护士长对高等教育组织能力的看法：对护理教育政策的影响
Nurse leader perspectives of organisational capacity for higher education: implications for nursing education policy.
作者信息
Mudzi Patricia Y, Mabizela Sfiso, Bruce Judith
机构信息
Department of Nursing Education, School of Therapeutic Sciences, University of the Witwatersrand, 7 York Road, Johannesburg, South Africa.
Centre for Health Science Education, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
出版信息
BMC Nurs. 2025 Jun 4;24(1):637. doi: 10.1186/s12912-025-03312-5.
BACKGROUND
The location of nursing education in higher education is a global change initiative that intends to achieve an improved, highly qualified nursing workforce to enhance professional status in line with other health professions. Organisational capacity has become an emerging research interest and a critical success factor in change initiatives as nursing colleges strive to align with international trends and national accreditation standards. The aim of the study was to determine nurse leaders' perspectives on the capacity of public nursing colleges for programme accreditation against higher education criteria and standards.
METHODS
A descriptive cross-sectional survey design was used. Data were collected from 88 nurse leaders in urban, rural, and mixed provincial nursing colleges across three South African provinces using the Higher Education Diagnostic Indicator of Readiness and Capacity to Change scale. Descriptive statistics, confirmatory factor analysis, and inter-item reliability were applied in data analysis and instrument testing.
RESULTS
Organisational diagnostics revealed weaknesses in human resources, technology, infrastructure, and research capacity amid well-grounded strategies for student recruitment and teaching and learning, and appropriate staff qualifications and experience. Staff shortages, research limitations, inadequate infrastructure, including outdated facilities and limited information technology resources were prevalent, falling below higher education standards.
CONCLUSION
Diagnosing organisational capacity for change provides an empirical basis for a deeper understanding of the status of nursing colleges as functional higher education organisations. The perspectives of nurse leaders highlight critical areas to be addressed, which include key policy pillars for staffing, infrastructure resources, and ongoing professional development. Strengthening policy support for nursing college education is crucial for producing highly skilled nurses capable of meeting the evolving demands of modern healthcare systems.
CLINICAL TRIAL NUMBER
Not applicable.
背景
高等教育中护理教育的定位是一项全球变革举措，旨在打造一支素质更高、资质更优的护理人员队伍，以提升护理专业与其他健康专业相当的职业地位。随着护理学院努力与国际趋势和国家认证标准接轨，组织能力已成为变革举措中一个新出现的研究关注点和关键成功因素。本研究的目的是确定护士领导者对于公立护理学院依据高等教育标准进行项目认证的能力的看法。
方法
采用描述性横断面调查设计。通过使用《高等教育变革准备度和能力诊断指标》量表，从南非三个省份城市、农村和混合型省级护理学院的88名护士领导者那里收集数据。在数据分析和工具测试中应用了描述性统计、验证性因素分析和项目间信度分析。
结果
组织诊断显示，在学生招募、教学以及员工资质和经验方面有合理策略的情况下，人力资源、技术、基础设施和研究能力仍存在不足。人员短缺、研究受限、基础设施不足（包括设施陈旧和信息技术资源有限）普遍存在，未达到高等教育标准。
结论
诊断组织变革能力为更深入了解护理学院作为功能性高等教育机构的状况提供了实证依据。护士领导者的看法突出了需要解决的关键领域，包括人员配备、基础设施资源和持续专业发展的关键政策支柱。加强对护理学院教育的政策支持对于培养能够满足现代医疗系统不断变化需求的高技能护士至关重要。
临床试验编号
不适用。
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