Explanation of Competency of Nursing Practice for Acute Stage Nursing and Development of a Continuing Education Program

本研究的目的有四个方面：(1)明确急性期护理实践能力和能力的核心内容和结构，(2)提取理论知识和技能，(3)明确护理管理者对护理实践的认识，(4)制定急性期护理实践能力培训计划。目的(1)：在3家综合医院的外科病房，利用参考文献创建的数据表，对手术后的急性期进行参与式研究。采用定性内容分析、编码和归类的方法对数据进行分析。共提炼出关于能力和熟练护理实践的19个类别。从围手术期护理和熟练掌握临床实践的角度对这些类别进行了识别和表征。目的(3)：在外科病房，对7名护理管理者进行关于急性期护理胜任力的半结构化访谈。结果显示，对急性期护理的认知分为9类，分别解释了急性期护理的工作能力、评估能力和基本能力。目的(2)(4)：将上述结果整合起来，应用于OJT教育项目。该计划包括基本获取项目、获取阶段和教育策略。此外，这项研究的特点是在人类理解的基础上，在临床实践中积累了大量的知识和经验，利用护士档案袋计划自我评估。

The purpose of this study was fourfold: (1) to clarify the core contents and structure of practice capability and ability in acute stage nursing, (2) to extract theoretical Knowledge and skills, (3) to clarify the recognition of nurse administrators about nursing practice, and (4) to develop of a practical capability training program of acute stage nursing.Purpose (1): In the surgical ward of 3 general hospitals, participatory research was conducted in the acute term after an operation using the data sheet created based on the reference review. Qualitative content analysis, the coding, and categorizing process was used to analyze the data. Nineteen categories about ability and proficient nursing practice were extracted. The categories were identified and characterized from the standpoint of perioperative nursing, and proficiency clinical practice. It was clarified that there are 3 levels (elementary to proficient) of behavior characteristics such as support, observation, explanation, and judgment.Purpose (3): In the surgical ward, Semi-structured interviews about competence for acute stage nursing with 7 nursing administrators were held. In the results, recognition for acute stage nursing was divided into 9 categories, which explained working ability, assessment ability, and fundamental ability of acute stage nursing. A process of 3 steps could improve the awareness of specialization and the ability level structure.Purpose (2)(4): The above results were integrated to enable utilization in an education program for OJT. The program consisted of fundamental acquirement items, phases of acquirement, and educational strategy. Moreover, this study was characterized by a great deal of knowledge and experience in clinical practice based on human understanding, planning self-evaluation using nurse portfolios.