Keywords: medical nursing factors
1. Problems in nursing teaching.
1. 1 student factor.
1. 1. 1 poor psychological quality and lack of learning initiative. Because of the particularity of the operating room, nursing students are both curious and afraid of the operating room, and combined with the particularity of the comprehensive operating room, all kinds of nursing techniques are unique compared with other departments, and aseptic techniques are quite strict, so nursing students often feel at a loss. Some nursing students don't really want to choose nursing major. They hold the attitude that they will not engage in the nursing industry in the future, regard internship as a form, and have no initiative at all.
1. 1.2 lacks perceptual knowledge, and theory and practice cannot be effectively combined. Most nursing students passively accept knowledge in school, lack perceptual knowledge of various operations in internship, and theory and practice can not be well combined. Coupled with the particularity and professionalism of operating room work, nursing students dare not practice in the operating room, which reduces the enthusiasm of nursing students for clinical practice and affects the practice effect.
1. 1.3 The concept of sterility is not strong, and the protection ability against occupational exposure is poor. The operating room has high requirements for aseptic technology. Although teachers often emphasize the importance of aseptic concept, nursing students often unintentionally violate the operating principles of aseptic technology in practice. At the same time, because nurses in the operating room are often exposed to sharp instruments such as surgical sutures and knives and scissors, they are high-risk departments for occupational exposure, so the operating room is a high-risk place for the spread of blood-borne diseases, and nursing students have low self-protection awareness in this respect, which increases the risk of occupational exposure.
1.2 teaching teacher factors
1.2. 1 Lack of teaching skills and lack of attention to teaching methods. Some teachers only pay attention to operational ability and ignore theory, so that nursing students only know how to do it and don't know how to think. Some teachers worry that the operation will be affected by the unskilled and irregular operation of nursing students, and they do everything themselves, which reduces the chances of nursing students doing it; Some teachers can't teach students in accordance with their aptitude, and their teaching methods are rigid and rigid, which can't give full play to the potential of nursing students and stimulate their enthusiasm for learning. According to the survey, only 66.7% teachers can systematically explain to nursing students and teach them in accordance with their aptitude.
1.2.2 Lack of sense of responsibility, insufficient guidance and supervision, and some teachers lack the awareness of teaching. In the process of teaching, they only teach in an orderly manner according to the internship outline of nursing students; There are even teachers who casually guide nursing students to do things that have nothing to do with work and study; Or because there are many emergency operations at night, teaching teachers often do not take students to participate in the operation, but let students clean the equipment full-time; Or in the middle and late period of nursing students' internship, some teachers think that nursing students have certain working ability, so they boldly let them operate independently without strict guidance and supervision, which increases the security risks and undoubtedly affects the teaching quality and interns' work enthusiasm.
2. countermeasures.
2. 1 nursing students.
2. 1. 1 Help nursing students adapt to the environment as soon as possible and eliminate psychological pressure. When the nursing students rotate to the operating room, the head nurse or the teaching teacher first introduces himself to the nursing students and introduces the corresponding teaching teachers one by one, expressing sincere welcome to the arrival of the nursing students. Secondly, lead all nursing students to watch the video of nursing technology in operating room. After watching the video, show all nursing students around the operating room At the same time, combined with the content of watching the video, this paper briefly introduces the environmental layout and general rules of the operating room, so that it has a preliminary impression on the nursing work of the operating room.
2. 1.2 Improve the ability of integrating theory with practice of nursing students and stimulate their enthusiasm for learning. In the teaching process, guide the nursing students to preview the operation-related content they will participate in the next day, and ask relevant questions at any time in the practice the next day, so that the nursing students can actively participate in the operation-related knowledge system and arouse their learning enthusiasm. For controversial questions, let students consult relevant materials with questions to find answers, let students answer with their own knowledge, and mobilize students' initiative in learning; Fully improve the ability of integrating theory with practice of nursing students and stimulate their enthusiasm for learning.
2. 1.3 Strengthen the aseptic concept of nursing students and improve their awareness of protection. Every link in the operating room should be strictly sterile, and the teaching teacher should take pains to emphasize the importance of aseptic concept and strengthen the aseptic consciousness of nursing students. At the same time, we should also emphasize the awareness of self-protection. For example, when dealing with pollutants, we should remind ourselves to wear gloves and other protective articles to avoid infection or spread of pathogens. Clamp the separating blade with pliers, and use a sterile bending disc when transferring the instrument. Sharps such as needles, blades, sewing needles, etc. should be thrown into the sharp box that can't be poured out after use, and burned uniformly.
2.2 Teaching staff.
2.2. 1 Improve the teaching plan, adopt interactive teaching methods to implement specific teaching plans and teaching programs, regularly solicit suggestions and opinions from nursing students, solve problems in teaching in time, and improve teaching quality. Nursing students should be taught in a centralized way, and then one-on-one teaching method should be adopted after they have a certain understanding of nursing work in operating room. In the process of teaching? Teaching students in accordance with their aptitude, step by step, step by step guidance and active participation? The application of interactive teaching method in post teaching can change passive learning into active cooperation, improve the predictability and emergency of surgical cooperation, organically combine theoretical knowledge with practical experience, and improve students' practical ability to analyze and solve problems.
2.2.2 Improve the quality of teaching teachers. Every nursing staff in the operating room should play the role of teaching. Teachers should pay attention to the improvement of their own quality, set an example, be kind and honest without losing their status, be kind and serious, face problems calmly and methodically, and try to keep energetic and emotionally stable.
3. Summary
To sum up, nursing teaching in operating room is directly related to the practice effect and future development of nursing students. In the clinical teaching of nursing students in operating room, we should fully mobilize their enthusiasm, teach students in accordance with their aptitude, encourage and stimulate their enthusiasm for learning, so that nursing students can better complete their internship tasks, and at the same time, teaching teachers can effectively ensure the teaching quality and complete the teaching tasks. Teachers and students should work together to enhance their sense of responsibility and enthusiasm for work in order to cultivate high-quality nursing talents.
References:
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[2] Huang, Li Dequn, Xie Zisheng, et al. Investigation and analysis on the practice effect of nursing students in operating room. West China Medicine, 2002,17 (1);
[3] Cheng, Xu Aimei, Lin et al. Training and experience of endoscopic nurses in operating room. Minimally invasive medicine, 2007,2 (3):