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：（1）厘清急性期护理实务能力的核心内容与结构;（2）提炼理论知识与技能;（3）厘清护理管理者对护理实务的认知;（4）发展急性期护理实务能力训练方案。在3家综合医院的外科病房，使用基于参考文献综述创建的数据表，在手术后的急性期进行参与性研究。研究方法为质性内容分析、编码及分类程序。共提取出19个关于能力和熟练护理实践的类别。从围手术期护理和熟练临床实践的角度对这些类别进行了识别和表征。明确了急性期护理行为特征的支持、观察、解释、判断等3个层次（初级到熟练）。目的（3）在外科病房对7名护理管理者进行急性期护理胜任力的半结构式访谈。结果将急性期护理认知分为9类，分别解释了急性期护理工作能力、评估能力和基础能力。目的（2）（4）：将上述结果整合于在职培训教育计划中，以提高在职培训人员的专业化意识和能力水平结构。该计划包括基本的获取项目，获取阶段和教育策略。此外，这项研究的特点是大量的知识和经验，在临床实践中的基础上，人类的理解，规划自我评价使用护士档案袋。

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.