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基于情境、投入、过程和产品评估模型的新生儿重症监护护理课程挑战:一项定性研究

Neonatal Intensive Care Nursing Curriculum Challenges based on Context, Input, Process, and Product Evaluation Model: A Qualitative Study.

作者信息

Ashghali-Farahani Mansoureh, Ghaffari Fatemeh, Hoseini-Esfidarjani Sara-Sadat, Hadian Zahra, Qomi Robabeh, Dargahi Helen

机构信息

Nursing Care Research Center and School of Nursing and Midwifery,University of Medical Sciences, Tehran, Iran.

Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran.

出版信息

Iran J Nurs Midwifery Res. 2018 Mar-Apr;23(2):111-118. doi: 10.4103/ijnmr.IJNMR_3_17.

Abstract

BACKGROUND

Weakness of curriculum development in nursing education results in lack of professional skills in graduates. This study was done on master's students in nursing to evaluate challenges of neonatal intensive care nursing curriculum based on context, input, process, and product (CIPP) evaluation model.

MATERIALS AND METHODS

This study was conducted with qualitative approach, which was completed according to the CIPP evaluation model. The study was conducted from May 2014 to April 2015. The research community included neonatal intensive care nursing master's students, the graduates, faculty members, neonatologists, nurses working in neonatal intensive care unit (NICU), and mothers of infants who were hospitalized in such wards. Purposeful sampling was applied.

RESULTS

The data analysis showed that there were two main categories: "inappropriate infrastructure" and "unknown duties," which influenced the context formation of NICU master's curriculum. The input was formed by five categories, including "biomedical approach," "incomprehensive curriculum," "lack of professional NICU nursing mentors," "inappropriate admission process of NICU students," and "lack of NICU skill labs." Three categories were extracted in the process, including "more emphasize on theoretical education," "the overlap of credits with each other and the inconsistency among the mentors," and "ineffective assessment." Finally, five categories were extracted in the product, including "preferring routine work instead of professional job," "tendency to leave the job," "clinical incompetency of graduates," "the conflict between graduates and nursing staff expectations," and "dissatisfaction of graduates."

CONCLUSIONS

Some changes are needed in NICU master's curriculum by considering the nursing experts' comments and evaluating the consequences of such program by them.

摘要

背景

护理教育中课程开发的薄弱导致毕业生缺乏专业技能。本研究针对护理学硕士研究生,基于背景、输入、过程和产品(CIPP)评估模型评估新生儿重症监护护理课程面临的挑战。

材料与方法

本研究采用定性研究方法,根据CIPP评估模型完成。研究于2014年5月至2015年4月进行。研究群体包括新生儿重症监护护理硕士研究生、毕业生、教师、新生儿科医生、在新生儿重症监护病房(NICU)工作的护士以及在这些病房住院婴儿的母亲。采用目的抽样法。

结果

数据分析显示有两个主要类别:“基础设施不当”和“职责不明”,这影响了NICU硕士课程的背景形成。输入由五个类别构成,包括“生物医学方法”“课程不全面”“缺乏专业的NICU护理导师”“NICU学生录取过程不当”以及“缺乏NICU技能实验室”。过程中提取出三个类别,包括“更强调理论教育”“学分相互重叠且导师之间不一致”以及“评估无效”。最后,产品中提取出五个类别,包括“倾向于常规工作而非专业工作”“有离职倾向”“毕业生临床能力不足”“毕业生与护理人员期望之间的冲突”以及“毕业生不满”。

结论

通过考虑护理专家的意见并由他们评估该项目的后果,NICU硕士课程需要做出一些改变。

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