Influencing Factors Of Core Competence Of The Nursing Graduates As New Recruits

Objectives: 1.To examine the baccalaureate nursing graduate's competency status and related influential factors in Shan Xi Province.2.To provide theoretical and clinical practice material for hospitals determining the next step in the implementation of the standardized training for new nurses 3.To explore effective methods of improving undergraduate nursing students' competency in nursing education.Methods: In this study,the core competency of nursing undergraduates was evaluated by the combination of qualitative and quantitative methods in three provincial tertiary h ospitals in Shanxi province.A total of 808 undergraduates graduated from three medical institutions in Sha nxi province(designated A,B and C)were surveyed from July 2013 to July 2015.The questionnaire includes general information,"China Registered Nurse Core Com petence Scale"(attached to the specific content)and 2-3 open questions.For the qu antitative data,SPSS 17.0 statistical software is used for statistical description,vari ance analysis,T test and multiple step wise regression analysis.Results: 1The status of baccalaureate nursing graduates' competency and influential factors.1.1 The status of baccalaureate nursing graduates' competency.The overall average score of self-assessment is2.96±0.45.The highest score for th e subscales was Teaching content organization ability and the lowest was the concept of critical thinking ability.The overall average score assessed by their employers is 2.75±0.43.The highest score for the subscales was research ability and the lowest was communication skills.1.2 The comparison of self-assessment and employers' assessment The paired t-test showed that the overall average nursing competency in self-asses sment was significantly higher than that calculated by employers' assessment(P<0.05).The differences between the results of these two types of assess ment were also perfectly significant in four subscales(Clinical practice ability,disease management ability,communication ability,clinical teaching ability,learning ability,c ritical thinking ability)(P<0.05)while no significant differences were found in the re st subscale(Clinical research ability)(P>0.05)1.3 The influential factors of baccalaureate nursing graduates' competency.The multiple stepwise regression analysis showed that: the main factors that infl uence the core competency are: whether playing a crucial role in designing and con ducting research subjects;positions in the work;attitude and emotion towards work;ability of initiated learning and professional nursing skills.The 5 predictors above can account for 36.5% of the variance.2 Feedback of the open-ended questions 2.1 Abilities need to be enhanced From the results of the open-ended question “Which abilities do you need to be qualified for the current job?”,two main themes were extracted: communication skillsandpsychological quality.2.2 Advices for the baccalaureate nursing education From the results of the open-ended question “What are your advices or the suggestions about the teaching methods and teaching contents in baccalaureate nursing education?”,one main theme was extracted: students hope participate the clinical practice/novitiate earlier.Conclusions: 1.Current Situation and Main Influencing Factors of Core Competence of Nursing Graduates in Shanxi Province.The core competencies of nursing undergraduates are at the upper level.The main influencing factors of core competence are autonomous learning ability,whether they have participated in scientific research topics,duties and professional attitudes,and whether they are specialist nurses,among which the predictability of autonomous learning ability is the best.core competence and the rank of graduation school have less impact.2.Effects of the long term baccalaureate nursing education The baccalaureate nursing education had positive effects on their graduate students.The college A had advantages over college B and C in cultivatin students' critical thinking/research aptitude and teaching/coaching.3.Advices for improving nursing competency in baccalaureate nursing education3.1 C ultivating objectives We suggest nursing colleges strengthen the abilities of interpersonal relationship and critical thinking of the students according cultivating objectives of the undergraduate nursing students and the demands of the employers.3.2 Teaching strategy(1)Training of nurses in school A should strengthen the communication ability and critical thinking ability;(2)Training of nurses in school B should strengthen clinical practice ability and communication ability;(3)Training of nurses in school C should streng then clinical research ability and clinical teaching ability.4.Training of nursing undergraduates should pay attention to: 4.1Expertise: consolidating and reviewing theoretical knowledge,reading the new literature materials of the field,To be capable of writing basic academic papers independently;to be capable of teaching the nursing students in the department;to be capable of critical and logical thinking in clinical nursing work and of solving problems 4.2Professional skill: Mastering the basic nursing professional skills in the department;cooperating with the doctor to complete the rescue work,providing personalized and humanized service for patients according to nursing programs independently;,correctly writing caring records,and quality control of the nursing records.