Kapborg I D, Berterö C M
Department of Nursing Science, School of Health Sciences, Jönköping University, Jönköping, Sweden.
Int Nurs Rev. 2009 Jun;56(2):222-9. doi: 10.1111/j.1466-7657.2008.00686.x.
The nurse's function, no matter the working area, is guided by ethical approaches, grounded in science and well-tried experiences, and has to be conducted according to national laws, statutes and instructions.
To survey newly graduated Swedish nurses' knowledge about current statutes and laws that govern their healthcare system.
A questionnaire was developed from facts in relevant statutes and laws presented and used in the nursing education programmes. Following a pilot study testing the items, a 20-item questionnaire, with mostly open-ended questions, was distributed to student nurses in the last semester of their nursing education programme before graduation.
One hundred and seventy-eight participants answered the questionnaire (response rate 59%). Only 29% of responses on all questions showed correct knowledge about the different statutes and laws that regulate their work as nurses. The best knowledge was found in the area of documentation (range 35-86%) and in the area of information (range 16-54%) on group scores.
This survey concerning novice nurses' knowledge about statutes and laws showed great deficiencies. It was surprising to find that, on existing demands regarding nurses delegating medical tasks, not a single respondent presented a correct answer. Evidence-based knowledge was difficult to recognize. Nurses will be more conscious of their own limitations and more prepared to meet the reality of practice if there is emphasis on relevant statutes and laws during their education.
无论工作领域如何,护士的职责都应以伦理方法为指导,这些方法以科学和经过充分验证的经验为基础,并且必须根据国家法律、法规和指示来执行。
调查瑞典新毕业护士对管理其医疗保健系统的现行法规和法律的了解情况。
根据护理教育课程中所呈现和使用的相关法规中的事实编制了一份问卷。在对问卷项目进行预试验后,一份包含20个项目、大多为开放式问题的问卷在护理教育课程最后一学期毕业前分发给学生护士。
178名参与者回答了问卷(回复率59%)。在所有问题上,只有29%的回答显示出对规范其护士工作的不同法规和法律有正确的了解。在文件记录领域(范围为35%-86%)和信息领域(范围为16%-54%)的小组得分中发现了解答情况最好的。
这项关于新手护士对法规和法律了解情况的调查显示出很大的不足。令人惊讶的是,在关于护士委托医疗任务的现有要求方面,没有一位受访者给出正确答案。循证知识难以识别。如果在护士教育期间强调相关法规和法律,他们将更清楚自己的局限性,并更准备好应对实际工作中的现实情况。