确定护理专科硕士研究生临床能力的核心组成部分：一项描述性定性研究。
Determining core components of clinical competency for the students of master of nursing specialists: a descriptive qualitative study.
作者信息
Xu Huan, Dong Chaoqun, Lv Yijun, Yu Linwei
机构信息
College of Medical Humanities and Management, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Key Research Center of Philosophy and Social Sciences of Zhejiang Province (Institute of Medical Humanities), Wenzhou Medical University, Wenzhou, Zhejiang, China.
出版信息
BMC Med Educ. 2025 Mar 24;25(1):431. doi: 10.1186/s12909-025-06974-6.
BACKGROUND
It's widely acknowledged that students pursuing the Master of Nursing Specialist (MNS) degree must be equipped with adequate clinical competency to be qualified for clinical nursing practice. However, there is a lack of a clear definition for clinical competency and its primary components for MNS students. Hence, the purpose of this study is to explore and explain the clinical competencies of MNS students.
METHODS
Purposive sampling was employed to select participants to participate in the semi-structured interviews. This study was conducted in 7 Chinese hospitals with 21 individuals (13 MNS graduates and 8 nursing experts). The concepts were derived from content analysis after recording and transcribing the interviews.
RESULTS
For MNS students, the concept of clinical competency was multidimensional, with eleven main categories: evaluation and observation of the medical condition, prediction of disease progression, clinical operational skill, health education and health promotion, documentation of medical treatment and nursing records, communication and cooperation, administration, promotion of professional development, self-development, knowledge of law and ethics, and personal traits.
CONCLUSION
The present study examined the multifaceted nature of clinical competency for MNS students. Having a comprehensive understanding of its core components provides nursing educators with guidance in developing clinical competency training programs and enhancing the attainment of clinical competency among MNS students.
背景
人们普遍认为，攻读护理专科硕士学位（MNS）的学生必须具备足够的临床能力，才能胜任临床护理工作。然而，对于MNS学生的临床能力及其主要组成部分，目前尚无明确的定义。因此，本研究旨在探索和阐释MNS学生的临床能力。
方法
采用目的抽样法选取参与者参加半结构化访谈。本研究在7家中国医院开展，共有21人参与（13名MNS毕业生和8名护理专家）。通过对访谈进行录音和转录后，采用内容分析法得出相关概念。
结果
对于MNS学生而言，临床能力的概念是多维度的，主要包括11个类别：病情评估与观察、疾病进展预测、临床操作技能、健康教育与健康促进、医疗及护理记录文件、沟通与合作、管理、专业发展促进、自我发展、法律与伦理知识以及个人特质。
结论
本研究考察了MNS学生临床能力的多面性。全面了解其核心组成部分，可为护理教育工作者制定临床能力培训计划以及提高MNS学生的临床能力水平提供指导。
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