1.Research on the application of debate-style ethics teaching among undergraduate nursing interns under the background of "doctor-patient conflicts"
Fei LUO ; Yanbo ZHU ; Zunxiao TAO
Chinese Medical Ethics 2024;37(10):1246-1251
Objective:To explore the application effect of debate-style ethics teaching among undergraduate nursing interns under the background of "doctor-patient conflicts".Method:A total of 128 nursing interns,who interned in Yantai Affiliated Hospital of Binzhou Medical University from January 2022 to July 2023,were selected as the research subjects.Using the historical controlled study and according to the random envelope method,undergraduate nursing interns from June 2022 to December 2022 were divided into the intervention group with a total of 64 cases,and undergraduate nursing interns from January 2023 to July 2023 were divided into the control group with a total of 64 cases.Finally,60 undergraduate nursing interns both the intervention group and the control group completed this study.The control group adopted the traditional nursing ethics teaching mode,while the intervention group adopted debate-style ethics teaching based on the background of "doctor-patient conflicts".The teaching effect was evaluated by using the Ethical Sensitivity Questionnaire for Nursing Students,the Professional Identity Questionnaire for Nursing Students,and the Clinical Nursing Instructors before and after the intervention.Result:The research results showed that the scores of ethical sensitivity,professional identity,and clinical nursing instructors of nursing interns in the intervention group were higher than those in the control group after the intervention,and the differences were statistically significant (P<0.05).Conclusion:Debate-style ethics teaching based on the background of "doctor-patient conflicts" can improve the ethical sensitivity,professional identity,and clinical nursing instructors of nursing interns,as well as significantly improve the effectiveness of clinical nursing ethics mentoring.
2.Summary of the best evidence for perioperative enhanced rehabilitation in adolescent idiopathic scoliosis patients
Zunxiao TAO ; Chunshuang ZHU ; Cuicui YIN ; Yanyan FAN
Chinese Journal of Modern Nursing 2024;30(2):183-190
Objective:To retrieve and summarize the best evidence for perioperative enhanced rehabilitation in adolescent idiopathic scoliosis patients, with the aim of providing evidence-based basis for relevant medical and nursing staff.Methods:Based on the "6S" evidence model, guideline, expert consensus, evidence summary, and systematic review of perioperative enhanced rehabilitation for adolescent idiopathic scoliosis patients were searched in British Medical Journal (BMJ) Best Practice, UpToDate, Joanna Briggs Institute Evidence-Based Health Care Center Database, Cochrane Library, Guidelines International Network, National Institute for Health and Clinical Excellence, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, Registered Nurses ' Association of Ontario, CINAHL, PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Medlive, WanFang Data, VIP, China Biomedical Medline Disc, and other Chinese and English databases. The search period was from database establishment to March 1, 2023. Two trained researchers independently evaluated literature quality and extracted evidence. Results:A total of 18 articles were included, including two guidelines, four expert consensus, two systematic reviews, two evidence summaries, three randomized controlled trials, and five quasi experimental studies. A total of 35 best evidence were formed from four aspects, namely preoperative management, intraoperative management, postoperative complication management, and functional exercise.Conclusions:The best evidence for enhanced rehabilitation of adolescent idiopathic scoliosis patients during the perioperative period summarized has guiding significance for clinical medical and nursing staff to carry out enhanced rehabilitation. Medical and nursing staff should develop rehabilitation nursing measures based on the concept of enhanced rehabilitation. However, it is still necessary to carefully consider the feasibility of the evidence and selectively apply it based on clinical scenarios and patient wishes.