Structural diagram of internship nurses in respiratory medicine throughout the year
In order to improve the quality of nursing clinical teaching, based on the principle of PDCA system, combined with the characteristics of our department and teaching practice, PDCA teaching system was developed, and PDCA was applied to clinical teaching, which realized the monitoring of teaching process, quality and quantity, and achieved good nursing clinical teaching effect. The annual teaching work is summarized as follows:
1 planning stage (p)
1. 1 Make a teaching plan
According to the school syllabus, combined with the professional characteristics of our department, a detailed teaching plan is made, which classifies the contents that nursing students need to learn into different requirements, such as mastery, familiarity and understanding, and is specific to the weekly goal, so that teachers and interns can clearly meet the requirements and have rules to follow. Every teaching teacher is required to study the syllabus and carry out clinical teaching according to the syllabus, practical requirements and personal teaching experience.
1.2 Reasonable arrangement of teaching staff
Under the leadership of the nursing department, a teaching group is formed for comprehensive management; Arrange teaching staff reasonably and supervise the implementation of teaching plan; Select nursing backbone with strong professional ability and strong sense of responsibility as clinical teaching. Nurses with more than 5 years' working experience and rich clinical experience who have obtained the title of nurse or above shall serve as clinical teaching staff; Junior nurses can help accumulate teaching experience. A three-level teaching system is formed, which is supervised by head nurses, organized and implemented by clinical teachers, and specifically taught by clinical nurses and nursing backbones with titles above. The three cooperate with each other to form a good teaching atmosphere.
1.3 Teaching pre-school preparation
Including attitude, theory and skill preparation. Organized by the nursing department, before the annual teaching task is issued, the teaching plan, teaching focus, teaching objectives, professional theoretical study, personal teaching methods and experiences are summarized, the attitude is correct, the mental preparation is made, and the operation and theoretical assessment are carried out in the whole hospital. Only those who meet the standards can be teachers.
1.4 Assessing the situation of nursing students
Including school, major, level, quality, place of origin and number of students, which is convenient for arranging teaching strength.
2 implementation stage (d)
2. 1 Introduction to Science
On the 1 day after each batch of nursing students entered the department, the teaching group leader or clinical teaching teacher introduced the environment, system, working procedures, articles and facilities, and emphasized the key points of practice, so that nursing students could quickly get familiar with the schedule, environment and working system before attending classes, thus reducing the amount of clinical teaching.
2.2 Professional knowledge training
Clinical teaching teachers are responsible for theoretical lectures > 1 time every week, which requires teaching plans and flexible teaching methods. The nursing department arranges teachers in all subjects to focus on training nursing students in professional skills and basic nursing operations every week, so that nursing students can master professional skills as soon as possible in practice. At the same time, we should strengthen the operation training of basic nursing skills. Head nurses and clinical teachers should carry out 2 ~ 3 rounds of teaching for different diseases, guide nursing students to observe nursing by asking questions, and consolidate theoretical knowledge.
2.3 teaching by special personnel
The internship process of nursing students is a process of combining theory with practice to form a good work style. Teachers' words and deeds have a great influence on nursing students. According to the teaching plan, teachers are required to be strict with nursing students in teaching, and the operation demonstration should be formal. In the operation demonstration, the whole set of actions can be decomposed and demonstrated separately. After the operation, the nursing students are required to rehearse the demonstration operation immediately. In order to find the shortcomings and correct them. In clinical practice, teachers should provide more operation opportunities, but let them go to prevent mistakes and accidents. Instruct nursing students to think and analyze with heuristic teaching method, pay attention to problem-based teaching method and consolidate theoretical knowledge. Pay attention to the cultivation of nursing students' professional quality, pay attention to medical ethics education, make nursing students have good medical ethics, emphasize the importance of instrument standardization, help nursing students establish a good nursing professional image, and successfully complete the transformation of nurse role.
3 inspection stage (c)
3. 1 Check the way of asking questions
The head nurse asks questions three times a week in the morning, focusing on what the nursing students are required to master in the teaching plan, checking the knowledge of the nursing students, promoting their learning enthusiasm, and evaluating the teacher's teaching.
3.2 Participate in classroom teaching evaluation to improve the quality of lectures.
Head nurses or clinical teaching teachers participate in each round of teaching lectures, supplement the contents of lectures in time, and evaluate them to continuously improve the level of lectures. Check the technical and basic operation of the college regularly or irregularly to evaluate the teaching quality.
3.3 departmental examinations
The question bank of each subject was established. Before the end of each round of practice, the clinical teaching teacher selected questions from the question bank according to the key points of nursing students' practice, which ensured the flexibility of the examination content and strengthened the professional characteristics. The examination papers of each examination are corrected by the clinical teaching teacher in time and fed back to the nursing students quickly, so that the nursing students can find the shortcomings and make improvements.
3.4 keep a weekly diary
Nursing students are required to write a weekly diary every week to record the learning content of this week and understand the gains, shortcomings and ideas of the internship. Teachers check and reply every week, so that teachers and students can understand and communicate with each other, and then make up for the shortcomings according to the syllabus.
3.5 Practice Appraisal and Graduation Summary
The practice appraisal is filled in by the teaching teacher, trying to make a fair evaluation of the performance of nursing students during the practice, pointing out their advantages and disadvantages, so as to facilitate the next round of practice. The head nurse organizes the practice summary, and comprehensively summarizes the practice contents, so as to know the extent to which the nursing students have completed the practice tasks and whether the teachers have fully implemented the teaching plan, and to consult the nursing students' opinions and suggestions on the teaching teachers and teaching methods, so as to make evaluation between teaching and learning, which is conducive to the improvement of teaching quality.
4 Summary processing stage (1)
Summary processing is a summary of the above three stages, and it also runs through the three stages, as well as dealing with problems and promoting continuous improvement. Undergraduate teaching teachers' achievements in the inspection stage, the achievements in operation and theoretical examinations, the advantages and disadvantages found in regular and irregular spot checks, etc., are promptly fed back to the teaching teachers and nursing students, and the nature of * * * is found from the general personality, and two-way feedback information is obtained. The monthly teaching meeting will summarize the teaching effect 1 time, organize interns to select the excellent teaching teachers and the worst teaching teachers, reward the excellent teachers and cancel the worst ones. The teaching achievements of teaching staff are directly linked to the year-end award, which increases the teaching enthusiasm and consciousness of clinical teaching teachers.
Through the implementation of PDCA circulation system, nursing clinical teaching has changed from difficult to easy, which is beneficial to management and monitoring. A complete teaching plan, regular theoretical lectures, theoretical examinations and technical operation examinations not only check the knowledge of nursing students, but also test the teaching quality of teachers, find out the shortcomings of both teachers and students in time and make improvements. There is also a hierarchical evaluation system, that is, the nursing department, the head nurse and teachers and students evaluate each other, forming a virtuous circle, which not only mobilizes the enthusiasm of nursing staff, but also indirectly improves their professional level, so that nursing students can gain something, so that each batch of nursing students can pass the exam with excellent results and the overall teaching level has been significantly improved.
5. The focus of teaching work next year
Teaching teachers play an exemplary role, and should teach nursing students the key and difficult points of nursing work, the new progress of related disciplines, new technologies and the knowledge of preventive nursing safety in a targeted, purposeful and enlightening way; At the same time, we should take the initiative to care for and help them in life, and familiarize nursing students with various nursing techniques as soon as possible without looking at them, so that they can be influenced by correct values and outlook on life at the early stage of entering society. In addition, in clinical teaching, nursing students should integrate theory with practice, adapt to their roles as soon as possible, arouse their enthusiasm for learning, improve their ability to find, analyze and solve problems, and make them successfully embark on the clinical front line and become high-quality nursing talents.
Summary of clinical nursing teaching II. Busy and fulfilling years have passed by in a hurry. It is time to take stock of the gains and sum up the lessons, leaving a down-to-earth step; Sedimentation and accumulation, moving and inspiring, a good start is after the end of success. The new year is coming, which draws a satisfactory conclusion for the past XX years.
First, down-to-earth, starting from the basic work of nursing.
First of all, the staff of the department are relatively young, lacking work experience and specialized knowledge. In order to improve the quality of nursing service, we should start with the basic nursing work, strictly implement the ward round procedure and the handover system, take morning nursing and handover as the communication platform, carry out in-depth and meticulous specialist health knowledge education and humanized communication, effectively improve patients' satisfaction and achieve good results. At the same time, the implementation of the core system will be the focus of this year's assessment, and one will be assessed every week to gradually standardize the workflow. In addition, to improve service quality, we should start with improving work details: 1. Improve the way of checking, instead of calling the patient's bed number and name, ask the patient's name, so that the patient can take the initiative to answer and avoid the possibility of wrong checking; 2. Improve skin preparation method, use disposable skin preparation knife, cancel civil skin preparation knife, and change talcum powder lubrication into soap solution lubrication to improve work efficiency and skin preparation effect; 3. Promoting the use of family escort chairs only symbolizes the collection of user fees, which provides great convenience for patients; 4. Establish a nurse communication book, writing daily work quality control content, meeting content, handover matters needing attention, etc. The communication book is for each class's reference, so as to reduce the disadvantages of long communication period before the meeting and unable to improve in time, and achieve the goal of continuous and timely improvement of quality. 5. In conjunction with the city baby photo studio, the first photo of the newborn baby was provided free of charge, leaving the joy of the newborn to us and the patient's family, which achieved particularly good results.
Second, pay attention to the implementation of the system, clarify the division of work, and prevent loopholes in work.
The work is detailed, the division of labor is implemented, and the responsible nurses and quality inspectors are responsible for writing documents. The three-level quality control mode, in which the bed nurse is responsible for filling in the medical record, the responsible nurse is in charge of management and the quality inspector is in charge of quality control, effectively controls the writing errors and irregular writing, and improves the writing quality. The discussion on holidays, the rescue of medicines, the lectures of interns, and the business study are all responsible for people, so that everyone has something to do, everyone is responsible, and everyone participates in department management, which effectively improves everyone's enthusiasm.
Third, strict delivery room management, complete the layout transformation.
Strengthen the management of delivery room, print the common emergency procedures of obstetrics, post them on the inner wall of delivery room, strengthen the operation procedures, implement the wristband identification system, strictly implement the wristband wearing work of newborns, establish the delivery room handover process and supervise the implementation, effectively strengthen the safety management of pregnant women and newborns, improve the vaccine reporting and checking procedures, and strengthen vaccine management. In addition, according to the acceptance standard of management year, the delivery room was improved again, disinfection supplies were configured, and the positions of waiting room, isolation delivery room and isolation delivery room were adjusted to meet the standard requirements.
Fourth, practice hard and strictly control the quality.
According to the situation of young nurses, we should make an operation training plan, incorporate basic operation items into daily assessment, check and supervise one item every week, assess common operation items one by one, especially TCM operation items, formulate operation standards, train all staff, and constantly improve operation procedures in operation assessment. Improve operation technology and effectively improve service quality.
Five, pioneering and innovative, continuous learning, complete the continuing education and teaching work.
Constantly enrich specialized knowledge, send midwives to Beijing to study, head nurses to Tianjin and Hangzhou for further study, introduce new concepts and technologies, improve work and technology, promote the learning atmosphere of departments, complete business study twice a month, carry out TCM nursing technology projects, learn TCM theory, and complete a national paper. At the same time, urge general nurses to complete the task of continuing education and strengthen the study of specialized knowledge. There are a lot of interns this year. In order to ensure the quality of teaching, detailed teaching plans and teachers' teaching plans are formulated to ensure that each batch of students receive two professional knowledge studies and successfully complete the teaching tasks throughout the year.
A year's efforts are not perfect, there are always gains and losses, enrichment and melancholy go hand in hand, and dissatisfaction with the status quo is the beginning of progress. It's another year, and only hard work can set sail and enter another cycle of struggle.
Summary of clinical nursing teaching. Construction of teaching staff: multi-channel learning, upgrading academic qualifications and strengthening ideological and professional quality.
1. There are 10 teachers in our teaching and research section, with an average age of 36, including Gao Zheng 1 person, 4 associate professors and 5 lecturers, 8 of whom have master's degrees and all have college teacher qualification certificates. The structure of teachers (professional title, age, education and degree) is reasonable, the number is sufficient and the development trend is good. All of them reach the average value of four structures in guangxi university of chinese medicine's quality report last year. However, due to the lack of highly educated talents, according to the teacher training plan of the college and teaching and research section, four teachers were arranged to study for master's and doctoral degrees in the Philippines during the year.
2. In addition to the improvement of academic qualifications, teachers' professional learning and teachers' morality learning have also been continuously strengthened. During the year, 48 teachers went out to study, exchange and participate in various conferences and training courses. During the summer vacation, four teachers were arranged for clinical practice, so as to understand the new professional trends, update their knowledge and enrich the teaching content. Arrange a study of teachers' morality and style once a month to promote the change of teachers' teaching concept and improve their consciousness of professional development.
3. The teaching and research section has also implemented the teacher post responsibility system, teacher attendance system and collective lesson preparation system. Teachers of all subjects have held teaching discussions and collective lesson preparation with clinical part-time teachers for many times, ensuring the consistency of teaching quality. Over the past year, we have completed three studies on teachers' morality and style, four updates on teaching concepts, exploration of new teaching methods, three collective lesson preparation, three trial lectures and demonstration classes. There were no teaching accidents and notifications throughout the year.
Second, teaching operation management: strict management, detailed process, improve teaching quality.
According to the requirements, organize teachers to compile and revise the curriculum syllabus according to the new talent training plan, and formulate the curriculum construction standards. And collect teaching materials such as teaching progress, teaching plan, class notes, teaching design, formative evaluation data and so on each semester. According to the actual situation of teachers, arrange the teaching workload reasonably and complete the teaching task well.
1. The course teachers are all assigned to teachers with the title of lecturer or above, and the undergraduate teaching rate of teachers with high titles is 100%. Teachers' teaching quality is good, students' evaluation of teaching is good, and the average score of students' evaluation of teaching is ≥94; The average score of three-level lectures and school-level inspectors is ≥87.
2. In this school year, courses such as internal medicine nursing, surgical nursing, obstetrics and gynecology nursing, emergency nursing, mental nursing, five senses nursing, health assessment, geriatric nursing, rehabilitation nursing, pediatric nursing and community nursing were offered 1 1.
3. Strictly implement the school examination management system, set and compile examination papers as required, arrange invigilation, collectively mark papers, and collect relevant examination papers. Test paper marking meets the requirements, without errors; And submit the results in time according to the regulations, and complete the special examination paper inspection of the school.
4. At the beginning of each course, a formative evaluation scheme is formulated, and teaching can be carried out according to the evaluation scheme. At the end of the period, formative materials are filled in and sorted out on time.
5. At present, the construction of 10 online course has been initially completed, and the question bank, online homework and discussion of various subjects are gradually improving.
6. Cooperate with the College Discipline Office to complete the postgraduate teaching practice and trial lecture 13 person-times.
Third, teaching and scientific research reform: emancipate the mind, reform and innovate, and constantly climb the peak of scientific research.
1. Teachers actively carry out teaching reform and innovation. This academic year, * * * won three undergraduate teaching reform projects in Guangxi higher education and three university-level ideological and political projects; Published 7 papers on teaching reform in domestic magazines.
2. During the year, four scientific research projects were established: one for improving the basic scientific research ability of young and middle-aged teachers in Guangxi universities 1 project, three for guangxi university of chinese medicine university-level projects and three for guiding students; Published 6 scientific research papers in domestic magazines; Yong Yang, Chen Ling and other scientific research achievements won the first prize of Science and Technology Award of Guangxi Nursing Society in 20xx, and the third prize of Science and Technology Progress Award of China Nursing Society in 20xx.
3. Guiding students' innovation and entrepreneurship projects won 4 district-level projects and 4 school-level projects. Guiding students to participate in the 9th "Challenge Cup" Guangxi University Students' Extracurricular Academic and Scientific Research Works Competition won the second prize and the third prize.
4. Two teachers won the third prize and the excellent prize in Guangxi Education and Teaching Informatization Competition.
5. Lingyun participated in the skill competition of undergraduate nursing teachers in Guangxi on behalf of the school and won the first prize of the group and the first prize of the individual; On behalf of Guangxi, he participated in the national skills competition for teachers of nursing undergraduate colleges and won the third prize of group and the third prize of personal intravenous infusion; Won the 20xx guangxi university of chinese medicine Teachers' Morality Model.
6. Zhou Wei participated in the editorial board of the third round of innovative planning teaching materials for undergraduate nursing major of Surgical Nursing published by People's Health Publishing House.
7. The virtual simulation teaching of the comprehensive training course of obstetrics and gynecology nursing won the first prize in the 18th Guangxi College Education and Teaching Information Competition in 20xx.
Fourth, the shortcomings and the direction of efforts.
1. The training of teachers has not been managed at different levels, and the education of teachers' morality and style still needs to be strengthened.
2. Compared with last year, the establishment of scientific research projects in science, technology and teaching has been improved, and the number of published papers has also increased greatly. However, there are still few high-level research projects and core papers. We should strengthen training next year and encourage teachers to participate.
3. The construction of online courses and question banks requires improving the update rate and click-through rate. Continue to promote the construction of online open course of geriatric nursing, and plan to establish video teaching resource database and online examination module. Strengthen the construction of virtual simulation experiment course of obstetrics and gynecology nursing, and promote the course reform and practice.
4. Further optimize formative assessment methods, encourage diversified assessment models, strengthen and standardize various forms of assessment such as comprehensive training, so as to promote students' initiative in learning and cultivate their comprehensive clinical ability.