curriculum

课程
  • 文章类型: Journal Article
    背景:在基础医学学科中实现医学课程的整合而不冗余是一项重大挑战。在这样的课程中引入联合教学,积极跨学科的参与被认为是最好的利用教师和学生的教学和学习时间,为了激励学生,并为弥合医学院的基础医学和临床医学之间的差距提供更强大的基础。此外,在一次会议中包括多个以学生为中心的活动,预计将增加学生的参与度并提高知识的保留率。我们的研究旨在最大程度地减少冗余,并提高学生在Galala大学向三年级学生教授的内分泌和代谢模块期间学习“胰岛素-葡萄糖调节”主题的动机,埃及医学院。
    方法:作者设计了一个由3个基础医学科学组成的3小时联合教学综合课程,旨在解释临床术语,包括在线访问的前/后测试,小型学生团体创建的会前/会后MCQ,与学生共同分享科学材料的介绍。
    结果:学生在后测中的分数表明,与以前相比,他们获得了更多的知识。有趣的是,学生在会议前后产生问题的表现只有改善,以及在学期末考试的综合问题中,我们建议在医学院的其他主题和模块中实施这种方法。与使用这种方法的学生和以不同方式教授的学生跟进,以受控的方式评估这种方法的有效性也是有利的。
    结论:综合课程有效地提高了学生对医学概念的认识,并减少了基础医学的冗余。这种方法使学生对主题有了更全面的了解,提高他们的理解力和记忆力。对于寻求增强学生在医学领域的学习经验的教育者和指导者来说,这是一种有价值的方法。
    BACKGROUND: Achieving integration in medical curricula without redundancy in basic medical sciences disciplines is a substantial challenge. Introducing co-teaching in such curricula with active inter-disciplinary participation is believed to best utilize the teaching and learning time for instructors and students, to motivate the students, and to provide a more robust base for bridging the gap between basic and clinical medical sciences in medical schools. Additionally, including more than one student-centered activity in one session is expected to increase the students\' involvement and improve the retention of knowledge. Our study aims at minimizing redundancy and improving the students\' motivation in learning the topic \"insulin-glucose regulation\" during the Endocrine and Metabolism module taught to year three students at Galala University, Faculty of Medicine in Egypt.
    METHODS: The authors designed a 3-hr co-teaching integrated session with 3 basic medical sciences aimed to explain the clinical terms including online accessed pre/post-tests, small student groups-created pre/post-session MCQ, with co-sharing of students in the introduction of scientific materials.
    RESULTS: The students\' scores in the post-test showed that they gained more knowledge compared to before. Interestingly, there was only an improvement in the students\' performance in generating questions before and after the session, as well as in the integrated question in the end-of-semester exam, we suggest implementing this approach in other topics and modules in medical schools. It would also be favorable to follow up with the students taught using this approach and those taught differently to assess the effectiveness of this approach in a controlled manner.
    CONCLUSIONS: Integrated sessions effectively increase student awareness of medical concepts and reduce redundancy in basic medical sciences. This approach exposes students to a more comprehensive understanding of the subject matter, improving their comprehension and retention. It is a valuable method for educators and instructors seeking to enhance their students\' learning experience in the field of medical sciences.
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  • 文章类型: Journal Article
    护理项目管理员,教员,学术成功教练,和补救专家已经实施了许多干预措施,以支持学士学位护理学生的保留和毕业生的NCLEX-RN®首次通过率。私立大学的本科护理计划团队纳入了其他基于证据的干预措施,旨在提高学生在NCLEX-RN通过率下降3年后的基准成绩。干预措施使用持续的质量改进方法扩展了prelicensure学术计划的活动。建造了一个模拟中心,并聘请了一名导演。一名顾问还促进了教师参与课程修订。一个新的职位,协调员导师/补救专家,被填满,学术成功教练发起了干预措施,补充了最初和随后的成功计划策略。对新的干预措施进行了试验和评估,并成为学生和毕业生成功不可或缺的一部分。学术成功教练对学生成就的承诺促进了他们对干预的参与。通过率增加并持续。干预措施的例子,有证据支持,在表格中列出以供审查。逻辑模型描述了计划计划的组成部分及其干预措施,并通过前瞻性策略和补救干预措施得到了增强。持续的质量改进过程将继续进行。学生和毕业生对各种各样的好处给予了积极的评价,促进成功的干预措施。
    Nursing program administrators, faculty, academic success coaches, and remediation specialists have implemented many interventions in support of baccalaureate nursing students\' retention and graduates\' NCLEX-RN® first-time pass rates. A private university\'s undergraduate nursing program\'s team incorporated additional evidence-based interventions aimed improving students\' achievement of benchmarks following a 3-year decline in NCLEX-RN pass rates. Interventions expanded the prelicensure academic program\'s activities using a continuous quality improvement approach. A simulation center was constructed and a director was hired. A consultant also facilitated faculty engagement in curricular revisions. A new position, coordinator tutor/remediation specialist, was filled and the academic success coach launched interventions that complemented an initial and subsequent strategies for success initiative. New interventions were trialed and evaluated and became integral to students\' and graduates\' success. The academic success coach\'s commitment to students\' achievements promoted their engagement in interventions. Pass rates increased and were sustained. Examples of interventions, supported by evidence, are presented in tables for review. A logic model depicts components of the program plan and its interventions as augmented by prospective strategies and remediation interventions. Continuous quality improvement processes will continue. Students and graduates have commented positively on the benefits of the assorted, success-promoting interventions.
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  • 文章类型: Journal Article
    有人呼吁护理计划转向基于能力的教育(CBE)。基于能力的教育在护理教育中具有许多好处。包括概念和能力的课程可以帮助学生和利益相关者了解新的护士毕业生将能够利用他们在整个计划中构建的知识做什么。能力本位教育是以学生为中心,灵活,并依赖于学生积极参与他们的学习。一个小型的教师团队开发了一个新的直接进入MSN程序,基于CBE的基本组成部分。本文介绍了将CBE纳入程序开发的过程,以及在课程中全面实施CBE的挑战和障碍。
    There has been a call for nursing programs to shift to Competency-based education (CBE). Competency-based education has numerous benefits in nursing education. A curriculum that includes both concepts and competencies helps students and stakeholders understand what new nurse graduates will be able to do with the knowledge they construct throughout the program. Competency-based education is student-centered, flexible, and dependent on students actively engaging in their learning. A small faculty team developed a new direct-entry MSN program, based on essential components of CBE. This article describes the process of incorporating CBE into the development of the program, as well as challenges and barriers to fully implementing CBE into the curriculum.
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  • 文章类型: Journal Article
    在执照前护理课程中教学的教职员工被委托修改护理教育,以满足美国护理学院协会的“要点:专业护理教育的核心能力”。自COVID-19大流行以来,随着医疗机构继续克服人员配备挑战,护理学院的教师在建立足够的临床站点方面遇到了困难。尽管学生有可能在围手术期获得宝贵的护理能力和经验,但围手术期护理仍未得到充分利用。教师有机会,无论是否具有围手术期护理经验,在教学和模拟课程中使用围手术期环境获得临床经验。我们的目标是为护理教师提供路线图,将围手术期护理纳入许可前护理课程。与美国护理学院协会的《要点:专业护理教育领域的核心能力》相一致的围手术期教育范例包括在任何护理学院中采用。
    Faculty members teaching in pre-licensure nursing programs are entrusted with revising nursing education to meet the American Association of Colleges of Nursing\'s The Essentials: Core Competencies for Professional Nursing Education. Colleges of nursing faculty experience difficulty establishing enough clinical sites as healthcare facilities continue to overcome staffing challenges since the start of the COVID-19 pandemic. Perioperative nursing is an underutilized area despite the potential for students to attain valuable nursing competencies and experiences in perioperative areas. An opportunity exists for faculty, regardless of having perioperative nursing experience or not, to use perioperative environments for clinical experiences in didactic and simulation courses. Our aim is to provide a roadmap for nursing faculty to include perioperative nursing in the pre-licensure nursing curriculum. Perioperative education exemplars aligned with the American Association of Colleges of Nursing\'s The Essentials: Core Competencies for Professional Nursing Education domains are included for adoption in any college of nursing.
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  • 文章类型: Journal Article
    背景:我们的护理专业通才硕士课程需要与执业护士课程共享大量的科学课程。必修课程的捆绑远远超过了护理硕士课程的完成成果,增加学费和延长学习计划的学生谁不寻求先进的实践证书。
    目的:该项目的目的是简化课程,并使课程内容与MS计划预期的学习成果更好地保持一致,学生的学习需求,和最近的认证要求。
    方法:起草了课程预期的学习成果,并将其映射到计划预期的学习成果和AACN要点:专业护理教育的核心能力(2021年)概念和子能力。开发了一个共5个学分的两道菜系列,以整合4Ps(病理生理学,药理学,身体/健康评估,和健康促进)进入在线硕士水平护理课程,同时减少学分总数。
    结果:在第一学期,共有67名学生成功完成了在线课程。在首次实施后,根据学生的反馈进行了较小的修改。
    结论:将4P整合到一系列两门课程中,是简化护理课程通才硕士的可行选择。
    BACKGROUND: The curriculum for our generalist masters in nursing program required a heavy credit load of science courses shared with the nurse practitioner programs. The bundle of required courses far exceeded the masters in nursing program completion outcomes, increasing tuition costs and prolonging the program of study for students who were not seeking advanced practice credentials.
    OBJECTIVE: The purpose of this project was to streamline the curriculum and better align course content with MS program expected learning outcomes, student learning needs, and recent accreditation requirements.
    METHODS: Course expected learning outcomes were drafted and mapped to program expected learning outcomes and AACN The Essentials: Core Competencies for Professional Nursing Education (2021) concepts and sub-competencies. A two-course series totaling 5 credits was developed to integrate the 4Ps (pathophysiology, pharmacology, physical/health assessment, and health promotion) into an online master\'s level nursing curriculum while decreasing the total number of credits.
    RESULTS: A total of 67 students successfully completed the online courses during the first semester. Minor revisions based on student feedback were made after the first implementation.
    CONCLUSIONS: Integrating the 4Ps into a series of two courses is a feasible option for streamlining a generalist masters in nursing curriculum.
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  • 文章类型: Journal Article
    背景:美国护理学院协会(AACN,2021年)在2021年推出了“要点:专业护理教育的核心能力”(要点)。AACN文件要求更改护理课程,本科生和研究生。为了满足修订后的标准,一个分层组织中的一所护理学院使用了计划变更的三步模型来指导课程修订。本文介绍了使用计划变更三步模型的经验教训,其中包括障碍,战略,和实施计划变革的工具包。
    学到的经验教训包括接受指导联盟的统一价值观,以了解变革的动机和紧迫性。建议的策略包括创建一个跨部门的组织团队,利用重视成员时间的协作方法,以及各种沟通方式。
    学到的经验教训包括了解更大的层次结构的过程要求和批准的时间分配。建议的策略包括为模板和共享文档建立存储库中心,实施各种沟通渠道,重新调整常设会议时间。
    由于此过程才刚刚开始,预期的教训包括对步骤内和步骤之间迂回发生的变化的理解。考虑因素包括实施新课程的重要和有目的的行动。
    BACKGROUND: The American Association of Colleges of Nursing (AACN, 2021) introduced \"The Essentials: Core Competencies for Professional Nursing Education\" (Essentials) in 2021. The AACN document necessitated a change in nursing curriculums, both undergraduate and graduate. To meet the revised standards, one college of nursing within a hierarchical organization used a Three-Step Model of Planned Change to guide curricular revisions. This article presents the lessons learned from using the Three-Step Model of Planned Change, which includes barriers, strategies, and a toolkit for implementing planned change.
    UNASSIGNED: Lessons learned include embracing the unifying values of the guiding coalition to understand the motivation(s) and urgency for change. Suggested strategies include creating a cross-sectional organizational team, utilizing collaborative approaches that value members\' time, and various communication methods.
    UNASSIGNED: Lessons learned include understanding the larger hierarchical structure\'s process requirements and time allotment for approval. Suggested strategies include establishing a repository hub for templates and shared documents, implementing various communication channels, and repurposing standing meeting times.
    UNASSIGNED: As this process is just beginning, anticipated lessons include an understanding of changes occurring circuitously within and between steps. Considerations include significant and purposeful actions to deliver the new curriculum.
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  • 文章类型: Journal Article
    背景:随着人口老龄化,对具有慢性病和姑息治疗管理能力的护士的需求增加,特别是在长期护理环境中.先前已探索将姑息护理教育纳入护理课程。
    目的:这篇综述旨在评估学术界姑息治疗教育的现状及其对护士毕业后进入长期护理准备的影响。尚未进行综合审查,以探索基于课程的姑息治疗教育以进行长期护理。
    方法:本综述以Whittemore和Knafl使用关键评估工具的方法为指导。TheCINAHL,科克伦,EBSCO,ERIC,日志@Ovid,Medline,PsycINFO,从2017年至2022年,搜索了ScienceDirect数据库的同行评审文献。
    结果:十六个项目符合评估的搜索标准,保留11个项目供讨论。
    结论:护理课程在为长期护理护士所面临的情况做好准备方面存在差距。长期护理护士与居民和家庭建立了牢固的联系,并且经常缺乏时间,空间,以及在姑息情况出现时培养信心和能力的资源。需要更多的研究来确定姑息性长期护理教育的最佳护理方案。
    BACKGROUND: With the aging population, there is an increased need for nurses with competence in chronic illness and palliative care management particularly in long-term care settings. The incorporation of palliative care education in nursing curricula has been explored previously.
    OBJECTIVE: This review aimed to appraise the current literature on the state of palliative care education in academia and how it impacts the preparedness of nurses to enter long-term care post-graduation. There has not been an integrative review exploring curriculum-based palliative care education for long-term care.
    METHODS: This review was guided by the method of Whittemore and Knafl using critical appraisal tools. The CINAHL, Cochrane, EBSCO, ERIC, Journals@Ovid, Medline, PsycINFO, and ScienceDirect databases were searched for peer-reviewed literature from 2017 to 2022.
    RESULTS: Sixteen items met the search criteria for appraisal, and 11 items were retained for discussion.
    CONCLUSIONS: There is a gap in nursing curricula in preparing nurses for the situations faced by long-term care nurses. Long-term care nurses develop strong bonds with residents and families and often lack time, space, and resources to cultivate the confidence and competence as palliative situations arise. More research is needed to determine the best placement in nursing programs for palliative-based long-term care education.
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  • 文章类型: Journal Article
    背景:照顾越来越老和多元文化的患者群体需要护士和APN,他们能够整合文化能力来满足患者的需求,同时减少医疗保健差距。留学沉浸式体验是灌输深度学习和文化能力的一种方式。
    目的:本研究的目的是了解本科护理专业学生和APN学生在出国留学中一起工作的生活经历,服务学习体验。
    方法:使用解释性现象学分析(IPA)(Smith&Osborn,2003),我们探索了文凭和高级实践护理学生在服务学习中的生活经验,在伯利兹的留学经历。
    结果:从学生的日记成绩单中得出的紧急主题是:(1)允许学习进行;(2)用有限的资源进行护理;(3)不同的文化;(4)与同伴的亲属关系。从这个主题中出现了两个子主题:1)学生与人民和国家的联系,和2)学生之间的联系。
    结论:文化沉浸使学生能够在伯利兹与不同的患者组一起工作,对他们的健康有不同的看法。学生们了解到,尊严和关怀的核心价值观要求我们,作为护士,去病人所在的地方,而不是我们希望病人在的地方。当学生面对一种不是他们自己的文化时,这一点就会受到考验。
    BACKGROUND: Caring for an increasingly older and multicultural patient population requires nurses and APNs who are able to integrate cultural competency in meeting the needs of their patients while decreasing health care disparities. A study-abroad immersion experience is one way to instill deep learning and cultural competency.
    OBJECTIVE: The purpose of this study was to understand the lived experience of baccalaureate nursing students and APN students working together in a study-abroad, service-learning experience.
    METHODS: Using Interpretive Phenomenological Analysis (IPA) (Smith & Osborn, 2003), we explored the lived experience of Baccalaureate and Advanced Practice Nursing Students in a service-learning, study-abroad experience in Belize.
    RESULTS: Emergent themes derived from students\' journal transcripts were: (1) Allowing learning to take place; (2) Practicing nursing with limited resources (3) A different take on culture; and (4) Kinship with peers. From this theme two sub themes emerged: 1) students\' connection with the people and the country, and 2) students\' connection with each other.
    CONCLUSIONS: Cultural immersion prepared students to work in Belize with different patient groups, having varied perspectives related to their health. Students learned that the core values of dignity and caring require that we, as nurses, go where the patient is-not where we want the patient to be. This is tested when students are confronted with a culture not their own.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    目的:健康的社会决定因素(SDoH)教育在本科医学教育中越来越受欢迎;然而,重点各不相同,课程或评估方法也不统一。这项研究旨在研究家庭医学职员中当前的SDoH教学和评估方法,并通过多组件(两个或多个)教学策略和更高的Kirkpatrick评估水平(3级行为变化和4级结果)来确定与SDoH课程相关的特征。
    方法:通过2023年学术家庭医学教育研究联盟理事会(CERA)职员董事调查进行了一项在线调查。
    结果:调查应答率为56.8%(96/169)。医学院对SDoH的重视程度与教学策略的数量呈正相关(r=0.48;P<.001)。我们发现SDoH重视程度的趋势与较高的Kirkpatrick评估水平相关(H[3]=7.83;P=0.05)。拥有SDoH教师冠军与更多的教学策略相关(F[1,77]=8.73;P=.004),更多类型的评估(F[1,78]=5.88;P=0.018),和更高的Kirkpatrick评估水平(H[1]=4.46;P=.035)。在医学文员中代表性不足的主任身份与教学策略的数量或更高的柯克帕特里克评估水平无关。
    结论:更大程度地强调SDoH并拥有教职员工冠军,或者倾向于联想,通过多成分教学策略和更高的柯克帕特里克评估水平,准备学生提供SDoH响应式护理,这可能导致减少健康不平等。
    OBJECTIVE: Social determinants of health (SDoH) education has gained popularity in undergraduate medical education; however, emphasis varies, and the curricula or assessment methods are not uniform. This study sought to examine the current SDoH teaching and assessment methods within family medicine clerkships and to identify characteristics associated with SDoH curriculum with multicomponent (two or more) teaching strategies and higher Kirkpatrick levels of assessment (Level 3-behavior change and Level 4-results).
    METHODS: An online survey was conducted through the 2023 Council of Academic Family Medicine Educational Research Alliance (CERA) Clerkship Directors Survey.
    RESULTS: The survey response rate was 56.8% (96/169). The degree of SDoH emphasis in the medical school was positively associated with the number of teaching strategies (r=0.48; P<.001). We found a trend toward degree of SDoH emphasis being associated with higher Kirkpatrick levels of assessment (H[3]=7.83; P=.05). Having an SDoH faculty champion was associated with more teaching strategies (F[1,77]=8.73; P=.004), more types of assessments (F[1,78]=5.88; P=.018), and higher Kirkpatrick levels of assessment (H[1]=4.46; P=.035). Underrepresented in medicine clerkship director identity was not associated with the number of teaching strategies or higher Kirkpatrick levels of assessment.
    CONCLUSIONS: Greater degrees of SDoH emphasis and having a faculty champion were associated, or trended toward association, with multicomponent teaching strategies and higher Kirkpatrick levels of assessment, which prepare students to provide SDoH responsive care that could lead to reduction in health inequities.
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