"This is an excellent book for anyone starting out on the Common Foundation year of their Nursing Degree, and as a reference to those further into their degree, on placement, or newly qualified. It covers everything from communication skills to pressure ulcers, and includes all four Nursing branches: Child, Adult, Mental Health and Learning Disability. The book is accompanied by an excellent CD-ROM that includes step-by-step Case Studies, resources for the book's chapters, and skill-set video demos with self-assessment. The DVD applies the theory to practice in a style that is easy to understand and follow. It will prove invaluable in preparation for OSCEs and for refreshing skills that may not have been used for a while." Conor Hamilton, Student Nurse, Queens University Belfast, UK "An excellent foundation text for first year pre-registration nurses. The accompanying DVD encourages application of the theory and helps consolidate learning." Janine Lee, Leeds Metropolitan University, UK "This book provides an excellent alternative to other Clinical Skills books. The most obvious and most useful difference is the addition of a CD Rom. The book itself is clearly laid out from the beginning, with the table of contents detailing all the essential areas of nursing that are often forgotten. It is often assumed that nursing students already know the basics so the inclusion of how to bed bath a patient or how to feed a patient was welcomed. While primarily aimed at those following the common foundation program (1st year) it has also been of great use to myself during my 3rd year." Jackie Sheridan, Student Nurse, Glasgow Caledonian University, UK "I found this book useful for a backup from clinical skills sessions to refresh my mind. It uses simple easy understandable language with key ideas highlighted and uses pictures and diagrams where necessary. I found the cd-rom invaluable as it uses step to step guides of skills used and although we all learn them in skills sessions we sometimes forget the gold standard way as we learn to cut corners. It is easy to use and well designed ...It covers all branches of nursing with case studies to back up understanding and provide real-life examples of using skills in practice." Becky Gray, Student Nurse, University of Worcester, UK "I was very impressed by this textbook. It reads very well, is easy to follow and is suitable for students within the common foundation programme. Allowing these students to see alternative aspects of other branches which they may not have seen within practice is valuable and the DVD material naturally adds to the learning and helps to show theory within practice." Conleth Kelly, Lecturer in The Faculty of Health and Social Care, The University of Chester, UK "This is an impressively comprehensive guide to clinical skills drawing from the expertise and real life experiences of a variety of contributors with health and social care backgrounds ...The edge to the book that I feel raises it above other clinical skills guides, is the free interactive DVD. Designed to be used at certain points during the reading of the book, it provides the reader/viewer with extensive further reading and resources ...Additionally, and perhaps most usefully, it provides the student with video clips of the clinical skills being performed, which show how the bestevidence based methods can easily be applied in practice." Daniel Gill, Student Nurse, University of Salford, UK Clinical Skills: The Essence of Caring is an innovative new textbook and integrated Media Tool package which makes teaching and learning nursing interactive! Based on the Essence of Care, this book covers the core clinical skills curriculum and takes a holistic approach to the importance of delivering excellent nursing care. Key Features: Comprehensive coverage: An accessible account of all fundamental skills is provided, including Record Keeping, Communication and Pressure Ulcers. Pedagogy: A multitude of activity and case study boxes, a glossary, self-test questions and 25 patient scenarios really bring the topics to life. Inside every book is a free Media Tool DVD offering a wealth of fully integrated interactive material that is versatile enough to use in solo study, group assignments or classroom sessions. The DVD includes: Case studies: This section contains a video case study for each nursing branch (Adult, Child, Mental Health and Learning Disability) which follows a patient journey to highlight the importance of empathic caring. Skill Sets: This section includes video demonstrations and self-test questions for the clinical skills covered in first and second year nursing programmes, including: Infection Control, Wound Care, and Administration of Medicines. Chapter Resources: This section contains extra supporting chapter material and includes questions, links, key learning resources and examples of both good and bad practice. This comprehensive package offers a unique way of relating theory to practice, making it an essential learning resource for all CFP and nursing students. Visit www.openup.co.uk/clinicalskills for a preview of the DVD and updated material.
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我以一个已经工作了几年的住院医师的身份来评价这本书,坦率地说,它更像是一本面向医学生的“理论概览”,而非一本实用的“技能指南”。书中对许多核心操作的描述,都停留在教科书式的、理想化的层面。比如,谈到如何进行一次成功的静脉穿刺,它用了一整页的篇幅详细描述了理想的皮肤消毒剂用量和等待干燥的时间,却完全忽略了在真实病房环境下,病患的躁动、血管的萎陷、以及各种突发状况下,我们实际需要采取的应变措施。它没有提供任何“如果……该怎么办”的决策树,也没有提及不同年龄段、不同病理状态(如水肿、肥胖)患者的穿刺技巧差异。当我拿着这本书去查阅一些紧急情况下的快速决策流程时,发现它要么是避而不谈,要么就是提供了过于冗长、不适用于抢救场景的步骤分解。这本书缺乏实战的“温度”和“锐度”,更像是作者在办公室里想象出来的完美操作流程,对提升我的临床熟练度几乎没有实质性的帮助。
评分这本号称“临床技能”的教材,从我这个初入医学殿堂的菜鸟角度来看,简直是一场灾难。首先,它的内容编排混乱得让人抓狂。你翻开目录,感觉像是在一个迷宫里打转,前一章还在讲基础的生命体征测量,下一章可能就跳到了复杂的急诊处理流程,中间缺少了任何逻辑性的过渡或者循序渐进的引导。很多重要的基础操作,比如无菌技术和标准的洗手流程,被埋藏在了那些高深的病理生理学讨论之后,导致我根本不知道该从哪里开始搭建我的临床思维框架。更要命的是,配图的质量低劣得令人发指,很多关键的体位摆放和器械使用细节,图片模糊不清,甚至有些图示的箭头方向和操作步骤完全是矛盾的。我不得不在课后花费大量时间去翻阅网络上的高质量视频和图集,才能勉强理解书里那几笔潦草的线条到底想表达什么。对于我们这些依赖视觉学习的人来说,这本书简直是在故意设置障碍,而不是提供帮助。阅读体验极差,更别提指望它能真正教会我如何应对临床上的真实挑战了。
评分这本书的理论深度与实践操作之间的衔接简直是天壤之别,这种割裂感让人在学习过程中倍感挫败。前三分之二的内容,沉浸在冗长且重复的基础生理学和病理学回顾中,似乎在反复确认读者已经完全掌握了它们,但这些知识点本身并没有被明确地与接下来的操作步骤进行“绑定”。例如,当讲到如何评估休克时,它堆砌了大量的细胞因子和激素调节的复杂图表,但当我们翻到“液体复苏”的章节时,却只是简单地给出了一个“每分钟输注500毫升”的经验值,而没有解释为什么在特定病理生理状态下,这一剂量需要根据中心静脉压或脉压差进行即时调整。这种“知其然,却不解其所以然”的编撰方式,使得技能的学习变成了机械的模仿,一旦离开书本的指导,学习者便失去了调整和优化的能力,最终只会成为一个只会按部就班的“操作员”,而非一个能够独立思考的临床医生。
评分这本书在对“沟通技巧”这一临床核心软技能的处理上,展现出了一种令人不安的傲慢和脱节。它用了不到五页的内容,用极其干巴巴的语言总结了“同理心”和“告知同意”的重要性。然而,医学实践中,最困难的往往不是诊断本身,而是如何向一个焦虑的家属解释一个五年生存率只有30%的现实。这本书没有提供任何关于如何处理患者的负面情绪、如何拒绝不合理的医疗要求、或者如何在不同文化背景下建立信任的实用模板。它只是罗列了一些“应该”的词汇,却从未深入探讨在压力山大、时间紧迫的门诊或查房中,如何将这些理念转化为具体的、富有成效的对话。读完这部分,我感觉自己像一个被教导应该如何做个好人,却从未被告知如何面对人性的复杂与冲突的哲学新生。它错失了将理论转化为人际艺术的关键一步。
评分从设备使用的角度来看,这本书的更新速度完全跟不上现代医疗器械的迭代。书中介绍的很多设备型号和操作界面,在我所在的医院早已被淘汰了好几代。例如,它详细描述了一种老式的监护仪上的波形调整方法,但我们现在使用的是触摸屏、集成AI分析功能的新设备,很多基础参数的设置逻辑已经完全不同。更严重的是,它对一些新兴的、已经成为标准的微创介入工具的提及非常肤浅,仿佛这些工具不存在一样。这让我对作者的专业敏感度产生了极大的怀疑——如果一本技能书连当前最主流的工具集都没有覆盖,那么它所教授的“标准”操作,是否已经落后于时代?对于一个致力于成为现代临床医生的学习者而言,使用一本过时的技术指南进行学习,无疑是在为未来的执业埋下隐患,我们需要的不是历史回顾,而是最前沿的、符合当前规范的指导。
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