护理技能教学与护理临床实践差异性分析

Analysis on the differences between teaching of nursing skills and clinical nursing practice

目的:探讨五年制高职护理专业护理技能教学与临床护理实践的差异,并进行分析,提出促进护理技能教学贴近临床实践的可行性策略。方法:采用自编调查问卷,对三所五年制高职护理专业学校的250名护生进行横断面调查。结果:护理技能教学与临床护理在医嘱处理、铺备用床、分娩护理等19项常用护理技术比较差异有统计学意义(P<0.05);差异主要表现在操作场景、用物准备、护理对象、操作方法、操作步骤5个方面,其中操作场景、用物准备和护理对象差异较大。结论:目前护理技能教学与临床实践的差异较大,各项操作差异程度和差异环节不同;建议采取优化护理教师队伍建设、改革教学方法、加强临床教学基地建设、增加课间见习和集中见习、统一护理技术操作考核标准等举措,以促进护理技能教学贴近临床实践。

Objective：To probe into the differences between teaching of nursing skills and clinical nursing practice in five -year vocational nursing education in order to put forward feasible strategies to promote teaching of nursing skills which is more close to clinical nursing practice. Methods ： A self - designed questionnaire was used to conduct a cross - sectional survey on 250 five - year vocational nursing students of 3 advanced vocational ＆technical schools of health. Results ： There were statistically significant differences in the comparison of 19 items of nursing skills such as implementation of doctor＇s advice, bed - making, delivery care, etc. between teaching of nursing skills and clinical nursing practice （ P 〈 0.05 ） ; the differences were mainly manifested in the operating scene, materials preparation, nursing object, operation method and operation procedure. Conclusion：The differences between teaching of nursing skills and clinical practice are larger, the degree and aspect of the differences are different. The measures to promote teaching of nursing skills should be enhanced ,including optimizing teaching body, reforming teaching methods, strengthening the construction of clinical teaching base and unifying criteria of assessment in nursing technical operation.