Abstract
Objective To investigate the best pattern of the discussion on nursing cases of severe cardiac patients and improve the quality of the clinical nursing activity. Methods 90 nurses from six cardiac units were divided into the control group and the experimental group with 45 nurses in each group. The experimental group adopted PBL teaching method, the control group adopted conventional teaching method. The discussion of severe cardiac patients was proceeded twice every month for one year. Results The experimental group was better than the control group in master and application of the basic cardiac knowledge, nursing quality of serious patients and effectiveness of nurse-patient communication. Conclusions Discussion with PBL teaching method is superior to the conventional method. This method can widen the nurses'thread, improve the nurses' ability to solve problem, so it is worthy of wide application. Key words: Problem-based nursing; Severe patients; Discussion on nursing cases; Application
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