Hou Jianlin, Chen Shengyu, Sabharwal Sabhyta, Fan Victoria, Yan Minghui, Wang Weimin
Institute of Medical Education & National Center for Health Professions Education Development, Peking University, Beijing, 100083, China.
Health Human Resources Development Center, National Health Commission of the People's Republic of China, Beijing, 100097, China.
Int J Nurs Sci. 2018 Nov 13;6(1):111-116. doi: 10.1016/j.ijnss.2018.11.002. eCollection 2019 Jan 10.
Having the two largest nursing workforces across the globe, both China and the United States have implemented licensure examinations to standardize the qualifications of registered nurse. China established the National Nursing Licensure Examination (NNLE) in 1995. Like the National Council Licensure Examination for Registered Nurses (NCLEX-RN) in the United States, the NNLE has become an important link in the nurse registration process and contributed a lot in quality assurance and development of nursing profession. It may be necessary for the NNLE to learn from NCLEX-RN in several aspects, including increasing the frequency of exam, providing examinees with individualized services, and continuing reforming exam content and format. By better aligning the content and format of the examination with the current nursing paradigm and clinical requirements, nurses may enter the healthcare field better prepared to care for patients. Considering the magnitude of their nursing workforce, both China and the United States have great potential to serve as a role model for other developing countries as they look towards establishing national nursing education programs. As new policies around standardized nurse education in China take form, we urge that the NNLE be included alongside curricular reforms. As these reforms are implemented, continued research will be needed to evaluate the effectiveness of curriculum and licensure exam regulations upon nurse preparedness and quality of nursing care in China.
中国和美国拥有全球最大的两支护理队伍，两国都实施了执照考试以规范注册护士的资质。中国于1995年设立了全国护士执业资格考试（NNLE）。与美国的全国执业护士执照考试（NCLEX-RN）一样，NNLE已成为护士注册过程中的重要环节，并在护理专业的质量保证和发展方面做出了很大贡献。NNLE可能有必要在几个方面借鉴NCLEX-RN的经验，包括增加考试频率、为考生提供个性化服务，以及持续改革考试内容和形式。通过使考试内容和形式更好地与当前护理模式和临床要求相匹配，护士进入医疗保健领域时可能会为照顾患者做好更充分的准备。考虑到两国护理队伍的规模，中国和美国在其他发展中国家寻求建立国家护理教育项目时，都有很大的潜力成为榜样。随着中国围绕标准化护士教育的新政策成形，我们敦促将NNLE纳入课程改革之中。随着这些改革的实施，将需要持续进行研究，以评估课程和执照考试规定对中国护士准备情况和护理质量的有效性。
