1.Application of clinical nursing pathway in clinical teaching for nursing practice students in neurosurgery department
Jiannan ZHANG ; Jiafeng WANG ; Siqin ZUO
Chinese Journal of Medical Education Research 2012;11(10):1043-1045
Objective To explore clinical nursing pathway(CNP) teaching method for nursing practice students.Methods Nursing practice students ( n =120 ) were randomly divided into two groups:experimental group and control group.CNP teaching method was applied in experimental group while traditional teaching method was used in control group.The test results of theory,operational skill,comprehensive quality,patient's satisfaction degree and nursing mistake between the two groups were compared.Results The results of theory,operational skill,comprehensive quality,patient's satisfaction degree in experimental group were obviously better than those in control group(P <0.05),the result of nursing mistake in experimental group was greatly decreased compared with that in control group(P < 0.05).Conclusion CNP teaching method is superior to traditional teaching method and it greatly improve the teaching quality.
2.Effect of grading nursing care based on Riker sedation-agitation scale scoring on the complications of patients with agitation in neurosurgical ICU
Chinese Journal of Modern Nursing 2014;20(11):1316-1318
Objective To discuss the evaluation method of intervention for patients with agitation in neurosurgical ICU .Methods Totals of 106 patients with agitation were randomly divided into the observation group (n=51) and the control group (n=55).The control group received conventional nursing , while the observation group adopted grading nursing care based on Riker sedation-agitation scale ( SAS ) scoring. Complications including unplanned extubation , fall, skin damage and rupture of aneurysm were compared between two groups .Results There was one case of unplanned extubation , zero fall, one case of skin damage , zero rebleeding and zero rupture of aneurysm in the observation group , and eight cases of unplanned extubation , six falls, seven cases of skin damage , five cases of rebleeding and four cases rupture of aneurysm in the control group, and the differences were statistically significant (χ2 =5.39,5.90,4.40,4.87,3.85, respectively;P<0.05).Conclusions Application of Riker SAS scoring system in patients with agitation in neurosurgical ICU can reduce the incidence of complications .