Clinical teaching plays an important role in nursing teaching, and it is a bridge for nursing students to go to nursing jobs. It is of great responsibility to help nursing students combine theory with practice in the practice process and make them qualified nursing teachers. The following is what I arranged for you for your reference.

Fan: Clinical Nursing Pathway Health Education Paper 1 Data and Methods

1. 1 general information

20 1 1-20 13 80 patients with cholecystolithiasis in our hospital were randomly divided into two groups according to their clinical wishes: routine group and intervention group. 40 cases in the routine group, including male 19 and female 2 1, with an average age of 40.5 years. Among the 40 patients, there are 20 patients with high school education or above, 4 patients with junior high school education/kloc-0, and 6 patients with primary school education and illiteracy. 40 cases in the intervention group (male 18, female 22, aged 30-65 years, with an average of 45.51.5 years). Among the 40 patients, there were 8 patients with high school education or above 15 patients with junior high school education, and 7 patients with primary school education or illiteracy. There was no significant difference among the groups (P > 0. 05). 0.05, comparable.

1.2 nursing methods

The routine group was given basic clinical health education, and the intervention group was given clinical nursing path health education.

1.2. 1 After the patient is admitted to the hospital for clinical treatment, the nursing staff should introduce the hospital environment to the patient at the first time, so that the patient can fully understand his living environment and eliminate bad psychology such as nervousness and fear. Introduce the responsible doctors and ward facilities to patients. At the same time, nurses also need to inform patients about the schedule of the hospital and urge them to strictly abide by it; Make clear the visiting time of patients' family members to avoid frequent visits affecting patients' mood.

1.2.2 Preoperative nursing

1 psychological care. Because patients can't accept their own diseases, they are likely to have nervousness, anxiety and even pessimism, which will affect clinical treatment. In this case, nurses should fully understand the different psychology of patients, communicate with patients more, establish a good nurse-patient relationship with patients, and formulate personalized psychological care programs; Patiently explain the patient's disease-related knowledge, such as precautions and causes. And inform patients of the importance of clinical surgical treatment and matters needing attention during operation, so that patients can understand the surgical process and eliminate bad psychology. In addition, nurses can also invite patients who have recovered from cholelithiasis surgery to give lectures to help patients build up their self-confidence, adjust their state to the best and actively accept clinical treatment;

2 diet care. Because gallstones are caused by many factors, diet plays a major role. Therefore, nurses need to make a diet plan according to the actual situation of patients, and guide patients to eat more fresh vegetables and fruits, and eat less high-fat and high-sugar foods to avoid obesity. At the same time, nurses also need to guide patients to exercise properly after meals to promote gastrointestinal peristalsis and prevent constipation.

1.2.3 postoperative care

Observation of 1 condition. Closely observe the changes of patients' vital signs, and notify the doctor immediately if there is any abnormality;

2 medication care. After cholelithiasis surgery, we should insist on taking medicine to speed up recovery and reduce complications. Therefore, the nursing staff should inform the patients to take the medicine according to the doctor's advice, and should not change the medicine or stop taking the medicine without authorization, and inform the patients and their families of the dosage, precautions and adverse reactions. At the same time, nurses should also inform patients of the countermeasures after adverse reactions.

3 exercise. After a period of operation, nurses should help patients to exercise as soon as possible, and make an exercise plan according to the actual rehabilitation of patients, so as to reduce the occurrence of complications such as bedsore. In the process of clinical nursing, head nurses need to check patients' awareness of health education every day. If they fail to achieve the expected goal, they need to receive re-education, which can ensure the effectiveness of the clinical nursing path.

1.3 observation index

1 Compare the clinical operation results of the two groups. The curative effect standard: all clinical symptoms disappeared after operation, and quick recovery means recovery; The clinical symptoms were obviously relieved after operation, and the slow recovery was better. The clinical symptoms have not been alleviated after operation, and it is ineffective to be treated again;

2. Compare the awareness of health education between the two groups.

3. Compare the clinical nursing effect between the two groups;

4. Compare the complications between the two groups.

1.4 statistical method

With the help of SPSS 18.0 software, the corresponding data were statistically analyzed. The measurement data is expressed by xs, the counting data is expressed by percentage, and χ2 test is used, P

Two results

2. 1 analysis of clinical operation results of two groups of patients

The results showed that the operations in both groups were successful, and the difference was not statistically significant (P > 0. 05). 0.05。

2.2 Analysis of awareness rate of health education in two groups of patients

The results showed that the awareness rate of health education in the intervention group was better than that in the routine group (95.0%vs75.0%), and the difference was statistically significant (P < 0.05).

2.3 Analyze the clinical nursing results of two groups of patients.

The results showed that the satisfaction rate of clinical nursing in the intervention group was 97.5%, which was better than that in the routine group (77.5%, the difference was statistically significant (P

2.4 Analysis of complications of two groups of patients

The results showed that all patients had different degrees of complications after operation. The total incidence of complications such as cholangitis and pancreatitis in the intervention group was 5.0%, while that in the routine group was 20.0%. The difference between the two groups was statistically significant (P

3 discussion

Cholelithiasis is caused by obesity, pregnancy and other factors. The clinical symptoms are abdominal pain, nausea, vomiting, etc., and even develop into serious diseases, which affect the physical and mental health of patients. Therefore, it is particularly important to give targeted care in the process of clinical treatment. As a new nursing mode, clinical nursing pathway can not only provide comprehensive, scientific and humanized nursing service for patients, but also help nurses to improve their own nursing level, with clear clinical goals. By making a plan in the early stage of nursing, we can promote the development of all kinds of work and make nurses clearly realize the importance of their work. The clinical nursing path transforms the traditional basic operation into personalized nursing with patients as the starting point and foothold. It can not only help patients recover quickly, but also improve their understanding of corresponding knowledge, promote the relationship between nurses and patients and reduce medical disputes. In this study, 80 patients with cholecystolithiasis were given basic nursing and clinical nursing respectively. The results showed that there was no significant difference in clinical improvement rate between the two groups (P > 0. 05). 0.05; However, the satisfaction degree, the total incidence of complications and the awareness rate of health education in the clinical nursing pathway group were better than those in the basic nursing group, and the difference was statistically significant (P

Fan: Training Paper for Clinical Nursing Teachers 1 Results

1. 1 Overview of Clinical Nursing Teachers

All the respondents were women, aged 2 1 ~ 48 years, with an average of 31.84 5.97 years. Education: technical secondary school 0.7%, junior college 20.9%, undergraduate 76.5%, graduate 2.0%. Title: There are 97 junior titles (63.4%) and 56 intermediate titles (36.6%). Teaching experience: less than 5 years, 66 students 43. 1%, 54 students ≥ 5 ~ ≤ 10 years 35.3%, 33 students +00 years 2 1.6%.

Training opportunities and willingness of clinical nursing teachers

43. 1% clinical nursing teachers have little or no training opportunities, and 9% are willing or very willing to receive training.

1.3 requirements of clinical nursing teacher training schedule

35.9% think it is appropriate to organize training once every quarter, 43. 1% think the best time for each training is 1h, and 28.8% choose 2 hours.

1.4 clinical nursing teachers' demand for training forms

The results show that 88.9% people want to take special lectures for teaching theory training, and 79. 1% people want to take teaching rounds and teaching observation for teaching practice training.

1.5 training content requirements for clinical nursing teachers

The results show that the top three requirements for training content are clinical nursing teaching skills training, nursing practical skills training and clinical teaching management training, and the last three are nursing pedagogy, nursing culture and nursing ethics knowledge. There is no significant difference (P>) in the choice of training needs among teachers with different academic qualifications, professional titles and teaching experience. 0.05。

2 discussion

2. 1 Strengthen the training of clinical nursing teachers and improve the teaching level.

Clinical practice is an important link for nursing students to link their knowledge with clinical practice, and it is also the most important link in nursing teaching and an important stage for cultivating practical nursing talents. Among them, clinical nursing teachers play a leading role, and their overall quality and teaching level are the key factors affecting the clinical training of nursing students. Therefore, it is necessary to form a high-level teaching team and strengthen the training of clinical nursing teachers, which is an effective measure to quickly improve the overall level and teaching quality of clinical nursing teachers, put teacher training into teaching practice, change closed teaching into open education and improve teachers' enthusiasm. Statistics show that clinical teachers attach great importance to clinical teaching, and 9% teachers are willing or very willing to receive training. In this study, there are 66 teachers with less than five years' teaching experience, accounting for 43. 1%. These teachers have been teaching for a short time, and they are more eager to receive training that can solve their specific problems in clinical teaching and improve their clinical teaching ability. At present, the training of clinical nursing teachers in hospitals is obviously insufficient, which is far from meeting their training needs. 43. 1% of clinical nursing teachers said that they had little or no training opportunities, which needed to be highly valued by clinical nursing teaching administrators in hospitals and schools. At the same time, we should make full use of the educational resources of hospitals and schools, intensify training, organize targeted training for clinical nursing teachers, improve teachers' comprehensive quality and teaching level, change teachers' teaching theories and roles, and ensure the quality of clinical nursing teaching.

2.2 Scientifically arrange training time to ensure the continuous training of clinical teachers.

Clinical nursing teachers have to undertake clinical nursing teaching tasks when facing and dealing with complex and dynamic clinical nursing work. Overworked work has caused a series of negative consequences, such as the decline of nursing quality, the lack of time for nursing teachers to prepare for teaching, and the reduction of cooperation time with other staff. How to arrange training time to make it easier for clinical nursing teachers to receive training is a problem that must be considered to ensure the continuous training of clinical nursing teachers. Clinical nursing teachers are more likely to receive regular short-term training, 2 ~ 3 times a year, each time 1 ~ 2 hours, and concentrate on solving their difficulties in clinical nursing teaching. Through the pre-training demand survey, we can help trainers to formulate effective and targeted training plans and contents to improve the training effect.

2.3 Adopt flexible and diverse training methods to improve the training effect of clinical nursing teachers.

The training of clinical nursing teachers belongs to the category of continuing education, and the focus of continuing education in the new period is not the imparting of new knowledge but the cultivation of ability; At present, many training courses for clinical nursing teachers are spoon-feeding, and teachers listen passively. After receiving training, the effect of transforming knowledge into ability is not obvious. In the choice of training methods, we should make full use of various forms to stimulate students' interest and initiative. It can be seen that special lectures can get a lot of useful information in a short time and become the most anticipated theoretical training method for clinical nursing teachers. Gao Ping and others reported that teachers' teaching art was improved by inviting experts to teach pedagogy. Secondly, it is the sharing of information and materials. Research shows that teachers are more willing to accept practical training. 79. 1% of teachers look forward to teaching rounds and observation, 77.8% choose case analysis and operation demonstration, and 7 1.9% want to share experiences. It can be seen that flexible and diverse training methods are urgently needed by teachers, which increases their interest in training and is conducive to improving the training effect.

2.4 Based on the cultivation of clinical nursing teaching ability, strengthen the course training of humanities and sociology.

Because clinical nursing teachers are all nursing graduates, they have not received systematic pedagogy training, and their teaching ability is relatively weak. In clinical teaching, there are some problems such as uneven teaching level, lack of theoretical knowledge, nonstandard operation demonstration of nursing technology, random teaching and experiential teaching. The top three requirements for training content are clinical nursing teaching skills training, nursing practical skills training and clinical teaching management training, while the last three are nursing pedagogy, nursing culture and nursing ethics knowledge, which indicates that clinical nursing teachers have a high demand for training related to nursing teaching ability and ignore the importance of nursing humanities and social courses. Bio-psycho-social medical model requires nurses to pay more attention to the influence of psychosocial factors on people's health. Strengthening the humanistic quality education of nurses has long been a recognized concept, and strengthening the humanistic consciousness of teaching teachers and strengthening the training of humanistic sociology courses is a big problem worthy of attention. The main goal of clinical nursing teacher training is not only to solve their actual needs in time and effectively, but also to make up for the courses they have not paid enough attention to. We should pay attention to the cultivation of clinical nursing teaching ability and strengthen the training of humanities and sociology courses to improve the comprehensive quality of teaching teachers.