护理本科毕业生临床综合能力调查研究

[目的]调查本校护理本科毕业生的临床综合能力,为深化教育教学改革提供依据。[方法]使用护理本科毕业生临床综合能力调查表,对本校2005届—2013届108名护理本科毕业生及所在用人单位的60名护理管理者进行问卷调查。[结果]问卷总分为3.32分±0.46分,76.85%的毕业生完全达标,22.22%的毕业生基本达标,仅1名不达标,得分最高的是临床处置能力,然后依次是临床沟通能力、健康教育能力、职业心理素质、临床教学能力、临床管理能力,得分最低的是护理科研能力。[结论]本校护理本科毕业生的临床综合能力达到了培养目标,得到了用人单位的认可,在今后的教育教学改革中应不断加强学生护理科研能力、临床教学能力及临床管理能力的培养,以满足临床对本科护理人才的需求。     

护理本科毕业生临床综合能力调查研究1）

[目的]调查本校护理本科毕业生的临床综合能力,为深化教育教学改革提供依据。[方法]使用护理本科毕业生临床综合能力调查表,对本校2005届—2013届108名护理本科毕业生及所在用人单位的60名护理管理者进行问卷调查。[结果]问卷总分为3.32分±0.46分,76.85%的毕业生完全达标,22.22%的毕业生基本达标,仅1名不达标,得分最高的是临床处置能力,然后依次是临床沟通能力、健康教育能力、职业心理素质、临床教学能力、临床管理能力,得分最低的是护理科研能力。[结论]本校护理本科毕业生的临床综合能力达到了培养目标,得到了用人单位的认可,在今后的教育教学改革中应不断加强学生护理科研能力、临床教学能力及临床管理能力的培养,以满足临床对本科护理人才的需求。     

教改后第一批大专毕业生临床工作情况的调查

为了评价我校教改后第一批大专毕业生临床工作情况是否达到教学目标的要求,以及毕业生是否满足用人单位的要求,我们对我校目前在临床工作的96级毕业生及其所在科室的护士长进行问卷调查.结果显示毕业生的临床工作情况基本达到我校教学目标的要求,按照统计学评分,毕业生的能力由高到低依次为工作态度、沟通与交流能力、理论知识水平和操作技能、健康教育能力、整体护理、专业发展.其中以工作态度、沟通与交流为代表的16个具体项目可以被认为是毕业生完全达到的目标要求;以专业发展、整体护理为代表的5个具体项目可以被认为是毕业生尚不足之处.     

以素质教育为核心的护理专业教学改革后本科毕业生临床工作胜任力情况调查

[目的]评价我院以素质教育为核心的护理专业教学改革后本科毕业生临床工作胜任力是否达到培养目标的要求,毕业生是否满足用人单位的要求,以及毕业生自评和用人单位评价两者是否存在差异。[方法]对我院教学改革后在协和医院、阜外医院及肿瘤医院工作的7届本科毕业生共207名(毕业生组)及其所在病房护士长或科护士长共106名(管理者组)进行问卷调查。[结果]毕业生组自评和管理者组评价各项均分均在2.5分以上,即基本达到目标,且管理者组与毕业生组评价维度均分差异无统计学意义(P0.05)。[结论]毕业生工作情况基本达到教学目标,同时也能够基本满足用人单位的需要,表明我校教学改革在课程设置及教学方面较为成功,教学改革后所培养人才基本达到了社会发展对护理教育的需要。     

针对高职护生实习后工作能力现况的提高对策

[目的]研究5年制高职护生实习后临床工作能力情况。[方法]采用自制问卷,对为我校2008届高职护理专业实习返校护生共403名,实习医院带教老师共231名进行调查。[结果]护生自评和带教老师对护生的评分好评率最高的是"临床护理能力"(90.07%,84.42%),最低的是"社区护理能力"(42.68%,24.24%);6个维度的比较中,带教老师对护生的评分与护生自评得分差异有统计学意义的有沟通交流能力、社区护理能力、专业发展能力、评判性思维能力(P0.05)。[结论]我校5年制高职护生护理实习临床工作情况基本满足了自己及其用人单位的要求,在坚持临床护理能力教育为重点的基础上,还需在沟通交流能力,社区护理能力、专业发展能力、评判性思维能力培养方面尤其重视。     

护理本科毕业生临床能力的社会评价与分析

目的:了解用人单位对护理本科毕业生临床能力的评价,以指导高等护理教育教学改革。方法:采用自行设计的护理本科毕业生临床能力评价问卷对8所医院的250名护理管理者进行调查。结果:护理本科毕业生临床护理能力、自主学习能力、护理教育能力得分相对较高;沟通交流与合作能力、护理科研能力和护理管理能力得分相对较低。结论:高等护理教育应进一步完善护理本科生的培养目标,同时加大课程设置、教学方法等的改革力度,以提高护理本科毕业生的临床能力,特别是护理科研和管理能力。     

护理大专毕业生应具备的临床能力指标体系的研究

目的 探讨护理大专毕业生应具备的临床能力,为护理大专生培养目标的制定、临床能力的评价提供依据.方法 应用德尔菲法就护理大专毕业生应具备的临床能力进行2轮函询.结果 护理大专毕业生应具备的临床能力包括临床护理能力、护理管理与科研能力、护理职业素质3个一级指标及29个二级指标.结论 专家积极性、权威程度及专家意见的集中程度...     

哈尔滨医科大学护理本科毕业生质量调查研究

目的调查哈尔滨医科大学护理学院2003级至2011级9届护理学专业本科毕业生质量,为进一步实施教学改革提供依据。方法采用自制护理本科毕业生质量调查问卷,对接收我校护理本科毕业生的22个省53所用人单位进行信函调查,并对结果进行分析。结果用人单位对我校护理本科毕业生的职业道德与工作态度、知识水平和临床工作能力的满意度较高,分别为98.0%、97.1%、95.5%;对外语和计算机的应用能力、创新与科研能力的满意度较低,分别为91.0%、90.3%。结论用人单位对毕业生质量的总体评价良好,护理本科生的创新与科研能力及外语和计算机应用能力有待加强和提高。     

高职护理专业毕业生质量评价的调查与分析

目的通过用人单位对我院高职护理专业毕业生在道德品质、知识水平、职业能力和工作业绩方面的总体评价和要求,进一步建立经常性的反馈渠道和评价制度,为高职护理专业的教学改革提供依据.方法应用描述性研究的方法,对录用我院护理专业137名毕业生的9所医院进行问卷调查.将高职护理专业毕业生的质量标准分为道德品质、知识水平、职业能力和工作业绩4个部分21个条目来衡量,单项条目满分为5分.结果用人单位对我院毕业生的评价单项得分平均在4分以上,对毕业生道德品质方面的评价最高,得分为22.61±2.53,单项条目5分者占59.85%;经Pearson的相关分析,测评毕业生调查问卷中4部分内容之间呈明显正相关.结论今后我院对高职护理专业学生还要加强"实用型" 和"职业型"素质培养.     

教学改革后我院首届护理本科毕业生工作情况调查

目的 :为了解教学改革后本科毕业生是否达到教学目标 ,以及能否满足用人单位的要求。方法 :对教学改革后我校第一批在临床工作1a的本科生及其所在病房的护士长进行问卷调查。结果 :毕业生工作情况基本达到教学目标 ,能力由高到低分别为 :工作态度、沟通能力、健康教育能力、整体护理思想、实际操作技能和专业发展水平。其中 ,管理和科研是毕业生的不足之处。结论 :本组单一评价手段存在着局限性 ,还有待跟踪调查     

An education-service partnership to achieve safety and quality improvement competencies in nursing

The Institute of Medicine recommends that educational and service organizations develop partnerships to promote and prioritize competency development for nurses. This article describes a collaborative project between a college of nursing and a regional health care system. The project's aim was to foster the development of safety and quality by creating a curriculum based on the 10 core competencies identified by the Massachusetts Department of Higher Education Nurse of the Future Competency Committee. To accomplish this goal, learning experiences were created to address competency development. Competency-based education will help ensure that nursing graduates are adequately prepared to meet the current and future health care needs of our population.     

上海交通大学护理本科毕业生临床能力的追踪调查

目的追踪调查上海交通大学四年制护理本科毕业生临床能力的现状,分析管理者他评与毕业生自评之间的差异,为提高毕业生临床能力、深化和完善教学改革指明方向。方法对2006～2010届97名护理本科四年制毕业生及其相应的85名主管领导进行问卷调查,包括毕业生一般资料问卷、毕业生临床能力的自评问卷及他评问卷。结果护理本科毕业生临床沟通能力、临床教学能力、职业心理素质各维度评分及其总分的他评得分高于自评(P<0.05);参与科研的毕业生临床能力的他评总分及各维度得分(除临床管理能力)高于未参与科研者(P<0.05);无离职意向的毕业生护理科研能力自评得分高于有意向者(P<0.05)。结论护理本科毕业生临床能力达到了学院的培养目标,并得到了用人单位认可;毕业生参与护理科研有助于临床能力提升,应不断加强学生科研和教学能力的培养,以满足临床对本科护理人才的期望。     

实习护生心理弹性与职业认同感的相关性研究

目的：探讨实习护生心理弹性与职业认同感的相关性,为护理人才队伍发展提供参考依据。方法：采用一般资料问卷、心理弹性量表及职业认同感量表对天津市某2所医学院校的340名实习护生进行调查,并分析心理弹性与职业认同感的相关性。结果：共回收有效问卷330份,有效回收率为97.9%。实习护生心理弹性总分为（66.35±15.57）分,处于一般水平;职业认同感总分为（65.61±11.37）分,处于一般水平;单因素分析显示是否独生子女、是否学生干部、志愿填报护理专业、是否选择从事护理工作的护生职业认同感量表得分差异有统计学意义（P<0.05）;Spearman相关分析显示心理弹性量表总分及各维度得分与职业认同感量表总分呈正相关（P<0.01）。结论：实习护生心理弹性、职业认同感处于一般水平。为培养具有高素质和高度职业认同感的护士队伍,学校和医院应在专业教育阶段和临床教学阶段注重实习护生的心理弹性培养和心理干预指导,开展护士职业情感教育,帮助其更好地应对心理压力,提高职业认同感。     

A national survey of nursing education and practice of newly licensed nurses

The Institute of Medicine recommended establishing evidence-based teaching methods and curricula in health professions' education to meet the needs of the changing healthcare system. In an attempt to provide evidence-based information for nursing education, this study was designed to identify educational elements that best prepare nurses for practice. The study employed a two-tiered survey process for collecting and combining data from programs of nursing education and the graduates of those programs. Administrators of 410 nursing programs responded to questions related to elements of education in their programs (response rate = 51%), whereas 7,497 RN (76.5%) and LPN (23.5%) graduates of respondent programs answered questions related to the adequacy of educational preparation for practice, difficulty with current client care assignments, and other professional and practice issues (response rate = 45.4%). The majority of the nurses reported that their education had adequately prepared them to perform many, but not all, essential areas of the nursing functions examined. Nearly 20% of the RNs and 18% of the LPNs reported having difficulty with client care assignments. Inadequate preparation of several nursing functions were identified as predictive of difficulty with patient care assignments. These areas include working effectively within the healthcare team, administering medications to groups of patients, analyzing multiple types of data when making client-related decisions, delegating tasks to others, and understanding the pathophysiology underlying a client's conditions. In addition, it was found that the graduates were more likely to feel adequately prepared when nursing programs taught them use of information technology and evidence-based practice; integrated pathophysiology and critical thinking throughout the curriculum; taught content related to the care of client populations as independent courses; and had a higher percentage of faculty teaching both didactic and clinical components of the curriculum. The findings of this study are significant in broadening our understanding of the relationships between educational elements and preparedness of new nurses for practice.     

护理大专生临床实习环境与专业自我概念的相关性研究

目的了解护理大专生临床实习环境与专业自我概念现状,探讨二者之间的相关性。方法采用一般资料调查表、护理临床实习环境评价量表、护理专业自我概念量表对214名护理大专生进行问卷调查。结果护理大专生临床实习环境总分(118.08±17.27)分,处于较满意水平;护理专业自我概念总均分为(13.23±1.61)分,处于较积极水平;护理大专生临床实习环境与专业自我概念呈正相关(P0.01或P0.05)。结论临床实习环境对于专业自我概念具有正向预测作用,改善护理大专生客观临床实习环境,有助于提高其专业自我概念。     

Stakeholders' perception of the desired Master's program for Kenya in community health nursing: Areas of competency*

Introduction: After the World Health Assembly approved the WHA 45.5 in 1992, which addressed the nursing shortage by refocusing nurses and midwives to meet community health needs, community demands for educated nurses and the needs of higher nursing education in developing countries increased. However, in developing countries that suffering from multiple resource deficiencies, such as Kenya, the strategic direction of higher education in nursing was unclear. Therefore, in Kenya, a major university school of nursing initiated a collaborative study with a well‐established Japanese nursing college to determine the service‐providers' perspective about upgrading the Master's community nursing curriculum. Purpose: The aim of the study was to describe the Kenyan stakeholders' perspective and the expected roles and abilities of Master's graduates in community nursing. Methods: This qualitative, cross‐sectional study used convenience sampling to obtain 21 participants. The content analysis of the data was based on 19 semistructured interviews. Results: Sixteen categories and 42 subcategories were derived from the five key questions that related to the expectations of the Master's program. The Master's graduates were expected to acquire knowledge and skills relating to administration, management, epidemiology, research, and education. The participants recognized that epidemiology, important for preventive care, was minimal among the current community health nurses. Also, Master's graduates must be prepared to manage health programs. Conclusion: The stakeholders expected that Master's graduates would become leaders in community health nursing, with a broad range of knowledge and skills, most notably in the areas of management and administration, epidemiology, and research. Those abilities should be reflected in the curriculum content.     

Continuing education needs & knowledge of gerontological nursing among nurses in nursing homes]

The purpose of this study was to explore continuing education needs and knowledge of gerontological nursing among nurses in nursing homes, and analyze the relationship of demographic characteristics, knowledge and continuing education needs. Twenty nursing homes were randomly selected and 130 nurses were interviewed by structured questionnaires to ascertain their demographic characteristics, knowledge of gerontological nursing, and continuing education needs. Results showed that more than half of the nurses had not attended any courses in gerontological nursing in school, or in post-graduate continuing education. The rate of correct answers for knowledge of gerontological nursing was 70.8%. The worst knowledge was of gerontological statistics, followed by physical and psychological aspects of aging. Knowledge levels in gerontological nursing were positively correlated with age (r = .22, p < .05) having taken gerontological nursing courses (r =.22, p < .05) and having taken continuing education in gerontological nursing (r = .18, p < .05). Knowledge levels were negatively correlated with having lived with the elders in their own family (r = -.30, p < .05). Nurses who graduated from junior college or nursing high school had lower scores for knowledge than college graduates (F = 25.31, p < .001). The intensity level of continuing education needs ranged from needed to strongly needed, especially for knowledge regarding clinical care, followed by general information on aging, and administration and management. The level of continuing education needs was not different among the various demographic characteristics and knowledge levels in gerontological nursing. Results from this study suggest that gerontological nursing courses should be increased in nursing schools. Furthermore, a well-formulated continuing education model for gerontological nurses in nursing homes is also essential to promote the quality of care of the elderly.     

Innovative strategies for nurse recruitment and retention in behavioral health

Successfully recruiting licensed nurses to work in behavioral health is challenging. This article describes and illustrates methods one hospital successfully used to attract, orient, and mentor new graduate nurses to work in mental health. The New Horizons program included a paid internship for new graduate vocational nurses, a mental health curriculum, preceptorship, a state board review course, and a new graduate program. Since 2003, the program has recruited 37 new graduates for the unfilled licensed staff vacancies in mental health who continued their professional education and pursued degrees as registered nurses. The evaluations indicated that more than 100% of graduates rated the program as excellent as well as recommended it to their friends, and retention has been more than 90%. New Horizons graduates have received promotions; one has assumed a new role as a clinical resource nurse who teaches nursing orientation. All stakeholders including nurse management, patients, other disciplines, and coworkers have high praise for the program graduates. The program increased the cultural diversity of the mental health staff because the graduates included high percentages of African Americans, Hispanic Americans, and Asian Americans and less than 10% of White Americans. Adult learning technologies were used including teaching with films, role-playing, case studies, reflective thinking, evidence-based practice, and group performance improvement projects. Research-based fact sheets were used for the course and continued education. These 1-page fact sheets help nurses apply the evidence to improve nursing practice.     

Correlates of success in the baccalaureate education of registered nurses

The major purpose of this investigation was to identify correlates of success in a baccalaureate completion program to aid in the selection of registered nurses. The sample included 170 graduates from one baccalaureate program. Their ages ranged from 20 to 51; 79% graduated from a diploma program and 21% from a community college associate degree (AD) program. The predictors of achievement were () age, () diploma versus associate degree background, (c) work experience, (d) six validation examination scores, and (e) two entry grade point averages (GPAs) based on liberal arts and nursing subjects. respectively. The criteria of success were two exit GPAs from the baccalaureate program, based on liberal arts and nursing subjects. Comparison of mean scores and multiple regression analyses were used to relate predictors and criteria. The major conclusions are that () entry liberal arts GPA is the best predictor of achievement in this baccalaureate program, irrespective of how long ago it was obtained; () diploma school graduates perform better than junior college graduates in the classroom as well as in clinical practice; and (c) age is NOT a factor in performance in a baccalaureate completion program.