Research on the Correlation between Hospital Ethical Atmosphere and Work Engagement of Emergency Department Nurses / 中国医学伦理学

【Objective:】 To explore the correlation between hospital ethics atmosphere and work engagement of nurses in emergency department, and provide a basis for reasonably solving ethical issues and improving nurses’ work engagement. 【Methods:】 From May 2019 to May 2021, the convenient sampling method was used to select 350 nurses from emergency departments of four tertiary or above hospitals in Xi’an as the research subjects. The Ethical Climate Cognitive Scale and the Work Engagement Scale were used to evaluate the hospital ethical atmosphere and work engagement of nurse, and analyze their correlation. The univariate factor analysis and multiple factor analysis were used to explore the influencing factors. 【Results:】 The work engagement score of emergency department nurses was (51.69±11.09) points, and the ethical atmosphere score was (72.78±11.45) points. The results of univariate analysis showed that there were statistically significant differences in the work engagement scores among emergency department nurses with different educational backgrounds, hospital grades, hospital employment methods, and whether they had received ethics training (P<0.05). The results of multiple factor analysis indicated that the cognition of hospital ethical atmosphere, hospital employment methods, and whether they had received ethics education and training were all factors that affected work engagement (P<0.05). 【Conclusion:】 The hospital ethical atmosphere is positively correlated with the work engagement of emergency department nurse. The ethical atmosphere and work engagement of nurses are both at a moderate level, with significant room for improvement. Therefore, it is necessary to continue to strengthen the management support of emergency nursing work and improve the perceived level of recognition and respect among emergency department nurses in the organization.

Discussion on the Practicality of Strengthening Clinical Medical Ethics Education / 中国医学伦理学

To realize the education and training program of excellent doctors in China and meet the ethical requirements of clinical practice, it is crucial to carry out clinical medical ethics education for medical staff. Clinical medical ethics education is an important component of medical education and a necessary and important way for doctors to practice medical professional ethics. Starting from the concept of clinical medical ethics, this paper discussed the meaning, objectives, and content of clinical medical ethics education, and then distinguished its substantive differences from existing medical ethics education, which were manifested in clinical practice ability, situational embodiment, and action standardization. Furthermore, by summarizing and analyzing the current situation of clinical medical ethics education, it was found that it has shown its shortcomings in insufficient practicality. Finally, based on sorting out the previous countermeasures, this paper proposed strategies to strengthen the practicality of clinical medical ethics education, including adopting the integration approach of "time-space-teacher" and establishing a three-level responsibility system of "government-institution-teacher".

Prospects and Suggestions for the Application of ChatGPT in Medical Ethics Education / 中国医学伦理学

ChatGPT represents the approaching singularity, which brings opportunity to medical ethics education, but is also constrained by issues such as unfairness, discrimination, and loss of autonomy caused by technological logic. This paper explored the intermediary relationship model of generative AI in medical ethics education, and analyzed the potential positive and negative values of this technology as a human creation, as well as the challenges that ChatGPT brings to medical ethics education. Based on this, suggestions are put for ward from the following four aspects. First, The role division and construction of different responsible subjects was explored based on the change in teacher-student relationship. Second, we shonld cultivate students’ ability to think and question. Third, the forward-looking responsibility was discussed based on the future development of intelligent education. Fourthly, from the perspective of technical logic, it presupposes the coexistence of human-machine dual subjects.

Exploration on the Medical Ethics Education Path of "Combining Moral and Technical Education" of Vocational Medical Students under the Concept of "Three-wide Education" / 中国医学伦理学

The educational purpose of "three-wide education" is in line with the overall goal of talent cultivation in colleges and universities, and fits the development laws of ideological and political work in colleges and universities in the new era. It is an important measure to leverage the joint efforts of education and improve the quality of education. Under the concept of "three-wide education", medical ethics education in higher vocational medical colleges lacks systematization and big data support, medical students’ "knowing morality" and "conducting morality" are not unified, the content of medical ethics teaching is outdated, and teaching methods are single, which is inconsistent with students’ innovative cognitive thinking and derailed from clinical and social real needs, making it difficult to arouse students’ interest in learning. Against the backdrop of continuously improving professional literacy requirements for medical students, this paper explored the medical ethics education path of "combining moral and technical education" for vocational medical students under the concept of "three-wide education", and formed training paths such as "three integration of medical ethics, three progressions of knowledge and action", the coordinated education of ideological and political courses and ideological and political education in the course, the "trinity" of school, family, and society, the innovative multi-dimensional medical ethics education teaching methods, the construction of a medical ethics practice platform, and the establishment of medical ethics cultural education data management platforms, with a view to providing reference ideas for the cultivation of medical ethics among vocational medical students.

Research on the Path of Strengthening Medical Ethics Education of Medical Students in the New Era / 中国医学伦理学

Strengthening medical ethics education for medical students is the need for the healthy development of human medical health, the cultivation of medical students’ professional ethics and the integration of medical ethics spirit and medical ethics practice. Through in-depth discussion of the new mode of the integration of medical ethics education and medical ethics practice, stimulating the new impetus of the integration of medical students’ self-cultivation into practice, and the new ways to cultivate the growth of medical students in the new era, this paper put forward specific measures to create an education suitable for each student’s development by selecting the medical ethics education team, learning ethics and humanistic education, taking medical students as the center, and creating a suitable learning environment for students, with a view to cultivating medical students to grow into guardians who can cope with the challenges of public health emergencies.

Research on the Cultivation of Dedication for Medical Students in Major Public Health Emergencies / 中国医学伦理学

In major public health incident emergencies, the cultivation of medicine students’ dedication is the need of the times to ensure the predecessors of health cause successors, the value highlights of people-centred, and the main demand to help the growth and development of medical students. The cultivation of medical students’ dedication in major public health emergencies is confronted with the impact of diverse social ideologies, the deconstruction of the network and the fragmentation of the cultivation, etc. On the choice of specific countermeasures, it is necessary to strengthen the education of ideals and beliefs to enhance the initiative of the times, make good use of the practical carrier to improve the effectiveness, firmly establish the classroom position to reinforce the pertinence, incorporate the main force of family and society to enhance cooperation, and practice the community of mankind common health to highlight universality.

Advantages and Paths of Integrating School History Resources into Medical Ethics Education / 中国医学伦理学

In the new era, innovating medical ethics education and cultivating high-quality medical talents with noble medical ethics, excellent medical skills and both virtues and skills are important topics worthy of study. School history resources are rich in medical ethics ideological nutrients, containing the demonstration effect of medical ethics, strengthening the emotional cultivation of medical ethics, stimulating the establishment of medical ethics beliefs. Therefore, it is suggested that we should continue to tap school history resources, save the source of medical ethics education, organize school history resources and integrate them into the development of medical ethics education platform, and coordinate school history resources to promote the normal development of medical ethics education.

Problems and countermeasures of medical ethics education for medical students under the perspective of Healthy China / 中华医学教育探索杂志

The Healthy China Strategy puts forward higher requirements for the medical ethics education for medical students in colleges and universities in China. According to these new demands, this paper deeply analyzed the problems of medical ethics education in medical colleges and universities, including the cognition of medical ethics education that needs to be further strengthened, the contents of medical ethics education disconnected from practice, and the curriculum cannot meet the needs of professional training; proposed to establish a medical ethics education model integrating school, society and family, strengthen the cultivation of students' practical ability and connect the ideological and political courses with curriculums of ideology and politics, so as to form new ideas and approaches for medical ethics education and cultivate more excellent medical workers for the construction of a healthy China.

Problems and countermeasures of medical ethics education for medical students under the perspective of Healthy China / 中华医学教育探索杂志

The Healthy China Strategy puts forward higher requirements for the medical ethics education for medical students in colleges and universities in China.According to these new demands,this paper deeply analyzed the problems of medical ethics education in medical colleges and universities,including the cognition of medical ethics education that needs to be further strengthened,the contents of medical ethics education disconnected from practice,and the curriculum cannot meet the needs of professional training; proposed to establish a medical ethics education model integrating school,society and family,strengthen the cultivation of students' practical ability and connect the ideological and political courses with curriculums of ideology and politics,so as to form new ideas and approaches for medical ethics education and cultivate more excellent medical workers for the construction of a healthy China.

Research and practice on the establishment of the medical ethics education evaluation system / 中华医学教育探索杂志

Through analyzing the current situation of medical ethics education evaluation system, according to the principles of medical ethics education evaluation system , the scientific and objective principle, integrity principle, practical principle and more than the first principle, the evaluation system of medical ethics education was established in the basis of the following three aspects, the system structure, the education process and education results. The evaluation system of medical ethics education consists of 3 first level indicators, 12 secondary indicators, 37 three-level indicators and related theoretical research as well as practical application have been carried out . The establishment and practice of medical ethics education evaluation system could assess the importance of medical ethics education and the concrete work has been done in colleges and universities. In addition, it plays a leading role in the evaluation of medical ethics education and it gives certain reference for the medical ethics education evaluation in medical colleges and universities.

Investigation and Countermeasures of Medical Students' Cognition of New Medical Ethics View / 中国医学伦理学

Objective:To understand the current status and existing problems of medical students' cognition of new medical ethics view, and to provide reference for the innovation of medical ethics education mode. Methods:A self-designed questionnaire was used to investigate the medical students in a university in Changsha. A total of 450 questionnaires were distributed and 440 questionnaires were collected. Results:Medical students generally had a better understanding of the new medical ethics view and could establish a"patient centered" service concept. But the medical ethics cognition of some medical students was not consistent with the medical ethics behavior, and the medical value orientation was not clear. Conclusion:In order to improve the medical ethics cognition level of medical students, it needs to establish a new medical ethics education mode with the integration of school, society and family, make medical ethics education integrate with clinical practice effectively, strengthen medical students' legal education meanwhile, and effectively carry out the new medical ethics view for medical students.

The Application of Medical Ethics Education Service Learning Mode for Postgraduates with Professional Degrees in Clinical Medicine / 中国医学伦理学

Service learning is a kind of quality education way method that has sprang up in the United States and integrates service practice with academic courses. Through studying the relationship between service learning and medical ethics education of postgraduates with professional degrees in clinical medicine, combining the training characteristics of postgraduate with professional degrees in clinical medicine, this paper explored the specific application of service learning in the cultivating of clinical postgraduate medical ethics. This paper conducted a questionnaire survey including pre-tested and post-tested on the medical ethics among some students who participated in the medical ethics education, combined with individual interviews, and showed that the application of service learning model was an effective way to improve the effectiveness of medical ethics education for clinical graduate students, and it had played an active role in enhancing students' medical ethics cognition, improving their medical ethics and standardizing medical ethics behavior.

Reinforcement of Medical Ethics Education in the Clinical Practice Stage in the Department of Obstetrics and Gynecology / 中国医学伦理学

To strengthen the medical ethics education in the clinical practice stage in the department ot obstetrics and gynecology meets the requirements of the modern medical education under new situation.Aiming at the status quo of medical ethics education in China and abroad,this paper put forward specific recommendations in terms of the setting of teaching contents,the design of teaching approaches,the construction of teaching staff,as well as the evaluation of teaching achievements,and thus to enhance the understanding of medical students and interns to medical ethics and cultivate their practical capacity of analyzing and solving problems in clinical ethical dilemmas.

Current Situation of Medical Ethics Education in Institute of Medicine and Nursing and Strategies to Improve the Effectiveness of Teaching / 中国医学伦理学

A scientific and appropriate construction of curriculum of medical ethics such as teaching hours,teaching content,teaching methods and examination & evaluation in Institute of Medicine and Nursing is to improve the effectiveness of the teaching of medical ethics,to fulfil its goal of fostering applied skilled medical talents,and to meet the needs for the talents in the development of time so that students can better access and understand medical ethics for the sake of facing and dealing properly with problems related to medical ethics work in their future medical work.

Investigation and Thinking on Nursing Ethics Teaching in Local Medical Universities and Colleges: Take an Example of Medical School in Xi'an / 中国医学伦理学

Objective:To understand the effect and existing problems of teaching reform about primary health care demands in local medical universities and colleges.Methods:With sampling survey method,150 students from Xi'an Medical College were investigated using questionnaires.Results:Totally 93.1％ of the freshmen approved of setting up the courses,72.6％ of the students thought that nursing ethics and skills were equally important,43.2％ of the students thought learning this course made themselves have a new understanding of nursing ethics.Totally 84.2％ of the students were satisfied with the teacher's teaching process,while 69％ of the students were not satisfied with the existing teaching materials.Conclusion:The teaching method oriented by practical problems and the teachers' own efforts are prerequisites for students' acceptance of this course.Content setting based on post needs is an important link of nursing ethics teaching effect.Setting up sustainable teaching time is the basis of the teaching effect.High quality teaching materials are necessary conditions to achieve the teaching orderly.

The Application of Educational Narrative in Medical Ethics Education / 中国医学伦理学

Educational narrative is the application of narratology in the field of education.This paper introduced the definition of educational narrative and its characteristics of life,situationality and reflexivity,and then discussed the applicableness of the application of educational narrative in the medical ethics education.Based on this,it proposed the effectiveness means,namely that to improve theory quality and enhance the ability of narration,clarify the narrative theme and select material carefully,take care of medical students' growth and listen to their voice.

Exploration of Path of Medical Ethics Education of Medical Students Combined the Moral Education / 中国医学伦理学

Improving moral quality is the primary goal of moral education in university students.At the moment when the doctor-patient relationship is getting tense day by day,strengthening medical ethics education for medical students has important practical significance and guiding function.This paper analyzed the synchronization of medical ethics education and moral education and put forward that medical ethics education should be run through the whole process of education of medical students.Meanwhile,this paper explored the path of medical ethics education for medical students from aspects of strengthening occupation ideal education,making effective use of curriculum resources,expanding the path of medical ethics education,building a field of medical ethics education,establishing consciousness of medical ethics innovation and so on.

Analysis of Present Situation on Medical Interns' Medical Ethics Education and Its Countermeasure / 中国医学伦理学

From the concept of medical ethics,combined with the relationship between medical ethics education and medical intern,this paper faced up to the present situation of medical ethics education of clinical medical interns,analyzed the reasons of problems mainly involved the values,subjective initiative of medical interns and the degree of recognition and direction of the hospital and teachers and put forward that it should take more measures to strengthen the medical ethics education of medical interns from three aspects of medical interns,hospital and teachers.

New Concept of Medical Ethics Education Based on General Education / 中国医学伦理学

Combined with the purpose of medical ethics education , the influence of general education on social and cultural values of medical students , and the main problems of domestic ethics education , this paper put forward a new concept of medical ethics education based on general education .According to the characteristics of medical students, it also proposed a preliminary planning assumption of curriculum provision of general education , namely that general education should be mainly dominated by humanities science , which enable students to think independ-ently and critically and further to make a reasonable choice through comprehensive judgments of social and personal values in the face of medical ethics .

New Concept of Medical Ethics Education Based on General Education / 中国医学伦理学

Combined with the purpose of medical ethics education , the influence of general education on social and cultural values of medical students , and the main problems of domestic ethics education , this paper put forward a new concept of medical ethics education based on general education .According to the characteristics of medical students, it also proposed a preliminary planning assumption of curriculum provision of general education , namely that general education should be mainly dominated by humanities science , which enable students to think independ-ently and critically and further to make a reasonable choice through comprehensive judgments of social and personal values in the face of medical ethics .