursing risk[J] . Modern Hospital, 2012, 12(2):132-135.
[2]Cui Xiaofang. Research on factors affecting nurses' work pressure[J] . Family Nurse, 2007, 5(23):25-27.