Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Nurse Educ Pract. 2020 Mar;44:102778. doi: 10.1016/j.nepr.2020.102778. Epub 2020 Mar 24.
Today it is a growing challenge for nursing schools to prepare students with quality education to provide them with essential clinical skills to practice as graduates. A number of studies report that graduate nurses feel underprepared with adequate skill levels to perform in the real world of clinical practice. In Thailand, these matters are of great concern, hence this first-time study on the topic. We report on the qualitative phase of a larger mixed methods study. A qualitative descriptive approach was used with the sample, 12 nursing educators, 24 registered nurses, 24 new graduate nurses, and four members of the Thailand Nursing and Midwifery Council committee. The participants were purposely selected for 12 semi-structured focus group discussions, and 12 were later invited for in-depth interviews. Using content analysis, four skills themes were extracted: fundamental, health promotion and disease prevention, rehabilitation, and skills in specialty areas. These skill components can be used to inform the development of a framework of essential clinical skills of graduate nurses for generating nursing practice to ensure patient safety and quality of care. Furthermore, these components can inform training guidelines for nursing student practice activities in subjects and policies to support nursing students in practice.
如今，护理学校面临着一项日益严峻的挑战，那就是如何为学生提供高质量的教育，培养他们的基本临床技能，使他们能够在毕业后顺利执业。许多研究报告指出，应届毕业生在实际临床环境中感到自己的技能水平不足，无法胜任工作。在泰国，这些问题备受关注，因此这是首次对此进行研究。我们报告了一项更大的混合方法研究的定性阶段。采用定性描述方法，对 12 名护理教育工作者、24 名注册护士、24 名应届毕业生和泰国护理和助产委员会的 4 名成员进行了研究。这些参与者是通过有目的的选择参加了 12 次半结构化焦点小组讨论，随后又邀请了 12 人进行深入访谈。通过内容分析，提取出了四个技能主题：基础技能、促进健康和预防疾病、康复以及专业领域的技能。这些技能要素可以用于为应届毕业生的基本临床技能制定框架，以确保患者安全和护理质量。此外，这些要素还可以为护理学生在实践中的学科和政策培训指南提供信息，以支持护理学生的实践。
