Carlisle C, Luker K A, Davies C, Stilwell J, Wilson R
Department of Nursing, University of Liverpool, Liverpool, England.
J Adv Nurs. 1999 May;29(5):1256-64. doi: 10.1046/j.1365-2648.1999.01011.x.
This paper reports on part of a national study conducted between 1994 and 1996, the overall aim of which was to examine the 'fitness for purpose' of the Project 2000 nursing education reforms. The study used multiple methods of data collection, including an individual and group interview study of nurse managers (n = 132) and a national survey of Project 2000 diplomates and traditionally prepared registered nurses (n = 5417). Findings in relation to the managers' expectations and experiences of diplomates are presented. This includes views on the level of skills achievement and skills acquisition of diploma level education. The qualities of the diplomates are discussed and this includes those areas where the skills of the diplomates are felt to achieve what is required of the role. Also included is an exploration of those skills which the managers felt fell short of expectations. Managers raised the long-standing concerns of clinical skills and competencies and discussed these in relation to the changing health care environment and the relative roles of other health care workers. The conclusions highlight the need to identify what could be seen as the 'core skills' required of a registered nurse and the need to explore the environment in which the diplomate takes up first appointment.
本文报告了1994年至1996年间开展的一项全国性研究的部分内容，该研究的总体目标是检验2000年项目护理教育改革的“适用性”。该研究采用了多种数据收集方法，包括对护士长进行的个人及小组访谈研究（n = 132），以及对2000年项目文凭持有者和传统培养的注册护士开展的全国性调查（n = 5417）。文中呈现了与护士长对文凭持有者的期望及体验相关的研究结果。这包括对文凭水平教育的技能成就水平和技能获取情况的看法。文中讨论了文凭持有者的素质，这包括那些被认为文凭持有者的技能达到了该角色要求的领域。还包括对那些护士长认为未达期望的技能的探讨。护士长们提出了对临床技能和能力的长期担忧，并结合不断变化的医疗环境以及其他医护人员的相关角色进行了讨论。结论强调了确定注册护士所需“核心技能”的必要性，以及探索文凭持有者首次任职环境的必要性。
