The Investigation Of Curriculum Design And Knowledge Need Of Nursing Undergraduate Students On Laws In China

ObjectiveThrough the comparative study of foreign and Chinese nursing undergraduates'legal curriculum design and the theoretical research of this design in China, this study puts forward a rectification plan on legal curriculum design with the characteristics of China's nursing education, in order to provide the basis and protection for training nursing undergraduates with legal knowledge.Through the investigation of nursing undergraduates'cognitive lever and need of legal knowledge in China, this study can provide a reasonable outline of the directory for advanced nursing legal textbooks that are constructed to meet the social needs. Besides, it can also provide basis and outline for the publication of these textbooks. SubjectsThe status of legal curriculum design about nursing undergraduates: Choose randomly 14 nursing undergraduate colleges which have been included by the Secretary for Advanced Education in the Chinese Ministry of Education from seven regions in China and 4 public universities in the College of Nursing from the Hong Kong, Macao and Taiwan. Choose randomly 8 nursing undergraduate colleges which have been certified by American Advanced Institute of Nursing Education from four major regions in the United States and 8 key universities'nursing colleges from Germany, Japan, Britain, Australia and other developed countries. We focus on the legal curriculum design in these colleges.The investigation of curriculum design and knowledge need of nursing undergraduate students on laws: Choosing 334 undergraduates in the intership("practical nursing students"for short) who are four or five grades from Peking Union Medical College, The People's Liberation Army Second Military Medical University, Shanxi Medical University, of which 324 women,10 men, and 22 years old on average. Choosing 412 undergraduates who have worked in hospital for more than one year and owned practising certifications ("registered nurse"for short) from Peking Union Medical College Hospital, ChangHai Hospital affiliated to Second Military Medical University, The No.1 hospital affiliated to Shanxi Medical University, of which 402 women, 10 men, and 27 years old on average.MethodsThe study use literature review, questionnaire survey and other qualitative and quantitative combining analysis of the method to do horizontal comparison and study the status of Chinese and foreign nursing undergraduates'legal curriculum design by way of phenomenology and the views on the design and needs.After Valid questionnaires recovered, unified coding and data entry computer, using SPSS 11.5 for Windows software for statistical analysis. The statistic methods areχ2 test, Rank-sum test, MCQS analysis.Results1. The name of related law courses set up in both domestic and foreign undergraduate nursing colleges is different, most of which begin in the first or second year and are compulsory. In foreign nursing school the periods of the law courses are 60.8 hours and the teaching method is case analysis, whereas ours are 24.4 hours and teaching students by textbooks and slides, mainly to teach theory. More than 70 percents of nursing undergraduates take the views that the related law courses should be set to"compulsory course", the name be called"Nursing and Law", beginning at the"third year","more than 36 hours", and the main teaching methods should be"Case Analysis".2. There are 96 percents of nursing undergraduates think that nursing legislation is"very important"and it is"very necessary"to acquire the relevant knowledge of the law. The lever of their grasp of legal knowledge is"understands". When in hospital, they"rarely"make nursing errors, with which they"seldom"know how to treat. Compare with registered nurses, who have a better grasp of law knowledge and a better understanding of approach with nursing accidents than practical nurses, practical nurses think nursing legislation is more important and their needs of the legal knowledge is stronger. They are more prone to make mistakes in care. As to practical nursing students, the access to acquire relevant law knowledge is"school"; the main reason about lacking of knowledge is"unreasonable design in legal curriculum". While to registered nurses, the main access is"self-learning"and the reasons are"not much relevant law books"and"inadequate continuing education in hospital".3. There are 80 percents of nursing undergraduates think that the most need of basis law knowledge are"Labor Law and Social Security Law", "Civil Law", "marriage and family law and inheritance law." Most in need of knowledge on health-related laws and regulations are "nurse management approach" and "nursing negligence, nursing disputes", "care of patients and protection of rights violations" and "nursing practices" and "the system of nurses, nursing duties". The most need of relevant international legal knowledge is"International Council of Nurses Ethics Code". Conclusions1. The initial reform design of the curriculum of law on our nursing undergraduates may be set as follows: course name is "Nursing and Law," at the beginning of "the third school year", the form is "compulsory", periods are "more than 36 hours", teaching mainly by"case analysis".2. Suggest"sectional teaching and gradient training"in order to cultivate legal consciousness for undergraduate nursing students at different stages, suggesting that the teaching model of the nursing undergraduate law courses may be "CBR + PBL" teaching (problem learning-based case reasoning), meanwhile we should pay attention to"school-based training"in order to develop professional teachers having nursing and law double qualification.3. Obtain preliminarily that the outlines of the directory for our nursing undergraduates'law courses textbooks. Namely including:①basic of law: "Labor Law and Social Security Law", "Civil Law", "marriage and family law and inheritance law," and "Procedural Law," "intellectual property law "," Constitution "and " Criminal Law ";②knowledge of laws and regulations related to health:" Nursing negligence, nursing disputes " and" nursing practices" and " the system of nurses, nursing duties "," care of patients and protection of rights violations " "Nursing Management Measures" the "medical liability insurance law", "Hospital Infection Control", "clinical blood transfusion technical specifications," "Infectious Disease Law," "Doctor-patient relations law", "medical personnel to the implementation of the ethics and norms", "sterilizing management approach", "Case writing basic norms", "one-time use of sterile medical equipment supervision and management methods" and "Regulations on Handling Medical Accidents", "patient rights and obligations of both sides", "ONUS";③related State legal knowledge:"International Council of Nurses Ethics Code","Nursing Association of the United States Code".