1.Construction of evaluation index system for difficulty of nursing work items in post anesthesia care unit
Peiyu LIU ; Nuocui ZHANG ; Zhuanyun ZHANG ; Xueyun LI ; Zhengliang MA ; Xiaoping GU
Chinese Journal of Practical Nursing 2023;39(34):2641-2648
Objective:To explore the nursing work items and the technical difficulty in post anesthesia care unit, so as to provide the basis for accurate calculation of anesthesia nursing workload and reasonable matching of human resources.Methods:The primary and secondary indicators of the nursing working system in post anesthesia care unit were determined through the literature review and group discussion. Delphi method was used to revise the indicators and evaluate the importance and difficulty degree of the indicators. Finally, analytic hierarchy process and linear weighted sum method were used to calculate the weight value and difficulty coefficient of each index.Results:The positive coefficients of the experts in the two rounds were 100.00%, the authority coefficients of the experts were 0.90 and 0.96, the variation coefficients ranged from 0.000 to 0.342 and 0.042 to 0.307, and the Kendall coefficients were 0.239 and 0.273 (both P<0.01). The evaluation index system of the difficulty of nursing work in post anesthesia care unit was finally composed of 10 primary indicators and 85 secondary indicators. The weight of the primary index ranged from 0.016 4 to 0.186 4, and the weight of the secondary index ranged from 0.000 8 to 0.064 3. The standardized difficulty coefficient of the secondary index ranged from 1.02 to 1.59. Conclusions:The evaluation index system of the difficulty of nursing work items in post anesthesia care unit was comprehensive and the difficulty coefficient was in line with the actual clinical work in this study, which provides reference for the follow-up scientific calculation of nursing workload and human resources matching in post anesthesia care unit.
2.Application of online PBL teaching in clinical teaching of anesthesia nursing
Chinese Journal of Medical Education Research 2020;19(6):715-719
Objective:To explore the effect of online PBL teaching in clinical practice of anesthesia nursing during the coronavirus disease 2019 (COVID-19) epidemic.Methods:From January 2020 may 2020, 84 clinical nursing students who received anesthesia nursing teaching in our hospital were selected and randomized into the control group ( n=42) and the experimental group ( n=42). According to the different teaching methods, the control group adopted routine online teaching mode and the experimental group adopted online PBL teaching mode. SPSS 21.0 was used to compare scores of the theoretical knowledge, nursing evaluation, nursing plan, clinical operation and total scores of the two groups. Results:There was no significant difference in theoretical knowledge between the two groups ( P>0.05). The nursing evaluation, nursing plan, clinical operation and total scores of the anesthesia nursing students in the experimental group were significantly higher than those in the control group( P<0.05), and the experimental group had a significantly higher degree of teaching satisfaction than the control group ( P<0.05). Conclusion:During the special period of the COVID-19 epidemic, the online PBL teaching has achieved good teaching effect of online practice of anesthesia nursing specialty, which has ensured "classes suspended but learning continues", and improved the comprehensive examination results of the students. This teaching mode has gained good teaching satisfaction, worthy of clinical promotion and further study.