西部地区实习期护生护理核心能力现状的调查

An investigation and analysis of the core competency of nursing students during internship in west- ern China

目的了解西部地区实习期护生核心能力水平现状，为我国护理专业教育培养目标的修订及核心能力本位课程的研究提供依据。方法采用注册护士核心能力量表对380名护生进行问卷调查，并对结果进行分析。结果实习期护生的核心能力总分为（136．40±31．99）分，总均分为（2．36±0．51）分；各维度得分最高的是法律及伦理实践（2．88±0．57）分，得分最低的是批判性思维及科研能力（1．91±0．52）分，不同学历层次及是否第一志愿报考护理专业的护生，其核心能力水平的差异有统计学意义。结论实习期护生的核心能力总体处于中等偏低水平。护理教育者应转变护理教育观念，建立以专业能力结果为导向的教育模式。

Objective To explore core competency of nursing students during internship in western China,and to provide reference for the nursing education. Methods 380 nursing students during intern- ship were investigated with Competency Inventory for Registered Nurse （CIRN）. Results The total score of core competency of nursing students was （136.40±31.99） points,weighted mean scores of eight dimensions was （2.36±0.51）points;the highest mean score was the dimension of legal and ethical practice （2.88±0.57） points,and the lowest mean score was the dimension of critical thinking （1.91±0.52）points. There was sig- nificant difference of core competency in students with different education background and with varied first- choice profession. Conclusions The core competence of nursing students during internship remains at lower middle level. The nursing educators should shift their concept of nursing education to the new mode of professional competence orientation.