CAJ | 학술논문

目的：探讨高等护理教育临床实习与学校教育的脱节问题，了解新毕业本科护士内心深处的真实体验，为制定有效的教育方案提供依据。方法采用质性研究中的焦点小组访谈法访谈12名新毕业本科护士。访谈提纲主要围绕高等护理教育与临床实践之间有无脱节，高校护理教育能否满足临床护理工作需求。结果新毕业本科护士对高校护理教育与临床岗位知识需求的脱节问题包括教学内容、教学方法、自我剖析与临床实习4个主题。教学内容理论与实践脱节：教科书滞后于临床，课程安排不合理；教学方法改革力度远不及预期所想：教师课堂教学渗透临床实践不足，教学方法创新宜同步模拟真实临床情境，学生自我剖析：综合能力薄弱，文献检索及论文撰写能力薄弱，对本专业所需要的素质依然迷茫，缺乏自主学习意识；临床实习理想与现实尚有距离：实习去向单一，希望以穿插式实践替代密集实习，期待临床带教老师多关注实习护士的精神需求与归属感需要。结论高等护理教育临床实习与学校教育的存在明显脱节。院校可通过完善课程安排，加强教学反馈，实践紧跟理论，改进教学方法，教师继续教育等措施改善临床与教学脱节问题。
목적：탐토고등호리교육림상실습여학교교육적탈절문제，료해신필업본과호사내심심처적진실체험，위제정유효적교육방안제공의거。방법채용질성연구중적초점소조방담법방담12명신필업본과호사。방담제강주요위요고등호리교육여림상실천지간유무탈절，고교호리교육능부만족림상호리공작수구。결과신필업본과호사대고교호리교육여림상강위지식수구적탈절문제포괄교학내용、교학방법、자아부석여림상실습4개주제。교학내용이론여실천탈절：교과서체후우림상，과정안배불합리；교학방법개혁력도원불급예기소상：교사과당교학삼투림상실천불족，교학방법창신의동보모의진실림상정경，학생자아부석：종합능력박약，문헌검색급논문찬사능력박약，대본전업소수요적소질의연미망，결핍자주학습의식；림상실습이상여현실상유거리：실습거향단일，희망이천삽식실천체대밀집실습，기대림상대교로사다관주실습호사적정신수구여귀속감수요。결론고등호리교육림상실습여학교교육적존재명현탈절。원교가통과완선과정안배，가강교학반궤，실천긴근이론，개진교학방법，교사계속교육등조시개선림상여교학탈절문제。
Objective To discuss the dissociation between clinical practice and school education in higher nursing education, to understand the feeling barrier of newly-graduated nurses, and to provide evidence for effective education plan. Methods The focus group interview of qualitative research method was adopted to interview 12 newly-graduated nurses and the data were analyzed by Giorgi phenomenological analysis approach. The outline of interview focused on whether there was dissociation between clinical practice and school education and whether school education could meet the requirement of clinical practice. ResuIts Emotional experience of newly-graduated nurses to the dissociation between clinical practice and school education in higher nursing education included four themes: content of teaching, teaching method, self-analysis and clinical practice. ConcIusion There is significant dissociation between clinical practice and school education in higher nursing education. Adjustment of course arrangement, more teaching feedback and practice proportion, updated teaching methods and more further education for teachers would strengthen the connection between clinical practice and school education in higher nursing education.