Research Report for Nursing Program
In an ever advancing age, we are all inevitably exposed to reports, which have become a new industry. So, what exactly is the right way to write a report? The following is my collection of research reports on the nursing profession, welcome to share.
Nursing professional research report 1
In order to respond positively to the school's arrangement of the teachers under the enterprise research this activity, our department actively organized, the professional in the form of a group, the combination of cultural and professional teachers, in the afternoon of June 12 to the second hospital of Zhongwei City, for a long time up to three hours of research. The main purpose is to improve the professional curriculum, strengthen the communication and cooperation between schools and enterprises, further research and demonstration of the profession, and examine the hospital's skill requirements and needs of talents.
The hospital staff received us warmly and attached great importance to this discussion. The hospital staff received us warmly and attached great importance to this discussion. Not only the experienced director of the nursing department but also the senior expert, President Zhu, participated in this activity. The discussion included: curriculum, apprenticeships, internships, and current difficulties encountered by substitute teachers. The following are the problems and suggestions:
I. Curriculum
1. The proportion of cultural courses is too large, and the hours of specialized courses are not enough. For example, "Fundamentals of Nursing" is the most core course of the specialty, in the future work throughout, fully mastered during the school, so it is necessary to increase the number of hours. Some cultural classes classes are not offered in the necessary hospitals pointed out that, such as "Mandarin", the first, most of the students engaged in this specialty work in the surrounding area or hometown, most of the use of the hometown language; second, the main and secondary to be clear, Mandarin everyone will speak, there is no need to be opened in the form of a class.
2, some professional courses are not applicable to secondary students, there is no need to open. For example, "Medical Chemistry", the course involves inorganic chemistry, but junior high school chemistry is not offered, so students understand the difficulty, and will combat learning enthusiasm. Health Laws and Regulations", it is good to learn related laws, but it is necessary to separate the key points and not to learn it as a course. Besides, the laws and regulations have intersections in Fundamentals of Nursing. Medical Ethics, and Nursing Psychology have intersections.
Second, apprenticeship, internship
Through apprenticeship, can consolidate and strengthen the theoretical knowledge and skills learned in the classroom, so that students are familiar with the hospital working environment and its functions as early as possible, to enhance perceptual understanding. Therefore, the classroom should be synchronized with the apprenticeship.
The difficulties encountered by the current substitute teachers
1, the patient is the main, the substitute for the complementary
Doctors and nurses to the patient as God, the hospital work first. Energy is limited, so, lesson plan writing, homework correction is somewhat difficult.
2, teaching equipment is limited, the classroom to pure theoretical indoctrination, is not a long-term solution
Medicine is an independent science, experimental, operable, strong. The long term operation of the school, to do a good job to do fine to improve the experimental equipment. The classroom to purely theoretical indoctrination will affect the quality of students. Nursing profession has medical so course, so at least 6 professional teachers are needed to support it. Teacher strength is an urgent problem to be solved.
Nursing research report 2Under the new situation, with the development of medical science, fierce market competition, the nursing work put forward higher requirements, and primary hospital nursing management in the fierce market competition, how to overcome the adverse effects of the objective factors, in the opportunities and challenges to keep pace with the needs of the times, is an important issue in front of our nursing managers. In recent years, our hospital adhere to the patient's rights as the center, and strive to improve their own all-round quality of work, so that the level of nursing management continues to improve, the patient's satisfaction gradually increased, nursing in the market competition to maintain a good momentum of development.
1, grasp the nurse training, play the role of nursing leader
Nurse that is the hospital's most basic managers, but also the highest managers of the nursing unit, to train and improve their ability to work, is to ensure that the nursing management of the effective basis, therefore, for the Ministry of Nursing, each nurse is important. In order to update the management of the status quo and the way in the new situation, the organization of their systematic study of modern nursing management knowledge, nursing quality control evaluation indicators, comprehensive familiarity with the various pointers of responsible management, to grasp the technical proficiency, planning and decision-making ability, problem-solving ability and departmental management ability training.
First, the role of the head nurse quality education, clear from the nurse to the head nurse, more than a responsibility, a pressure to enhance their sense of responsibility and sense of enterprise.
Secondly, for the new status quo of the head nurse, to take a variety of forms to improve their management ability and business level. Through the regular monthly meeting of the head nurse, regular mutual checkups, regular quality evaluation, out to visit, send out and invite in the training, training and learning back experience exchange, regular nursing summary meeting, etc., each other to complement each other's strengths, so that the new head nurse and in the work of the ideas less, dealing with the problem of skills lack of poor management ability of the head nurse from the inspired.
The good management of the department in the monthly meeting of the head nurse to give full affirmation and praise, not enough to give criticism and help. And the development of the head nurse performance appraisal form, strengthen the sense of responsibility, the contents of the monthly workbook of the head nurse to check the implementation and evaluation. And require the head nurse in the night room on the nursing work of each ward strengths and weaknesses in the summary. By grasping the management ability of the head nurse, to solve the nursing team in our hospital two more than one less than the deficiencies brought about by the low seniority nurses, more nurses employed, clinical experience of the nursing backbone less, the quality of care has been improved.
2, grasp the people-oriented management, pay attention to improve the internal quality of nursing staff
We say that the quality of talent determines the quality of service they provide. Without a high-quality nursing talent team, there is no high level of clinical care, and the quality of people is the fundamental factor in determining the quality of talent. We start from the quality of engineering construction, through the inflow of good personnel off, education and training off, standardization, normative management off, carried out the creation of patient satisfaction project activities to improve the nursing staff's sense of active service.
First, please full-time etiquette teacher classes, the quality of pre-service training of new nurses, nurses' professional image education.
The second is to service civilization norms video film as a blueprint, standardize service etiquette. From outpatient admission to hospitalization to discharge to develop a set of nursing civilization norms service model, and in the various departments between the nurses after the demonstration of service in the clinic.
Third, the establishment of a good first impression and thoughtful 'life care.
3, grasp the satisfaction of the service, improve the quality of nursing services
In the process of grasping the satisfaction of the service, focusing on strengthening the quality of service education, to carry out the "five one" (a warm smile, a cordial greeting, a warm love, a (a warm smile, a cordial greeting, a warm love, a careful care, a good technology) to become a star nurse pacesetter activities as the theme of quality service competition, nursing staff in-depth wards for patients to carry out health education and holistic care. Whether the patients get convenient, fast, comfortable, safe and satisfactory service is taken as the standard for selecting the advanced nursing team and excellent nurses. In 5. 12 International Nurses Day held "angel style" awards evening, for excellent nurses and star nurses awarded certificates and prizes, mobilized the whole hospital nursing staff work enthusiasm.
4, grasp the quality management, enhance the nursing staff quality awareness,
Quality is the eternal theme of the hospital, no good management, there is no good quality, the effective implementation of the rules and regulations, and constantly improve the quality of nursing care is a very important part of the management of the hospital. In order to ensure and improve the quality of care, in order to strengthen the implementation of rules and regulations on the basis of the development of a feasible comprehensive credit assessment of the implementation of the rules, and will be the quality of care inspection standards specific. In the implementation of quality assessment, through regular evaluation of the quality of nursing care in the department, we identify the factors affecting the quality, and in response to the existence of general problems, we have supplemented the quality assessment standards of the link, and formulated the standard nursing care plan for critically ill patients, and other quality assessment indexes. In the quality control, we put guidance in the first place, so that we can guide first and then check and control, and through the monitoring means of the second level checkup, we change the quality control standards at any time to check the problems in the quality control. Every month, we hold a meeting with the head nurse to evaluate the quality of nursing care according to the situation of nursing checkups. Quality control to each shift in the department, each nurse's position, so that each nursing staff responsible for their own work, the good aspects of the gap are very clear, so that the problems pointed out can be recognized and corrected in a timely manner. And the establishment of incentives and penalties to ensure the practicality and effectiveness of quality management, really make the quality of care to the implementation of the real.
5, grasp the hospital infection management, to prevent the occurrence of hospital infection
The development of medical science and the transformation of the medical model, hospital infections in hospital management occupies an important position. Hospital infection management constitutes an important part of the hospital management system, the hospital infection rate is to measure the quality of hospital health care is an important symbol. Strengthening the management of hospital nursing department is a key measure to prevent hospital infection. Nursing Department as part of this work in the usual hospital infection management work as a top priority to pay attention to:
1, a comprehensive on-the-job education of knowledge of hospital infections. Such as the newly employed nurses before the start of education, hospital nurses hospital infection lectures and end of the year for the theoretical examination, so as to achieve comprehensive education, popularization and improvement of the purpose.
2, strengthen the nursing operation standardization and the establishment of the corresponding monitoring management system.
3, the development of hospital infection management rules and regulations, strict sterilization and isolation system and quality control and bonus linked.
4, strengthen the monitoring and management of departments and key departments, monthly to the departments randomly sampling the relevant monitoring program, quality control of the management effect, so as to improve the quality of care to reduce the occurrence of hospital infections.
5, grasp the management of hired personnel, play the role of nursing main force
With the development of the hospital, the increase in the number of hired personnel, the hospital has strengthened the new hired nurses strict standards. Recruited from formal nursing schools, interviews and business quality assessment. Pre-service training as required during the probationary period. Such as military training professional ethics, code of conduct, rules and regulations, knowledge of nosocomial infections, commonly used technical operations, and combined with the specialties of moral, ability, diligence, performance of the comprehensive assessment, in order to ensure the quality of employment. In addition, the employment of paramilitary management, dedicated staff, uniform dress, team training, the establishment of evening roll-call, morning exercises, night check system, housekeeping rules and regulations system. Strengthen the management beyond eight hours, and according to the unstable nursing team in recent years, disorderly flow and other situations. For the hospital has a practicing certificate, work for three years of the employed staff for unemployment insurance, pension insurance and medical insurance, lifting the employment of nurses worries. Fully mobilize the enthusiasm, to ensure the improvement of nursing quality.
6, grasping nursing continuing education, improve the business level of nurses
The implementation of continuing nursing education, strengthen the post standardized training has become a comprehensive quality of nursing staff, promote the rapid development of nursing profession is an inevitable requirement, is the economy, fast, practical way of training personnel. Carried out a variety of forms of business learning and teaching room, take go out, please come in, monthly arrangements for the whole hospital nursing staff on the large class twice, sent to learn the nurses back to the whole hospital nurses to exchange learning and experience, one person learning to benefit everyone. In addition, in order to improve the effect of the teaching room, a departmental room to take the head nurse of each section scoring method to improve the quality of the teaching room. As there are many new nurses, the training of basic knowledge and basic skills has been strengthened, and the scores of the three basic theories and the nursing operation examination must reach more than 80 points for everyone. For the whole hospital to participate in the licensing examination nurses held a pre-test counseling class, achieved significant results. And actively encourage nursing staff to participate in a variety of nursing self-study and correspondence learning to improve their business quality and level.
7, grasp the standardization of teaching, improve the quality of internship
Clinical internship is the first step from the school to the hospital, the majority of nursing students for the first time in contact with the patient, the rusty, timid, afraid of the psychological obvious, which gives the clinical teaching increased a lot of workload.
First, we have strengthened the management of nursing students, and play the role of internship captain to take the lead, so that nursing students can manage themselves.
The second is to convene regular forums to listen to the views and suggestions of nursing students.
Thirdly, the specialists will lead the teaching, and the theoretical operation examination will be carried out when they leave the department. The Nursing Department regularly goes down to the department to check the implementation of the teaching program, to understand the progress of the program and its feasibility in time, to rectify and adjust the problems, to ensure the normal operation of the internship program, so that intern trainees mastered the basic knowledge and operational skills faster.
Over the past few years, in the face of the new situation of the market economy on the impact of small and medium-sized hospitals, to take a positive response. By strengthening nursing management, pay close attention to the quality of care, so that the hospital's nursing work more and more on a new level.
Nursing professional research report 3Nursing disputes can occur at any time in the nursing activities, the emergency department of the disputes occurring in most of the nursing negligence has nothing to do with, due to a variety of factors, but has not been able to be effectively avoided. The emergency department has 12 nursing staff, 7 nursing experience less than three years. Every day, it receives about 100 times of infusion patients, and rescues more than 3 patients with serious illnesses on average. The following precautions and countermeasures were summarized through the exploration:
First, common nursing disputes and safety hazards
1, infusion room, injection room common pitfalls are:
check system: treatment before, during and after the check is not all through the work, and generally can be done to check the pre-operation, the middle and after the check was not fully implemented, laying a hidden safety hazard. Implementation, buried the hidden danger of safety; individual infusion bottles appear on the double name, mostly occurring after receiving liquid without careful checking, will have been returned to the pharmacy of other people's medication was issued again, to the existing prescription written on the name, but carelessly did not cross out the original name;
nurse-patient communication: treatment and nursing care do not know how to care about people, "can not speak
2, emergency rescue work in the common disputes are:
patients into the emergency room due to the triage may produce disputes: medical personnel in the focus on the rescue of a critically ill patient slowed down other emergency patients; compound trauma or complex conditions difficult to identify a moment, so that it is difficult to quickly determine the admission of the department, the patient or family members will be anxious to think that the delay, or due to the patient, family members complained of inaccurate condition, or the patient, the patient's family members will not be accurate. The patient, family members complained of inaccurate condition caused by inaccurate pre-screening and diagnosis and see the wrong department, when changing departments to re-diagnosis and treatment, triggering dissatisfaction and disputes;
The patient's family members are not satisfied with the results of the first aid disputes may arise: the sudden trauma and disease caused by the death of a critically ill patient, although by the best efforts to rescue, due to the family's inability to accept the cold reality of the sudden and refused to withdraw from the rescue and cause disputes; because of The medical personnel work all day in a tense, busy state, when the patient or his family can not get a timely satisfactory answer to the questions, that the medical personnel numbness, indifference and disputes;
The patient or his family because of the incomplete record of the resuscitation of the dispute may arise: sometimes because the doctor issued a doctor's orders or write a record, the temporary omission of the process of resuscitation in the execution of the doctor's orders or resuscitation procedures; or nurses in the process of emergency rescue patients, the execution of the doctor's orders or the rescue procedures. Patients in the process, the implementation of the doctor's oral medical advice; or busy in the implementation of the medical advice, but after the treatment of medical advice omitted signature; or rescue records are not well written, the patient or his family mistakenly think that the omission of the treatment or delayed treatment, and disputes and so on.
Second, the prevention of nursing disputes and safety hazards countermeasures
1, strengthen the service consciousness in recent years for the emergency nursing team rejuvenation, new nurses weak service consciousness, lack of communication skills with patients and their families, in the work of the emergency is easy to cause tension between patients and nurses in the characteristics of the work of the key to strengthen the new section of the nurses to pass on, to help, to bring, to take the old with the new, to take the old with the new, to take the old with the old, to take the new, to take the old, to take the old, to take the new. Take the old to bring the new, to post on behalf of the training, new and old nurses in pairs and other forms, an old nurse at least to help one or two new nurses; at the same time, the use of nursing meetings to exchange work experience and skills to deal with nurse-patient relationship, so that all nurses recognize the importance of service attitude in the work of the Department of Emergency Medicine, from the ideas, concepts and actions to do everywhere for the sake of the patient. Often remind the nurses to think "differently", to carry out quality service competition activities, from the patients and their families from the immediate interests of the patient, and strive to understand the patients and their families to the anxious psychology and the urgent need to get diagnosis and treatment of the mood, so as to change the passive service for active service;
2, the strict implementation of the system for the individual nurse System awareness is not strong, the check is not strict, the implementation of critical patient resuscitation system is not complete, nursing paperwork records are not strict and other phenomena, and constantly strengthen the rules and regulations of learning and education, especially for individual nurses to focus on helping to enhance the implementation of the system of conscientiousness. From time to time, we check the implementation of the system, especially the checking and writing of nursing documents, and link it with the usual work assessment, so as to stimulate everyone to complete every nursing operation in strict accordance with the system. In order to ensure that the first aid items, equipment at any time in a spare state, and effectively do "four, three timely", that is, positioning placed, fixed person custody, fixed number, regular disinfection, timely inspection, timely replenishment, timely maintenance, in order to ensure that the rescue work is carried out smoothly;
3, to strengthen the recurrent management of the firmly establish "People-oriented, patient-centered" preventive management ideas, focusing on improving the usual nursing management, so that each link to meet the management standards. Often analyze the causes of nursing-related disputes in medical activities, explore their roots, develop feasible preventive measures, and dispute examples to cite one example, repeated education to prevent similar problems from recurring; reasonable scheduling of shifts, double holidays and evening emergency room patients increase this situation, the arrangement of the old nurses and head nurses to take the lead, to increase the intensity of the work, to reduce the hidden danger to the minimum;
4, enhance business skills in strict accordance with the Department of Nursing training program, combined with the nursing characteristics of this room, further refine the training content, targeted nursing knowledge learning and training of nurses' operational skills, so that the nurses are familiar with the key diseases rescue procedures, and the organization of regular simulation of rescue with the exercise; often organize business theory learning and business training, focusing on strengthening the new nurses 20 nursing technology operations The training of the proficiency of new nurses, mastering the operation of a variety of first aid equipment, improve the overall level of care; for outpatients mobility, uncertainty, short contact time, language communication requirements and other characteristics, to strengthen the nurses and patients and their families to learn the ability to communicate to strengthen the ability to prevent a variety of nurse-patient disputes.
Three, summary
Through the above countermeasures, nursing disputes have been significantly reduced. All nurses to establish a "nursing disputes prevention-oriented" awareness, prevention is better than cure. And once it happens, both nurses and patients should remain calm and restrained, avoid impulsive and aggressive behavior, so as not to aggravate the conflict and hinder the solution of the problem. Nursing staff should be more in line with the attitude of seeking truth from facts, sincerely admit their own mistakes, the courage to take responsibility, and good at showing weakness in order to obtain understanding. Timely report to the relevant departments to take the necessary measures to achieve the ultimate goal of resolving the dispute.
Nursing Research Report 4First, the background of the research
With the rapid development of social and economic development, the emergence of new clinical knowledge and skills, the people's health needs are increasing, the number of nursing staff, quality of service and so on, put forward a higher demand. Nursing students graduated from secondary school are difficult to meet the new requirements of clinical development, so that the job market provides less and less jobs for secondary school graduates. Both secondary nursing students and their parents want to continue their education. Although there are more opportunities for secondary nursing students to continue their education, such as participating in the skills college entrance examination and the separate enrollment examination for higher vocational colleges and universities, the number of places is limited, and the number of students who can be promoted to higher vocational colleges and universities is relatively small. Five-year higher vocational education ("3 + 2" in the higher vocational segment training) that is, junior high school graduates in secondary school for three years, and then by the assessment of some or all of the higher vocational colleges and universities linked to further study for two years, after graduation to enjoy the three-year system of ordinary graduates of higher education, the same treatment of a mode of operation of higher vocational education. It realizes the communication between primary education, secondary education and higher education, and is an important initiative to promote higher vocational education and pull the healthy and sustainable development of secondary education. Hubei Provincial Department of Education in September 20xx issued Hubei middle and high vocational personnel training integration reform pilot notice [1]. In order to y implement the "five-year higher vocational education management in Hubei Province", in line with the in-depth industry, closely grasp the employer and student demand for the principle of this research, for higher vocational colleges and universities to open a five-year higher vocational nursing profession ("3 + 2" middle and higher vocational segmented cultivation) and the development of talent training programs to provide reference.
The basic situation of the research
(1) The content of the research
1. Define the current situation of the structure of talents in the field of clinical nursing at all levels of medical and healthcare institutions in Xiangyang, the status of the demand for talents, and the post of the practitioner's knowledge and ability and other aspects of the requirements.
2. To understand the knowledge and needs of middle-vocational nursing students and their parents for five-year higher vocational nursing ("3+2" middle-vocational and high-vocational segmented training) in Xiangyang City.
(2) Research Methods and Targets
Visiting: Visiting hospitals at all levels in Xiangyang City to understand the current situation of their development.
Questionnaire: Based on the literature search and under the guidance of experts in the nursing industry, a research questionnaire was designed to understand the current situation of the nursing talent structure of Xiangyang hospitals at all levels by filling out the questionnaires by the heads of nurses and human resources managers of hospitals in all departments; and to understand the demand for the five-year higher vocational nursing talent cultivation mode by distributing questionnaires to intermediate nursing students and their parents in Xiangyang and holding discussions.
Talks: Through in-depth talks with the head nurses and nursing backbones of hospital departments at all levels, we learn about the development status of today's nursing industry and the requirements for the knowledge structure, ability structure, quality structure, education, qualification certificates of talents in this industry, and solicit opinions or suggestions on the five-year higher vocational nursing talent cultivation mode.
(C) Research results and analysis
1. Analysis of the current situation and demand for nursing industry talent structure
According to the geographic distribution and economic development, respectively, three third-level hospitals, five second-level hospitals, and four first-level hospitals were extracted from Xiangyang City, and the research centered on the size of hospitals and staffing structure, talent demand and specifications, and so on. The research was conducted on the scale and staffing structure of hospitals, talent needs and specifications.
(1) The number of beds and the ratio of nurses to beds in hospitals at all levels
The above data show that the ratio of beds to nurses in tertiary hospitals and secondary hospitals in Xiangyang City is more than 1:0.5 and more than 1:0.4 respectively, which is higher than that in the Eleventh Five-Year Plan period, and the ratio of beds to nurses in first-class hospitals is still less than 1:0.4, which is still less than 1:1. Level 1 hospitals have not yet reached the minimum allocation standard of 1:0.4. The Ministry of Health pointed out in the "Outline of China's Nursing Career Development Plan (20xx-20xx)" that by 20xx, 100% of tertiary hospitals and secondary hospitals nationwide will have a bed-to-nurse ratio of no less than 1:0.8 and 1:0.6, respectively. Through interviews with hospital leaders and personnel departments, it is expected that in the next three years, tertiary hospitals will have to recruit an average of 0.08 college graduates for each bed, and secondary hospitals will have to recruit an average of 0.16 nurses per bed. hospitals will recruit an average of 0.08 nursing staff per bed, second-tier hospitals will recruit an average of 0.16 staff per bed, and first-tier hospitals will recruit an average of 0.12 staff per bed. So there is still a great demand for nursing professionals at all levels of hospitals in Xiangyang.
(2) Age and education structure of nurses in hospitals
The research shows that the proportion of nurses aged 20 to 30 is the highest in tertiary and secondary hospitals, and the proportion of nurses aged 41 to 50 is the highest in primary hospitals. In interviews with hospitals, it was learned that in the past 10 years, tertiary and secondary hospitals have recruited a greater number of new nursing staff and recruited nurses with a starting education level of college, while primary hospitals have recruited fewer or even had difficulty in recruiting new nurses in recent years.
(3) talent demand specifications
In today's tense doctor-patient relationship in the medical context, with the continuous development of medical and nursing technology, the quality of nursing staff to put forward higher requirements, through exchanges with industry experts summarized as follows:
Knowledge specifications: with the professional necessary humanities and social sciences knowledge; master the necessary basic medical knowledge and theories; the ability to understand the medical profession, and to understand the medical profession. The necessary basic medical knowledge and theory; master the basic theoretical knowledge and skills of common nursing and various specialized nursing; understand the new progress of nursing theory and technology.
Ability to specifications: have good communication and collaboration skills; have the ability to analyze and solve problems; have the ability to standardize the completion of commonly used nursing technical operations and specialized nursing technical operations; can carry out observation of common and frequent diseases, the application of nursing procedures for the implementation of the overall care of the nursing object; have the ability to deal with acute and critical illnesses and the ability to cooperate with the resuscitation of the patient; have the ability to develop a foundation for the direction of specialized nursing. The foundation of the direction of development of specialized nursing.
Qualifications: good professional ethics and professional discipline; a high degree of professionalism and rigorous work style; a sense of fair competition and healthy physical and mental qualities.
(4) Analysis of the demand for nursing personnel in hospitals
Comprehensive results of the above survey, it is not difficult to see that hospitals at all levels of nursing professionals have a greater demand for talent, especially the first-class hospitals do not meet the standards of the ratio of beds to nurses and the shortage of nurses positions is a serious problem. However, the starting education of nurses recruited by the second and third level hospitals are all junior colleges, especially the third level hospitals will gradually increase the proportion of nurses recruited with bachelor's and master's degrees. This results in very little employment space for secondary nursing students. It is necessary to make corresponding adjustments to the layout of nursing education, and vigorously develop five-year senior nursing education to meet the current needs of hospitals at all levels, to ensure the quality of nursing work, and to promote the development of nursing discipline.
2. Middle-vocational nursing students and their parents on the five-year higher vocational nursing ("3 + 2" middle and higher vocational segmented training) cognition and demand
Xiangyang City Nursing School in Xiangyang City, Hubei Province, Nanzhang County Vocational Education Center, Gucheng Vocational Education Center, the 20xx-20xx grade nursing students and their parents were selected for the research. Objects, each issued 200 questionnaires, recovered 186 student questionnaires, recovery rate of 93%, recovered 180 parent questionnaires, recovery rate of 90%.
(1) Intermediate nursing students research results and analysis
In recent years, the employment rate of intermediate nursing graduates is lower, and the employment pressure is greater. Through the survey of secondary nursing students, 60.22% of secondary nursing students said they were willing to accept the five-year higher vocational nursing ("3+2" secondary and higher vocational segmented training), and indicated that they hoped to improve their academic qualifications by continuing their studies and strive for better employment opportunities. Some surveys show that the inner learning expectations of secondary students are not low, in fact, they are eager to become successful and thirsty for achievements, sometimes just unclear learning goals. A small number of students are in a state of refusal or hesitation due to incomplete understanding of five-year higher vocational nursing education or anorexia.
(2) Parents' research results and analysis of secondary nursing students
80% of the students' parents in the survey said that they were willing to let their children accept the five-year higher vocational nursing ("3+2" secondary and higher vocational segmented training). Because most of the secondary nursing students come from rural or urban poor families, parents with low education, coupled with the current status quo of fewer children in the family, parents have a strong desire to see their children grow up. And five-year higher vocational nursing do not have to participate in the college entrance examination on the "helicopter" university to get a specialized diploma opportunities, so parents want their children to continue to study, upgrade their qualifications, to create better conditions for employment.
Comprehensive results of the above research, in the current employment situation of intermediate nursing students is extremely serious environment, both intermediate nursing students and parents of five-year higher vocational nursing ("3 + 2" intermediate and higher vocational segmented training) have high expectations and demand. At the same time, the opening of five-year higher vocational education is an important initiative to accelerate the construction of a modern vocational education system in Hubei Province and to establish and improve the management system of five-year higher vocational education.
Three, on the opening of five-year higher vocational nursing ("3 + 2" middle and higher vocational segment training) thinking and suggestions
(a) to do a good job of convergence of the training objectives
In order to effectively do a good job of the "3 + 2" middle and higher vocational segment training. "3 + 2" stage of articulation, it is crucial to distinguish the stage objectives. Middle and higher vocational training objectives, secondary education is to cultivate medium-skilled personnel, higher vocational training students to have a high degree of professionalism and high level, highlighting the "middle and higher vocational one, the ability to progress" talent cultivation model, and therefore should establish a scientific education evaluation mechanism and test standards.
(2) Ensure course articulation
Course articulation is the core and starting point for realizing the effective docking of middle and high vocational courses, which should achieve a state of organic combination of relatively independent courses, mutual undertakings, mutual division of labor, and no duplication of waste. In the nursing professional course structure articulation design to implement and follow the "intermediate for the foundation, higher vocational for the leading" principle.
The development of curriculum content, first of all, according to job requirements and student development to determine the curriculum, the development of the government, industry, schools and other perspectives, multi-level participation in the curriculum development system, followed by the organization of the middle and higher vocational colleges and universities together to prepare and vocational qualification standards connected with the five-year higher vocational nursing work-based process ("3 + 2"), the nursing profession is the most important part of the nursing profession, and the most important part of the nursing profession is the development of the nursing profession. "3+2" middle and higher vocational segmented training) teaching materials.
The implementation of education and teaching combines the students' professional experience and the law of cognitive development. Regular teaching seminars for teachers from secondary and higher vocational institutions are held to coordinate the curriculum and rationally and uniformly arrange the teaching plans and contents of each course. A three-dimensional linkage is adopted between the same parts of the middle and higher vocational levels for integration, i.e., the content learned and mastered at the middle vocational level is mainly reviewed at the higher vocational level. In the higher vocational stage, taking into account the characteristics of students who already have clinical practice experience, the case teaching, group discussion and other teaching methods, to solve the problem of overlapping content in the middle and higher vocational courses, the repetition of skills training.
(3) Establishing a quality monitoring and evaluation system
Setting up a teaching supervisor for the middle and higher vocational levels to comprehensively monitor the teaching process and quality management of teaching in the middle and higher vocational levels. The construction of the "334" teaching quality monitoring and guarantee system: three levels of guidance from the School-Enterprise Cooperation Council, the Health Industry Colleges and Universities Cooperation Working Committee, and the Nursing Specialty Cooperation and Construction Committee, three levels of management from the College, the School of Medicine, and the Nursing Research Office, and four levels of monitoring and evaluation from the industry, the enterprise, the school, and the students.
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