实习前期护生临床护理技能训练的调查

目的探讨高职护生临床护理综合能力培养中存在的问题及解决办法。方法对护生实习医院护理带教老师进行抽样问卷调查，并进行分析。结果多数带教老师认为课间见习十分必要，但也存在许多困难，如看不到典型病例、见习时间不够、见习人数多影响医院工作、医院太远等。学校在护生临床护理技能训练与考核中存在的主要问题是对护生临床思维与综合分析解决实际问题的能力训练不够，没有仿真实训室，对临床护理技能训练和考核不重视等。结论学校应建立综合性临床护理仿真训练与考核课程和仿真实训室，训练护生的临床思维与解决实际问题能力，加强临床思维与操作技能训练与考核。护生毕业实习下点前应强化训练其临床思维、观察与判断能力；进行医院内人际关系处理与沟通、自我防护、法律知识、护理文件书写等方面的培训。

Investigation of nursing skill training in pre-internship period

Objective To explore the problems present in the training program for vocational nursing students and explore the corresponding solutions. Methods A questionnaire was conducted among preceptors in teaching hospitals. Results Thc majority prcceptors confirmed the necessity of inter-curriculum practice, but they also point out such difficulties as being unable to access typical cases, insufficient practice time,interference with hospital schedule because of too many nursing students, and the distance between hospitals and the campus. The college has to realize the problems in nursing skill training and evaluation system, e. g. ,insufficient training of the abilities about clinical thinking and comprehensive analysis, unavailable of simulation ward, and inadequate recognition of nursing training and evaluation. Conclusions The college leaders should establish a curriculum and a simulation ward to facilitate nursing skill practice and train nursing students the abilities to think clinically and solve real problems, and highlight the importance of clinical thinking, and the training and evaluation of nursing skills. The abilities of nursing students of clinical thinking, observation and decision-making should be enhanced, and the training of inter-personal communication, self-protection,jurisprudence and nursing documentation should be implemented too.