A Study On Training Curriculum For Grading Nursing And Qualification For Nurses

ObjectiveThis study is the sub-topics of" study on the main decision-making of grading nursing ". In the early days the research group studied on the main decision-making of grading nursing and obtained a preliminary argument, as follows "Doctors still can not be considered the best main decision-making of grading nursing, the nurse'expects thought that the nurses could make the grading nursing decision independent, while the doctors' experts thought that the nurses should cooperate with the doctors. Most experts thought that the nurses should cooperate with the doctors. Based on this result, this study is to further certain the qualification of the nurses who can make the grading nursing decision and the training outline of the grading nursing, in order to provide guidance and basis for the future systematic training and lay the foundation for the next experimental work about the nurses make the grading nursing decision in hospitals.MethodsApplication of literature analysis, interview access to decision-making and training for care at home and abroad grading the status quo, and the preliminary design of the decision-making of nurses qualified expert advice and training outline of the questionnaire; the use of a questionnaire survey method for grading nursing qualification recognized expert nurse decision-making preliminary investigations, the identification of sub-qualified nurses in nursing decision-making level; using the Delphi method, a classification decision-making nursing training nursing and teaching across the curriculum outline for the content of screening and determine its weight; the use of Cronbach's coefficient a, the correlation coefficient etc. grading nursing care decision-making Training outline of the reliability and validity testing; SPSS13.0 using Microsoft Excel database and software data processingResults1.Abroad and in China, Hong Kong and Macao regions grading nursing decision-making status of the interview results17 experts from 7 countries and regions were interviewed. Three British experts work in the hospital where the care is by a registered nurse with a bachelor's degree (RN) decision-making, the require of work experience is or 3 years or older than 21 years of age or unlimited; One U.S. expert nurses work in the hospital where the nurses can determined independently the care level, the minimum academic requirements for their degree is after (post-master); Of two Australian experts, one where the hospital care made by the doctor who should be undergraduate degree and over 25 years old, the other's grading nursing made by the nurses required the undergraduate qualifications and the qualification certificate, at least 2300 hours in clinical practice; Hospitals in Ottawa, Canada, the care levels is made by post-graduate nurses; In Japan, four Japanese experts said the care levels is made by nurses, Most hospitals require RN and should working more than three years, with a master's degree; Two representatives from the Hong Kong Queen Mary Hospital nursing experts said that there is no grading nursing in thier hospital, but the hospital's dedicated nurses in the work of independent decision-making; Three experts from Macau Jing Wu Hospital said that the hospital's care level is also made by the nurses, the requirement for nurse qualification is in accordance with sections. In addition,13/17 of the experts agree that nursing care is the point of view of nursing's orders, all the experts agree that nurses have the ability to make the grading care decision,13/17 of the experts agree that the clinical nursing master who have college-level education could independly make the decision,4/17 of the experts agree that nurses should cooperate with the doctors to make the grading care decision.14/17 of the experts believe that the content of the training for the grading nursing should be the classification, classification based care, clinical diagnostics, one of Hong Kong Queen Mary Hospital experts believe that the training should include the grading standards of care content, classification based on care, clinical diagnostics, critical thinking and clinical thinking related to knowledge.2.Grading nursing decision-making of nurses qualified to determineTitle qualification requirements from the lowest point of view, clinical nursing master recognition rate was the highest (87.5%), followed by the deputy director of the Nurse (12.5%), from the minimum academic requirements point of view, therefore, we agree that the highest percentage (58.07%), followed by post-secondary (35.48%), from the minimum work experience of view, the highest rate of identity for the colleg is undergraduate of 5 years (64.52%), Master of 3 years (38.71%).3.Grading nursing nurse training outline determination of the decision-makingThrough two rounds of expert consultation, the importance of screening criteria in order to satisfy a few assignments were≥4.0, the coefficient of variation≤0.25 of indicators, taking into account more than perfect scor≥10%(as both the number of supplementary indicators), combined with the ad hoc group of experts predict the final formation of sub-care decision-making level nurse training syllabus, curriculum followed is the latest classification care system-"General Hospital Guiding Principles of Nursing classification", classification based on evaluation methods, nursing, medical and nursing interrogation room common diseases,drug knowledge and disease risk factors, assessment methods, the understanding of the clinical test results, nursing clinical decision making related to knowledge, examination courses. The purpose of each course requirements and teaching contents are composed of two parts.4.Hierarchical decision-making nursing care and the weight of the results of the training outlineUsing the Delphi method to calculate the second round of each course expert and the importance of the teaching content, the average scores assignment is normalized again, asking each course and the teaching content of decentralization, reoccupy product combination method to calculate weight, eventually the second round training outline of seven lessons of course 0.1604,0.1361,0.1372,0.1571,0.1405,0.1350,0.1338, In teaching contents and entries on weight, except the fifth set course teaching content of item 1 of the gap between the weight, the weight is little difference.5.Hierarchical decision-making care nurse training outline the results of reliability and validity evaluationThe use of statistical software spssl3.0 outline of nursing training on the classification results of the consultation of experts to conduct reliability analysis resulted in the training syllabus of all courses included in the teaching rooms and the contents of a letter between the degree of internal order of 0.900,0.833,0.772,0.925,0.814,0.888,0.947,0.920; on various training courses teaching content with their own analysis of the correlation coefficient between, in addition to the first lesson teaching the content of 2,5,6 and the first lesson a correlation between the topics (P<0.05), the other teaching content and between their respective training courses for the Significantly correlated (P<0.01).Conclusions1.Hierarchical decision-making of nurses nursing qualification as follows:with competent using semi-framework qualification,5 years working experience in clinical nursing undergraduate or 6 years work experience of clinical nursing master.2.The training curriculum for the Grading nursing have a total of seven classes, including 23 teaching content, the next minute 48 entries. The purpose of each course requirements and teaching contents are composed of two parts. The curriculum followed is the latest classification care system-"General Hospital Guiding Principles of Nursing classification", classification based on evaluation methods, nursing, medical and nursing interrogation room common diseases,drug knowledge and disease risk factors, assessment methods, the understanding of the clinical test results, nursing clinical decision making related to knowledge, examination courses.