Overall Quality And Influence Factors Among The Nurses Of Hulunbuir City

【Background】As medical model and health awareness change,nursing is no longer merely care of disease or illness,and it should covered all kinds of health needs in physical, psychological,social,mental and environmental aspects.This brought about changes in nursing model and expansion of the role of nurses,and put forward higher requirements and challenges to the overall quality of nurses.A qualified nurse should not only have a comprehensive professional knowledge,high professional ethics,good psychological and physical qulities;but also have wisdom,knowledge,discretion and thinking ability.Imparting knowledge and skills is regarded as the main purpose in the traditional model of nursing education,but biology-psychology-society medical model give new meaning to nursing education,and the nursing profession is listed as one of professions that is short of talents.Hunlunbeier City is situated in the northern border,and the training of nurse lags behind other areas,so training more high-quality and comprehensive nursing personnel is in urgent need.Hunlunbeier Health School is identified to assume vocational education in nursing profession by Ministry of Education, Ministry of Health and other six ministries.In recent years,our school has been actively engaged in the reform of education thinking,education concepts,personnel training mode and curriculum choice,we also engaged in fostering high-quality nurses with comprehensive professional abilities and overall quality in order to meet health institutions at all levels.However,with the development of medical science and technology,the body of knowledge about nursing subject is becoming more and more larger,and it leads to contradiction between limited teaching time and unlimited teaching content in traditional model of nursing education.How to resolve this contradiction is one important issues in reform of nursing education.In order to develop training objectives and promote teachers to improve their own knowledge systems,we conducted a survey and analysis on condition and influencing factors of overall quality in the nurses of Hunlunbeier City during the period from July to August in 2008 in order to provide scientific evidence for the reform of nursing education.【Objectives】The main objectives of this study is:1.Survey on condition and influencing factors of overall quality in the nurses of Hunlunbeier City,and provide basic data for developing training objectives of high-quality nurses.2.Analyze influencing factors of overall quality in the nurses of Hunlunbeier City,and provide scientific evidence for developing direction of nursing teaching reform.3.Based on study on condition and influencing factors of overall quality in the nurses of Hunlunbeier City,put forward proposals about educational reform in nursing school【Methods】This study used self-designed questionnaire to conduct study on condition and influencing factors of overall quality in the nurses of Hunlunbeier City during the period from July to August in 2008.A multi-stage random sampling method is used in this survey,first of all select 16 hospitals by random cluster sampling method,and then enrolle 60 nursing staff into sample by systematic random sampling method in each selected hospitals.Investigators by training conduct a survey according to self-designed questionnaire by face-to-face interview.Survey mainly include:ideology,professional ethics, professional skills,psychological qualities,working ability,overall quality of humanities and so on.941 questionnaires are valid of 960 questionnaires collected,and the response rate is 98.02%.The original data was coded and entered into the computer,using EXCEL to build up a database,then using SPSS11.5 to conduct statistical analysis.【Results】The results show that the overall quality of nurses in Hulunbeir is graded as fine, medium or poor,account for 42.3%,41.2%and 20.4%,respectively,this suggesting that the overall quality of nurses in Hulunbeir is slightly low.The overall quality of nurses include six entries,such as ideology,professional ethics,professional skills, psychological qualities,working ability and overall quality of humanities,the number of excellent scores in each entries account for 37.7%,71.1%,15.5%,25.2%,24.3%,12.9%, respectively,this suggesting that the nurses scored high in ideology and professional ethics,but scored lower in professional skills and overall quality of humanities.The overall quality of humanities of nurses in our city is relatively low,which is in line with other studies in our country.Nurses in Hulunbeir had the lowest score in the aspects of professional skills and overall quality of humanities,if we combined the grades of excellent and good,the results will be 43.8%in professional skill and 46.5%in overall quality of humanities.In the aspects of professional skills,excellent and good rate is the lowest(53.0%)in ward coordination and patient management ability,followed by the reform and innovation ability(54.0%).In the aspects of overall quality of humanities,there are eight measurement indicators:self-confidence,language performance,interpersonal communication skills,social adaptability,computer applications,English proficiency, educating and teaching ability and literature retrieval ability,of which the three lowest rates of fine are literature retrieval ability(28.3%),educating and teaching ability(32.9%) and English proficiency(34.2%).These results suggest that practical abilities and innovation awareness in professional skills of nurses in Hulunbeir is poor.In the overall quality of the humanities of nurses in Hulunbeir,literature retrieval ability,educating and teaching ability and English proficiency is poor.We make a multiple linear stepwise regression analysis on the factors influencing the overall quality of nurses in Hulunbeir,which showed that the level of the hospital,the title level,the length of service,and education level are the main influencing factors.The overall quality of nurses in the tertiary hospitals is higher than nurses in the secondary hospital,and longer the length of service is,higher the the title is,higher the education level is,the overall quality of the nurses is higher.【Conclusion】The above results suggest that professional skills and overall quality of humanities in the overall quality of nursing staff in Hulunbeir is poor,especially in the humanities and social sciences,foreign languages,computer applications,literature retrieval,etc. Therefore,in Hulunbeir nursing personnel training should focus on professional skills and overall quality of humanities,especially on comprehensive ability of humanities and social sciences,such as practical abilities,innovation and social adaptation,computer application ability,English proficiency,educating and teaching ability,literature retrieval ability.The conclusions is basically the same as the view of Li Xiuyun and Xu Rong. Therefore,when we train specialist nurses,the intensive training of foreign language, literature retrieval by computer and social science knowledge is necessary.