Common Problems And Countermeasures Of Undergraduate Nurses In Clinical Nursing Practice

Objective:On the basis of the analysis of literature on common problems in clinical nursingpractice of the undergraduate nurses, through investigating and analyzing the problemsof the domestic undergraduate nurses in clinical nursing practice, knowing theachievements and deficiency of nursing undergraduate education in China in the past10years, exploring the methods and countermeasures to solve the problems, providing areference basis,in order to speed up the reform of nursing education, adjust the nursingundergraduate education curriculum, optimize personnel training students, andstrengthen humanistic quality education, find ing out the direction for training qualifiednursing talents who are suitable for clinical needs and people’s health demand.Methods:This research mainly adopts literature analysis and questionnaire survey, based onthe analysis of relevant undergraduate nurses clinical nursing practice at home andabroad on the basis of the common problems and countermeasures in the aspects ofliterature, the self-made questionnaire, and both five third rate of undergraduate nurses,nursing managers and hospital care peer study respectively, application SPSS17.0statistical software for data analysis.Results:1. In clinical nursing practice, nursing managers and peers agree thatundergraduate nurses consciousness of professional ethics, integrity and nursing ethicsconsciousness is stronger, solid professional theoretical knowledge;Undergraduate nurseI think in the consciousness of professional ethics, integrity, professionalism and teamconsciousness.At the same time, the nursing managers think undergraduate nurses in thescientific research ability, practical ability, team consciousness and the psychological quality is relatively weak, nursing colleagues for undergraduate nurse scientific researchability, practical ability, team consciousness and the professional spirit of evaluation islow, undergraduate nurse I think in the scientific research ability, innovationconsciousness, to improve foreign language level and management level.2. Differentsubjects of undergraduate nurses clinical nursing evaluation between the study foundthat the difference of the professional ethics, nursing ethics, integrity, dedication,problem solving skills, legal idea, the ability to adapt work, team consciousness, foreignlanguage level, computer level, innovation consciousness and practice ability in thedifference was statistically significant (P <0.05);Professional knowledge, languageexpression ability, self-learning ability, ability to communicate with patients, emergencyability, psychological quality, teaching ability, management level and the differences ofscientific research ability has no statistical significance (P>0.05).3. Using principalcomponent analysis (pca), through the KMO test, get KMO statistic is0.904, the partialcorrelation is very weak, very suitable for factor analysis. By Bartlett ball type test, P <0.001, also suitable for factor analysis. The rotation factor, characteristic value greaterthan1main component has5, its cumulative contribution rate of63.349%of totalvariance. Extraction of five principal components, respectively, F1, team consciousness,professional dedication, integrity awareness, legal idea, the beginning ability;F2:psychological quality, and patient communication skills, problem solving skills, abilityto adapt work, emergency ability, innovation consciousness;F3: nursing ethicsawareness and professional ethics;F4: scientific research ability, management level andteaching ability;F5: computer skills, foreign language level, language expression ability,self-learning ability, professional knowledge. In general, the first principal componentcontribution rate, the biggest one is the most value factors of evaluators.Conclusion:Undergraduate nurses in terms of team consciousness, spirit and psychologicalquality needs to be strengthened, the beginning ability, scientific research ability andinnovation consciousness, foreign language level and management level is stillrelatively weak. For undergraduate nurses is a common problem in clinical nursingpractice, put forward the strategy of three aspects: the undergraduate nurses themselves should strengthen self-cultivation, improve the overall quality; Hospital and themanagement shall formulate training plan, reasonable planning use; Nursing institutionsof higher learning should be combined with clinical needs, optimizing the curriculum.