高等职业学校护理专业教学标准制订依据:临床对高职护理人才的需求和岗位设置

doi:10.3761/j.issn.1672-9234.2021.02.002

摘要/Abstract

摘要：

目的了解护理行业人才需求和岗位设置现状,为高等职业学校护理专业教学标准制订提供依据。方法按地域分布抽取全国27所护理高职院校合作的101所医疗机构,采用《高职护理专业教学标准》行业调研问卷与高职护理人才岗位核心能力的要求调研表对其调研。结果调研的医疗机构床护比均值为1 : 0.59,护理人员大专学历占比40.43%,临床护理人才的学历层次排序前两位的是大专、本科;医院对高职护理人才的临床护理岗位设置内、外科普通护理占81.47%,医院对高职护理专业人员理论知识、职业素养、操作技能满意度分别是27.7%、35.6%、38.6%;医院对护理岗位核心能力要求前3项分别是临床护理能力、身心适应能力和团队合作能力,平均得分率分别为92.93%、92.62%、90.08%。结论我国于护理人员的需求仍然很大,临床工作中高职护理人员仍是医院护理队伍的主力军。临床护理能力、身心适应能力和团队合作能力是医院对高职护理人员临床岗位核心能力的主要要求,高职护理人员的理论知识、职业素养、护理操作技能有待提升。

关键词: 教育, 护理, 院校, 卫生职业, 专业能力, 人才结构, 教学标准

Abstract:

Objective To understand the current situation of nursing personnel demands and position setting,so as to provide a basis for development of the Teaching Standards for Nursing Major in Higher Vocational Colleges. Methods A total of 101 medical institutions in China were selected according to their regional distribution. Questionnaires of Teaching Standards for Nursing Major in Higher Vocational Colleges and the clinical demands of the core competence of nursing talents in higher vocational colleges were used for the survey. Results The average bed-nurse ratio of the investigated medical institutions was 1 : 0.59. The proportion of nursing staff with nursing associated degree accounted for 40.43%. The top two demands for nursing degree were associate and baccalaureate degree. The hospitals set up 81.47% of clinical nursing posts for higher vocational nursing students,and their satisfaction level with the theoretical knowledge,professional accomplishment and nursing operation skills for higher vocational nursing professionals was 27.7%,35.6% and 38.6% respectively. The first three requirements for the core competence of nursing are clinical practice competence,physical and mental adaptability and teamwork ability. The average score rates were 92.93%,92.62% and 90.08% respectively. Conclusion There is still a great demand for nursing staff in China. In clinical setting,higher vocational nursing staff are still the main force of hospital nursing team. Clinical nursing ability,physical and mental adaptability and team cooperation ability are the main requirements of clinical post core competence. The theoretical knowledge,professional quality and nursing operation skills of higher vocational nursing staff need to be improved.

Key words: Education, Nursing, Schools, Health Occupations, Professional Competence, Qualified Personnel Structure, Teaching standards

顾艳荭,乔建歌. 高等职业学校护理专业教学标准制订依据:临床对高职护理人才的需求和岗位设置[J]. 中华护理教育, 2021, 18(2): 106-110.

GU Yan-hong,QIAO Jian-ge. Basis for developing the Teaching Standards for Nursing Major in Higher Vocational Colleges:clinical demands and position setting[J]. Chinese Journal of Nursing Education, 2021, 18(2): 106-110.

图/表 3

参考文献 9

[1]	刘明, 殷磊, 马敏燕, 等. 注册护士核心能力测评量表结构效度验证性因子分析[J]. 中华护理杂志, 2008,43(3):204-206.
	Liu M, Yin L, Estela M, et al. Confirmatory factor analysis of competency inventory for registered nurse[J]. Chin J Nurs, 2008,43(3):204-206.
[2]	国家卫生计生委. 全国护理事业发展规划(2016—2020年)[EB/OL]. (2016-11-18). http://www.nhc.gov.cn/yzygj/s3593/201611/92b2e8f8cc644a899e9d0fd572aefef3.shtml.
	National Health Commission of the People’s Republic of China. National nursing development plan(2016-2020)[EB/OL]. (2016-11-18). http://www.nhc.gov.cn/yzygj/s3593/201611/92b2e8f8cc644a899e9d0fd572aefef3.shtml.
[3]	李莉莉, 樊萍, 阮恒芳, 等. 混合式教学在护理高职生神经内科临床教学中的应用[J]. 中华护理教育, 2020,17(2):133-136.
	Li LL, Fan P, Ruan HF, et al. The design and application of a neurology clinical teaching for higher vocational nursing students[J]. Chin J Nurs Educ, 2020,17(2):133-136.
[4]	王宪宁, 沈成万, 曹挺, 等. 以职业能力需求和就业现状为导向的中高职衔接护理专业人才培养策略探讨[J]. 卫生职业教育, 2019,37(14):48-50.
	Wang XN, Shen CW, Cao T, et al. Discussion on the training strategy of nursing talents connecting secondary and higher vocational education based on the needs of professional ability and employment status[J]. Heal Vocat Educ, 2019,37(14):48-50.
[5]	许馨文, 傅映平. 老年护理人才培养模式研究进展[J]. 护理研究, 2019,33(2):275-278.
	Xu XW, Fu YP. Research progress on cultivation mode of elderly nursing talents[J]. Chin Nurs Res, 2019,33(2):275-278.
[6]	张先庚, 吴际军, 曹俊. 护理专业中高职衔接一体化教育存在问题及对策[J]. 护理实践与研究, 2017,14(2):125-126.
	Zhang XG, Wu JJ, Cao J. Problems and countermeasures of integration education of secondary and higher vocational education in nursing specialty[J]. Nurs Pract Res, 2017,14(2):125-126.
[7]	刘静, 于海艳, 徐嵘嵘, 等. 高职院校对护理专业学生采用护士核心能力培养课程的教学效果[J]. 齐齐哈尔医学院学报, 2020,41(9):1161-1163.
	Liu J, Yu HY, Xu RR, et al. Teaching effect of core competence training course for nursing students in higher vocational colleges[J]. J Qiqihar Univ Med, 2020,41(9):1161-1163.
[8]	谭艳, 李旭英, 李金花, 等. 基于核心能力的麻醉科护士培训实践[J]. 中华护理教育, 2020,17(8):743-747.
	Tan Y, Li XY, Li JH, et al. Training of anesthesia nurses based on core competence[J]. Chin J Nurs Educ, 2020,17(8):743-747.
[9]	龚海蓉, 吴婷婷, 王宪宁, 等. 基于护理行业人才需求导向的高职护理专业人才培养策略探讨[J]. 现代职业教育, 2019(21):42-43.
	Gong HR, Wu TT, Wang XN, et al. Discussion on the training strategy of higher vocational nursing talents based on the demand orientation of nursing talents[J]. Mod Vocat Educ, 2019(21):42-43.

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