System Of Nursing Graduates Core Nursing Skills To Build

Background:Nursing skill is essential for nursing graduates to carry out nursing practice, which is of great importance for their career development. Nursing education is the main source for students to acquire the skills. Currently, with the development of medical technique, clinical nursing skills are undergoing great changes, which demands nursing education being kept up with so that graduates can meet the demand of nursing development. Therefore it is extremely urgent to optimize skills teaching. To determine nursing skills essential for baccalaureate graduates and to establish scientific nursing skill system is the first issue to resolve.Objective:To explore nursing skills essential for baccalaureate graduates, to construct system of core nursing skills.Methods:Delphi method is used to carry out the research; literature review and semi-structured interview are used to form the initial questionnaire.8 Interviewees of Pecking Union Medical College Hospital were interviewed.23 experts selected from expert reverves which was set up by ministry of health in 2002 involved education and clinic domain on a national scale are invited.2 rounds Delphi procedure were carried out. Item was selected using Selection rate. Those items whose selection rate were over 80% were determined as core nursing skills.Result:After two rounds of Delphi procedure, the opinion of experts appeared unanimous. The response rate was 79.3% at first round and 87% at second round. A result is obtained that the nursing graduates should be equipped with nursing skills including fundamental nursing skills,specialized nursing skills and severe acute care skills. In fundamental nursing field,14 aspects skills and 59 specific skills are involved; In severe acute care field,2 aspects skills and 6 specific skills are involved; In specialized nursing field,4 aspects skills and 19 specific skills are involved.Conclusion:core nursing skills system is formed which contains 3 first class items which are undamental nursing skills,specialized nursing skills and severe acute care skills,and 20 second class items and 84 third class items.