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01 June 2023, Volume 43 Issue 6 Previous Issue    Next Issue

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Investigation and analysis on the status quo of moral education perception among medical college teachers Hu Xinyue, Zhai Shuangqing, Ye Tongle, Li Xiaoman, Wang Qian, Yuan Na, Jiao Nan 2023, 43 (6):  401-405.  DOI: 10.3760/cma.j.cn115259-20220919-01201 Abstract ( 252 )   PDF (949KB) ( 236 )   Objective To understand the cognition of moral education among teachers in medical colleges and universities, and to provide reference for improving teachers′ moral awareness and ability. Methods Qualitative research method was adopted. Taking B University of Traditional Chinese Medicine as an example, 18 teachers with different professional titles, years of teaching and course categories were interviewed in semi-structured manner from March to May 2022, and the interview data were analyzed by subject analysis method. Results Three themes were extracted: teachers′ strong awareness and high cognitive level of moral education; The development stage and gender of teachers are the factors affecting the perception level of moral education. Society, family, school, students affect the effect of moral education. Conclusions Medical colleges and universities can further strengthen teachers′ moral education awareness through propaganda and guidance, carry out personalized training based on the needs of teachers of different genders and at different stages of development, and improve the institutional mechanisms of moral education, leveraging the educational roles of society, families, and schools. References | Related Articles | Metrics

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Exploration on and thinking of empathy education in the course of English for medical purposes Jiang Chengxu, Fang Wei, Zhao Linlin, Han Ye 2023, 43 (6):  406-409.  DOI: 10.3760/cma.j.cn115259-20221024-01344 Abstract ( 208 )   PDF (779KB) ( 166 )   Empathy is a core component of medical humanistic quality. Cultivating empathy conforms to the goals and requirements of medical education reform against the background of Healthy China Initiative and helps to cultivate outstanding medical talents with both professional and ethical competencies. The purpose of this study is to explore the teaching method for developing empathy in the course of English for medical purposes. Focusing on the cognitive, emotional and behavioral aspects of empathy and integrating characteristics of language and humanistic courses, this paper demonstrates the teaching plan for medical undergraduates, which uses selected medical film clips as supplementary teaching materials. In a survey of 109 medical undergraduates, 95 (87.2%) students are very satisfied with the teaching method, which is considered helpful in improving their empathy. The teaching practice proved that the teaching plan fully embodies the humanistic attributes of language courses and stimulates students′ learning enthusiasm. References | Related Articles | Metrics

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Establishment and application of the respiratory system teaching resource network platform Wang Fei, Shen Ning 2023, 43 (6):  410-413.  DOI: 10.3760/cma.j.cn115259-20220726-00942 Abstract ( 87 )   PDF (1064KB) ( 80 )   The traditional clinical teaching mode has some limitations. With the popularization of the network and the development of information technology, the system integration of information teaching resources is of great significance to clinical teaching. The department of Respiratory and Critical Care Medicine of Peking University Third Hospital designed and constructed the respiratory system network resource teaching platform (hereafter referred to as the platform). This article mainly introduces the design and construction of the platform, the main functions and the application in clinical teaching. According to the results of a survey of 126 users, 122 (96.8%) think the platform helps expand their knowledge, 114 (90.5%) think it helps clinical thinking training, and 116 (92.1%) think it helps improve their self-learning ability. Practice has proved that the respiratory system network teaching resource platform is helpful to enhance the clinical teaching effect, and can be a beneficial supplement to traditional teaching. References | Related Articles | Metrics

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The application of interactive teaching in pediatric clinical thinking training for general practitioners Zhang Jiawei, Qi Zhennan, Qi Jianguang, Yao Mi, Liu Shuyan, Wu Nawei, Zhang Xin, Yan Hui, Chi Chunhua 2023, 43 (6):  414-417.  DOI: 10.3760/cma.j.cn115259-20220802-00970 Abstract ( 210 )   PDF (777KB) ( 150 )   Interactive teaching is a teaching method that combines the advantages of multiple teaching methods and networked teaching to give full play to students as the main body and teachers as the leading role. This research took the training of pediatric clinical thinking ability for general practitioners from Peking University First Hospital as an example. The design and implementation process was described. The training effect was evaluated by questionnaire, knowledge exam and case analysis. The results showed that 51(82.3%) of the 62 participants were very satisfied with the training. The knowledge score after training (68.0±14.8) was higher than that before training (66.0±13.1), there was no statistically significant difference (t=-0.99,P=0.327). The case analysis assessment score after training (75.5±10.7) was higher than that before training (62.4±15.1), and it has statistically significant difference (t=-7.41,P<0.001). It can be seen that using interactive teaching helps to improve pediatric clinical thinking ability for general practitioners, which can be further promoted. References | Related Articles | Metrics

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A deep learning based artificial intelligence real-time training and assessment system for cardiopulmonary resuscitation Liu Chang, Li Guangpu, Chen Menghuan, Wang Peisong, Liu Dongwei, Li Shengyun 2023, 43 (6):  418-422.  DOI: 10.3760/cma.j.cn115259-20220504-00571 Abstract ( 249 )   PDF (803KB) ( 148 )   Objective To explore the development of a real-time artificial intelligence (AI) assisted training and assessment system for cardiopulmonary resuscitation (CPR) based on deep learning, providing an effective and convenient method for CPR training and assessment. Methods Video data and sensor data of 90 trainees undergoing CPR training and examination at the Clinical Skills Training Center of the First Affiliated Hospital of Zhengzhou University from March 2021 to March 2022 were collected and randomly divided into a training group (72 participants) and a testing group (18 participants). Using the training group video data and deep learning models, an AI real-time assisted training and assessment system for CPR was constructed to detect and locate the key points of trainees′ bodies during CPR and extract the assessment indicators, which were displayed in real-time on mobile devices. The assessment indicators obtained from the video analysis by AI in the two groups of trainees were compared, as well as the comparison between the assessment indicators obtained from the video analysis and the sensor data and the comparison between the scores given by the AI system and the human examiners. T-test, non-parametric test or analysis of variance was used for statistical analyses. Results The AI analysis of the video data showed that the compression time, depth, and frequency for both the training and testing groups were (16.82±1.24) and (16.88±1.22) seconds, [5.85(5.60, 6.00)] and [5.80(5.50, 6.10)] cm, (107.64±8.13) and (107.11±8.49) times/minute, respectively, with no statistical difference (P>0.05). The assessment indicators obtained from the video analysis by AI and the sensor data showed that the compression time and frequency for both the training and testing groups were (16.83±1.23) and (16.80±1.21) seconds, (107.42±8.07) and (107.71±8.00) times/minute, respectively, with no statistical difference (P>0.05) between the two groups. The scores given by AI system and the human examiner were (68.92±3.20), (68.92±3.28), (68.83±3.24), (68.84±3.25), respectively. There was no statistical difference between the scores given by the AI system and the human examiners (P>0.05). Conclusions The real-time AI assisted training and assessment system for CPR detects and locates the key points of trainees′ bodies during CPR, and accurately displays the situation of trainees′ CPR in real-time on mobile devices, which is helpful for CPR training and assessment. References | Related Articles | Metrics

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The application of blended teaching based on SPOC in online orthodontic experimental course Zhang Yang, Yan Xingzhi, Ni Jieli, Guo Shuyu, Cao Dan, Yan Bin 2023, 43 (6):  423-426.  DOI: 10.3760/cma.j.cn115259-20220829-01087 Abstract ( 122 )   PDF (805KB) ( 129 )   Experimental teaching is an important part of orthodontic teaching. Traditionally, it is usually conducted by face-to-face teaching. Division of orthodontics in the School of Stomatology, Nanjing Medical University integrated online and offline learning resources. Taken five-year and eight-year program students enrolled in 2018 at Nanjing Medical University as an example, a total of 108 students adopted blended teaching based on SPOC in their orthodontic experimental courses. The teaching effect was evaluated by experimental examination and questionnaire survey. The results showed that students′ experimental examination score was (88.71±7.69) points, and51(47.2%) students gained excellent scores (≥90 points). Forty three (54.4%) students believed that online teaching is more efficient than traditional teaching in experimental course. Totally 54(68.3%)students think that online teaching can improve their self-learning ability. These results showed that the blended teaching mode based on SPOC demonstrates a good effectiveness in orthodontics experimental course, which can improve students′ learning efficiency and autonomy, also puts forward higher requirements for teachers′ teaching skills and students′ capacity of independent learning. References | Related Articles | Metrics

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Critical thinking capacity and its influencing factors in clinical probation undergraduate Fan Xinyue, Shao Chunying, Chi Xinshu, Guo Jiaqi, Zhang Shanshan, Li Yu′nan, Cui Lei 2023, 43 (6):  427-432.  DOI: 10.3760/cma.j.cn115259-20220622-00813 Abstract ( 141 )   PDF (850KB) ( 157 )   Objective To understand the current situation and influencing factors of critical thinking capacity of clinical medical undergraduates during clinical probation. Methods Questionnaire survey was used. In January 2022,a total of 519 undergraduate students in clinical probation in a medical college were selected as the research subjects, and the Critical Thinking Disposition Inventory-Chinese Version was used to conduct a questionnaire survey. The scores of critical thinking capacity and its influencing factors of clinical trainees with different characteristics were obtained by multiple linear regression. Results The total score of critical thinking of these medical students was (277.96 ± 35.16), and 240(46.3%) students showed positive and strong positive tendency of critical thinking. The main influencing factors included gender, weekly after-school learning time, attitude towards medicine, and understanding of critical thinking. Women have stronger critical thinking ability than men (b=0.08,P=0.045).Compared with the weekly after class learning time<5 hours (b=-0.11, P=0.014), the students who spent more than 5 hours a week after class learning time and were interested in medicine (b=0.19, P<0.001) had stronger critical thinking ability; Compared with those who have heard about but do not understand (b=-0.15, P<0.001) and those who have not heard about (b=-0.19, P<0.001), students who know about critical thinking are more capable of critical thinking. Conclusions The critical thinking ability of medical students at the clinical probation stage needs to be improved. The cultivation and improvement of critical thinking ability of medical students can be promoted by adjusting clinical practice and skill class hours, setting up critical thinking related courses, improving the level of teachers, and changing teaching methods. References | Related Articles | Metrics

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Design and implementation of inquiry-based experimental course of medical immunology Zhang Lijuan, Xu Haixu, Xue Zhenyi, Xiao Bo, Zhang Hong, Chen Xiaojun 2023, 43 (6):  433-436.  DOI: 10.3760/cma.j.cn115259-20220923-01224 Abstract ( 105 )   PDF (804KB) ( 95 )   Inquiry-based experimental teaching aims at solving scientific problems and guides students to conduct inquiry-based learning by setting problem situations. It has been widely used in the field of medical education. In this study, the design and implementation of inquiry-based teaching was illustrated by taking as an example the inquiry-based experimental course of medical immunology for 143 students from the five-year basic medicine major and the ″5+3″ integrated clinical medicine major of Tianjin Medical University in 2019. The teaching effect was evaluated through the total score examination, questionnaire survey and student interview. The results showed that 118 (82.5%) students gained excellent scores and 25 (17.5%) students gained good scores. Among 127 valid questionnaires collected, 110 (86.6%) students were satisfied with the course design; 103 (81.1%), 108 (85.0%) and 113 (89.0%) students believed the course was helpful to improve their self-learning ability, innovation ability and teamwork ability, respectively; 117 (92.1%) students believed the course improved their hands-on ability; 107 (84.3%) students believed that the course helped to stimulate their interest in scientific research. Among 48 students who participated in the interview, 42 (87.5%) students gave positive comments on the design, implementation and teachers of this course. The inquiry-based experiment course of medical immunology has good teaching effect, which is helpful to cultivate students′ innovation consciousness and improve students′ comprehensive ability, and has been recognized by students. References | Related Articles | Metrics

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Comparison of undergraduate nursing students′ learning outcomes in actual versus simulated learning environment Jin Sanli, Huang Tianxiao, Li Jiajin 2023, 43 (6):  437-440.  DOI: 10.3760/cma.j.cn115259-20221018-01316 Abstract ( 58 )   PDF (788KB) ( 65 )   Objective To explore undergraduate nursing students′ learning outcomes in actualand simulated learning environment and to compare them. Methods A convenient sample of 193 undergraduate nursing students from 4 universities in Beijing completed clinical learning environment comparison survey (CLECS). Wilcoxon signed rank test was used to compare the differences. Results The total CLECS score in actual learning environment (80.5±15.3) was higher than that in the simulated learning environment (76.6±14.1), and the difference was statistically significant (Z=-3.03, P=0.002). The scores of the four dimensions including communication, holistic, critical thinking, and teaching-learning dyad in actual learning environment were higher than those in the simulated learning environment, with the scores being (9.1±2.0) vs. (7.5±2.3), (11.4±3.2) vs. (10.3±3.4), (6.2±1.5) vs. (5.5±1.6), and (15.5±3.4) vs. (15.1±3.1), respectively, and the differences were all statistically significant (P<0.05). The score of the self-efficacy dimension in the actual learning environment (10.9±2.5) was lower than that in the simulated learning environment (11.4±2.6), and the difference was statistically significant (Z=-2.64, P=0.008). Conclusions It is recommended that nursing faculty establish clinical teaching guidelines that combine actual clinical practice with simulated clinical practice to achieve optimal results. References | Related Articles | Metrics

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Construction and application of online thesis management system for nursing undergraduates Niu Yuhong, Zhang Yongai, Feng Hao, Wang Yan 2023, 43 (6):  441-445.  DOI: 10.3760/cma.j.cn115259-20220701-00845 Abstract ( 76 )   PDF (1269KB) ( 33 )   Nursing undergraduate students are required to complete a graduation thesis during their internship period, which poses challenges to thesis guidance and management due to their internships scattered across different hospitals. An online management system has been designed by Xi′an Medical University for graduation theses of nursing undergraduates to realize online guidance, process management, quality control and archiving of thesis materials. From July 2019 to May 2020, a total of 489 nursing undergraduates who would graduate in 2020 and 270 instructors at Xi′an Medical University used this system to complete graduation thesis related work. The outcomes were as follows: 20 papers (4.1%) were rated as excellent, 468 (95.7%) as qualified, and 1 (0.2%) as unqualified. Results from interviews with 16 supervisors and 40 undergraduates indicate that both supervisors and undergraduates found the online thesis management system to be convenient, user-friendly, and not limited by time and space. Supervisors and undergraduates can carry out thesis-related tasks anytime and anywhere. Fifteen supervisors believed that online thesis guidance did not affect their daily work and found it more amenable than traditional offline guidance. Thirty-eight undergraduates (95.0%) believed that online management simplified administrative procedures, and reduced back-and-forth between hospitals and schools for guidance sign-offs or material submissions. The online management system for graduation thesis is easy to operate, efficient, and convenient, and has been recognized by teachers and students. It is conducive to undergraduates successfully completing their graduation theses. References | Related Articles | Metrics

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Construction of clinical practice training system for masters of nursing specialist in obstetrics Tang Jiajun, Shen Yuehan, Liu Sai, He Linyan, Zhou Xihong 2023, 43 (6):  446-449.  DOI: 10.3760/cma.j.cn115259-20221121-01463 Abstract ( 76 )   PDF (776KB) ( 50 )   Objective To construct a clinical practice training system for masters of nursing specialist in obstetrics. Methods The first draft of the training system was developed through literature research and group discussions. Delphi method was used to conduct two rounds of expert consultation with 15 experts to construct the clinical practice training system for masters of nursing specialist in obstetrics. Results The recovery rates of the two rounds of expert consultation questionnaires were 100.0%, the authority coefficient of experts were 0.91 and 0.93, and the Kendall coordination coefficients were 0.31 and 0.22, respectively (both P<0.001). The finalized clinical practice training system for masters of nursing specialist in obstetrics includes 5 parts, including training objectives, requirements for clinical practice bases and teachers, training process, teaching content and methods, and assessment and evaluation, with 89 specific contents. Conclusions The training system constructed in this study is scientific and reliable, which can provide guidance for the clinical practice training of masters of nursing specialist in obstetrics. References | Related Articles | Metrics

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Study on selection criteria for postgraduate supervisors of professional master′s degree based on high-level talent cultivation in rehabilitation medicine Zhang Chong, Li Jinhui, Wang Yuru, Zhao Aixia, Niu Wenxin, Chen Lin, Li Ping, Wu Hengjing 2023, 43 (6):  450-454.  DOI: 10.3760/cma.j.cn115259-20220906-01123 Abstract ( 93 )   PDF (828KB) ( 59 )   Objective To explore and construct selection criteria for postgraduate supervisors based on the demand for high-level talent cultivation in rehabilitation medicine & physical therapy, rehabilitation therapy, and rehabilitation engineering (hereinafter referred to as “three majors”). Methods A questionnaire was designed based on literature research, and 17 experts from 6 universities and 7 tertiary grade A hospitals in multiple areas across China were invited to participate in Delphi method from February to April, 2022. Methods such as analytic hierarchy analysis were used to describe the results and confirm indicators′ weights. Results The effective questionnaire recovery rates for both rounds of expert correspondence were 100.0%, the expert authority coefficients were 0.825, the expert opinion coordination coefficients were 0.287 and 0.463, respectively, and the differences were statistically significant based on the Kendall coordination coefficient W test (all P <0.001). The selection criteria for supervisors were divided into three dimensions: basic indicator—including 8 indicators such as good ethics, age requirements, postgraduate diploma as educational background and etc; advanced selection indicators—including 7 indicators from three different aspects of clinical competence, teaching ability, and scientific research capacity; representative achievements indicators, including six factors such as papers, patents, technical standards and etc. The weight coefficients for supervisor selection indicators under the three majors were determined by expert evaluation of the importance of supervisors′ representative achievements. Conclusions The selection criteria for postgraduate supervisors constructed in this study balanced universality and particularity, reflected the comprehensive requirements for selecting supervisors with clinical competence, teaching ability, and scientific research capacity respectively, and reflected the differences in representative achievements indicators for the three majors, which serves to inform the cultivation of high-level talent in rehabilitation medicine and the construction of supervisor teams. References | Related Articles | Metrics

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Design and implementation of specialist training program for anesthesiologists Yan Qi, Wu Ge, Zhang Ziyan, An Haiyan, Feng Yi 2023, 43 (6):  455-458.  DOI: 10.3760/cma.j.cn115259-20220722-00929 Abstract ( 111 )   PDF (807KB) ( 64 )   The specialist training program is an advanced stage of the standardized resident training program, and it is still in its infancy. This study takes Peking University People′s Hospital anesthesiology training base as an example to explain its design and result, and evaluate the training effect by formative and summative assessment. All 19 trainees who participated in the program passed formative and summative assessments organized by Peking University Health Science Center. The results showed that 19 trainees who participated in the training completed (1 265±137) anesthetic cases, 19 trainees (100.0%) met the qualified standards; in the objective structured clinical examination, the clinical thinking station scored (78.39±3.53) points, the advanced life support station scored (82.91±5.59) points, the fiberoptic bronchoscopy station scored (93.17±3.68) points, and the sub-specialty skill station scored (92.73±5.05) points, all exceeding 70 points, and 19 trainees (100.0%) met the passing standards. The trainee-centered training program focuses on the development of anesthesiology specialists and improves the clinical training quality. References | Related Articles | Metrics

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The application of mentorship combined with Mini-CEX for standardized residency training in ultrasound Zhao Bo, Chen Wen, Zhang Fan, Cui Ligang 2023, 43 (6):  459-462.  DOI: 10.3760/cma.j.cn115259-20220727-00945 Abstract ( 94 )   PDF (778KB) ( 98 )   Objective To explore the application effect of mentorship combined with mini-clinical evaluation exercise (Mini-CEX) in standardized residency training in ultrasound. Methods A total of 21 residents who were trained in the ultrasound department of Peking University Third Hospital from June 2018 to October 2019 were selected as the research subjects. Mentorship combined with Mini-CEX teaching method was adopted. When the training finished, the final and initial Mini-CEX scores of the residents were compared, and a questionnaire survey was conducted on the residents and 10 mentors. Paired sample t-test were used for grades analysis. Results The final and initial evaluation scores in Mini-CEX of the residents was recorded in 7 aspects that contained consultation skills, ultrasound scanning skills, ultrasound image description and reporting, diagnostic and differential diagnostic skills, communication and humanistic care skills, organizational effectiveness, overall clinical competence. The final scores of the 7 aspects were higher than the initial scores [(7.52±0.75) vs. (6.38±1.47) , (7.67±0.73)vs. (6.47±1.29) , (7.61±0.74)vs. (6.80±1.25) , (7.38±0.59) vs. (6.29±1.35) , (8.00±0.77) vs. (7.14±1.28) , (7.33±0.58) vs.(6.52±1.12) , (7.52±0.81) vs. (6.52±1.17), all P<0.05]. All residents and 9 tutors were satisfied with the teaching method. Conclusions Mentorship combined with Mini-CEX practices has practical value in training effect improvement of ultrasonic residents. It can provide a reference for the teaching reform in residents training. References | Related Articles | Metrics

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Comparative study of two kinds of simulation training methods on efficiency of comprehensive clinical emergency response capabilities of medical teams Chen Jun, Qiao Song, Xu Fen, Yang Jie, Chen Fang 2023, 43 (6):  463-466.  DOI: 10.3760/cma.j.cn115259-20220720-00918 Abstract ( 81 )   PDF (811KB) ( 51 )   Objective To compare the efficiency of in situ simulation and conventional simulation training methods on enhancing the comprehensive clinical emergency response capabilities of medical teams. Methods Controlled experiment design was used. Two hundred and forty trainees who participated in comprehensive clinical emergency response training from January to December 2021 were randomly assigned into 60 clinical emergency teams through random number table method, with each consisting of one doctor and three nurses. The teams were then randomly assigned into the in situ simulation group and conventional simulation group equally through random number table method. In situ simulation training and conventional simulation training were provided separately. After training, comprehensive clinical emergency response capability tests were given and scores were compared by t-tests or rank sum tests between groups. Results The total test scores of the comprehensive clinical emergency response capabilities were significantly higher in the in situ simulation group than in the conventional simulation one [(93.9±1.9) vs. (82.85±4.79), P<0.05] with better technical [(68.1±1.3) vs. (64.1±3.0), P<0.05] and non-technical [ (25.8±1.6) vs. (18.8±3.4), P<0.05 ] performance scores. Conclusions In situ simulation training had brought better performance both on technical and non-technical performance capabilities of medical teams in clinical emergency response than conventional simulation training. Thus, in situ simulation training could be considered as an better approach for clinical skill simulation training. References | Related Articles | Metrics

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The application of formative assessment in the cultivation of core competence for resident physicians Pan Saiying, Zhou Ruyun, Chen Hongxiang, Li Oulian, Yang Rongping 2023, 43 (6):  467-470.  DOI: 10.3760/cma.j.cn115259-20220906-01119 Abstract ( 162 )   PDF (774KB) ( 132 )   In order to explore the application effect of formative assessment in the cultivation of the core competency of residents, 94 residents who participated in the standardized residency training in Huazhong University of Science and Technology Union Shenzhen Hospital in 2020 were taken as examples. This paper expounds the application of the formative evaluation led by residential training base to the design and implementation of the first year of standardized residency training, and evaluates the effect by the score of core competency evaluation and the passing rate of the first time taking the Medical Licensing Examination. The results showed that among the five modules of core competency scores of residents (full score: 30), the scores of professional literacy (21.5 points), professional competence (23.4 points), patient management (24.2 points), communication and cooperation (21.6 points) and learning improvement (20.8 points) were 1.3 points to 5.3 points higher than those of residents who participated in standardized training in 2019. The passing rate of the first time taking the Medical Licensing Examination was 96.8% (91/94), higher than 79.6% (43/54) of residents in 2019. The application of formative assessment is conducive to the cultivation and improvement of core competency of residents, the passing rate of the Medical Licensing Examination, and more independent clinical diagnosis and treatment opportunities for the second and third years of resident training. References | Related Articles | Metrics

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Research progress in the evaluation of entrustable professional activities for psychiatry abroad Yan Feng, Wang Ziyao, Luo Chen, Yang Xu, Zhang Ligang, Cheng Huaqin 2023, 43 (6):  471-476.  DOI: 10.3760/cma.j.cn115259-20220720-00919 Abstract ( 91 )   PDF (826KB) ( 73 )   The concept of entrustable professional activities (EPAs) has been widely adopted internationally and is considered as a better assessment method for competency-based education. At present, there is no competency-based EPAs evaluation system for psychiatric residents in China. This article analyzes the research progress of psychiatric EPAs in the past decade internationally, and sort out the construction methods, relevant EPAs items and implementation involved, so as to inform the construction of the evaluation index system of EPAs for psychiatric residents in China. References | Related Articles | Metrics

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Cultivation and enlightenment of advanced practice nurses in France Gao Leiqing, Xu Li 2023, 43 (6):  477-480.  DOI: 10.3760/cma.j.cn115259-20220914-01171 Abstract ( 108 )   PDF (813KB) ( 75 )   In this article, the generate background, definition and responsibility, training program and value embodiment of advanced practice nurses in France were introduced. Considering the learning experience in Paris Cité University School of Medicine, France and Chinese current domestic status, we offer some suggestions on the legislation, training standard and clinical employment of advanced practice nurse. For example, clarify the definition and scope of responsibilities of advanced practice nurses in mainland China as soon as possible in the form of issuing documents or revising nurse regulations, entrust educational institutions to establish unified training programs for standardized and efficient training, optimize the clinical employment of advanced practice nurses so as to promote the high-quality development of public hospitals. This paper aims to provide reference for the policy and cultivation of advanced practice nurses in mainland China. References | Related Articles | Metrics