肿瘤方向护理硕士专业学位研究生临床实践培养模式的研究

发布时间：2018-05-18 15:09

本文选题：肿瘤 + 护理硕士专业学位　；参考：《山西医科大学》2017年硕士论文

【摘要】：目的:以岗位胜任力为理论依据,借鉴国外护理研究生的培养经验,参考住院医师、新入职护士的规范化培养,构建具有肿瘤护理特色的护理硕士专业学位研究生临床实践培养模式,明确肿瘤方向护理硕士专业学位研究生的培养目标,细化临床实践的内容与要求,培养与临床接轨的应用型护理硕士专业学位研究生,促进我国高层次肿瘤专科护士的培养和肿瘤专科的发展。方法:运用文献分析法并参考《实用肿瘤护理学》第二版(人民卫生出版社出版,主编闻曲),初步拟定肿瘤方向护理硕士专业学位研究生临床实践培养模式问卷,经过半结构访谈法,预调查对问卷的内容进行增减,修改措辞,形成第一轮专家函询问卷。选取在肿瘤医疗、护理教育、护理管理、临床护理领域有经验的25名专家进行两轮德尔菲(Delphi)函询,采用Excel 2016和SPSS 17.0软件进行统计分析,将两轮函询结果整合修改,最终形成肿瘤方向护理硕士专业学位研究生临床实践培养模式,并对培养模式的一、二级条目采用百分权重法和乘积法进行权重计算并分析。结果:1.本研究德尔菲法(Delphi法)共进行两轮,两轮发放问卷数分别为30份、25份,有效回收问卷数分别为25份、23份,专家积极系数分别为83.33%、92.00%,两轮咨询中共有27名专家给予建议及意见,专家积极程度较高。25名专家的学术水平系数为0.8880、判断依据系数为0.9160、熟悉程度系数为0.8440以及权威系数为0.8827,专家的权威程度较高。两轮函询总体Kendall'sω分别为0.215、0.247(P0.01),专家对各条目的认可程度较高;2.四个一级条目权重大小顺位排序分别为:实践方法(0.2532)、实践内容与要求(0.2532)、实践目标(0.2506)、考核评价(0.2429);15个2级条目的权重大小排在前5位的分别是:知识(0.0181)、技能(0.0177)、专科课程(0.0175)、病种护理及例数(0.0175)、操作技术及例数(0.0175);3.两轮问卷函询结束后,形成肿瘤方向护理硕士专业学位研究生临床实践培养模式,包含4个一级条目,15个二级条目,153个三级条目。结论:经过两轮专家函询,将专家建议与意见整理修改后,形成肿瘤方向护理硕士专业学位研究生临床实践培养模式,包含实践目标、实践方法、实践内容与要求和考核评价在内的4个一级条目,15个二级条目,153个三级条目,专家积极性较高,权威程度好,研究结果可靠。本研究成果已在我校护理硕士专业学位研究生的培养中实施,但由于初次实践,还需在后期实施中进行动态监测和调节。
[Abstract]:Objective: based on the theory of post competence, to learn from the training experience of foreign nursing graduate students, to refer to the standardized training of resident doctors and new nurses. The cultivation model of clinical practice of nursing master degree graduate students with characteristics of tumor nursing should be established, and the cultivation goal of nursing master degree graduate students in cancer direction should be clarified, and the contents and requirements of clinical practice should be refined. The cultivation of applied nursing master's degree, which is in line with clinical practice, promotes the cultivation of high-level oncology nurses and the development of oncology specialty in China. Methods: using the method of literature analysis and referring to the second edition of practical Cancer Nursing (published by people's Health Publishing House and editor-in-chief Wen qu), the questionnaire of clinical practice cultivation model for graduate students majoring in cancer direction nursing was preliminarily drawn up. After the semi-structured interview, the content of the questionnaire was added or decreased, the wording was revised, and the first round of questionnaire was formed. A total of 25 experts with experience in the field of cancer medicine, nursing education, nursing management and clinical nursing were selected to conduct two rounds of Delphi mail inquiry. The results of the two rounds of inquiry were analyzed by Excel 2016 and SPSS 17.0 software. Finally, the cultivation model of clinical practice was formed for the graduate students majoring in tumor direction nursing, and the weights of the first and second grade items were calculated and analyzed by the percentage weight method and the product method. The result is 1: 1. Two rounds of Delphi method were carried out in this study. The number of questionnaires sent out in the two rounds was 30 or 25, the number of valid questionnaires was 25 or 23, the positive coefficient of experts was 83.33 and 92.000.27 experts were consulted in the two rounds to give suggestions and opinions. The academic level coefficient of 25 experts is 0.8880, the judging basis coefficient is 0.9160, the familiarity coefficient is 0.8440 and the authority coefficient is 0.8827. The total Kendall's 蠅 of the two rounds of letters is 0. 215 / 0.247 / P0. 01 respectively, and the experts have a higher degree of approval of each item. The order of weight of the four first-level items is: practice method 0.2532, practice content and requirement 0.2532, practice goal 0.2506, assessment 0.2429; the weight of 15 second-level items in the top 5 are: knowledge 0.0181, skill 0.0177and specialized course. The nursing of the disease and the number of cases were 0.0175%, and the operation technique and the number of cases were 0.0175%. After two rounds of questionnaire, the clinical practice cultivation model of tumor direction nursing master degree graduate students was formed, which included 4 first grade items, 15 second grade items and 153 third grade items. Conclusion: after two rounds of experts' inquiry, the experts' suggestions and opinions were arranged and revised to form the clinical practice training model for the graduate students majoring in tumor direction nursing, including the practical objectives and methods. There are 4 first-level items, 15 second-level items and 153 third-level items, including practical contents, requirements and evaluation. The experts' enthusiasm is high, the degree of authority is good, and the research results are reliable. The results of this study have been carried out in the cultivation of nursing master's degree graduate students in our university, but because of the initial practice, it is necessary to carry out dynamic monitoring and adjustment in the later stage of implementation.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47-4;G643

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