摘要
目的探讨高等护理教育临床实习与学校教育的脱节问题,了解新毕业本科护士内心深处的真实体验,为制定有效的教育方案提供依据。方法采用质性研究中的焦点小组访谈法访谈12名新毕业本科护士。访谈提纲主要围绕高等护理教育与临床实践之间有无脱节,高校护理教育能否满足临床护理工作需求。结果新毕业本科护士对高校护理教育与临床岗位知识需求的脱节问题包括教学内容、教学方法、自我剖析与临床实习4个主题。教学内容理论与实践脱节:教科书滞后于临床,课程安排不合理;教学方法改革力度远不及预期所想:教师课堂教学渗透临床实践不足,教学方法创新宜同步模拟真实临床情境,学生自我剖析:综合能力薄弱,文献检索及论文撰写能力薄弱,对本专业所需要的素质依然迷茫,缺乏自主学习意识;临床实习理想与现实尚有距离:实习去向单一,希望以穿插式实践替代密集实习,期待临床带教老师多关注实习护士的精神需求与归属感需要。结论高等护理教育临床实习与学校教育的存在明显脱节。院校可通过完善课程安排,加强教学反馈,实践紧跟理论,改进教学方法,教师继续教育等措施改善临床与教学脱节问题。
Objective To discuss the dissociation between clinical practice and school education in higher nursing education, to understand the feeling barrier of newly-graduated nurses, and to provide evidence for effective education plan. Methods The focus group interview of qualitative research method was adopted to interview 12 newly-graduated nurses and the data were analyzed by Giorgi phenomenological analysis approach. The outline of interview focused on whether there was dissociation between clinical practice and school education and whether school education could meet the requirement of clinical practice. Results Emotional experience of newly-graduated nurses to the dissociation between clinical practice and school education in higher nursing education included four themes： content of teaching, teaching method, self-analysis and clinical practice. Conclusion There is significant dissociation between clinical practice and school education in higher nursing education. Adjustment of course arrangement, more teaching feedback and practice proportion, updated teaching methods and more further education for teachers would strengthen the connection between clinical practice and school education in higher nursing education.
出处
《护理学报》
2015年第7期10-13,共4页
Journal of Nursing（China）
基金
浙江省高等教育教学改革项目(jg2013150)
中国工程院院士咨询研究项目(2013-XZ-21-5)
中国工程院院士咨询研究子项目(2014YSZX-7)
关键词
本科护士
新毕业
高校护理教育
临床实践
脱节
焦点小组访谈法
质性研究
newly-graduated nurse
higher nursing education
clinical practice
barrier
focus group discussion
qualitative research
