護(hù)理本科生法律課程設(shè)置與法律知識需求的調(diào)查研究
發(fā)布時間：2018-08-18 10:42
【摘要】： 研究目的 通過對中外護(hù)理本科生法律課程設(shè)置的比較研究和我國護(hù)理本科生法律課程設(shè)置的理論研究,提出符合我國護(hù)理教育特色的護(hù)理專業(yè)本科生法律課程設(shè)置的整改方案,為培養(yǎng)具有法律知識的護(hù)理本科生提供基礎(chǔ)和保障。 通過對我國護(hù)理本科生法律知識認(rèn)知水平的調(diào)查分析和法律知識需求的調(diào)查研究,構(gòu)建滿足社會需求、規(guī)范合理的高等護(hù)理專業(yè)法律教科書的目錄提綱,為護(hù)理專業(yè)本科生法律教科書的出版提供依據(jù)和大綱。 研究對象 護(hù)理本科生法律課程設(shè)置的現(xiàn)狀:隨機(jī)選取我國七個地區(qū)的14所被中國教育部高教司收錄的護(hù)理本科院校及香港、澳門、臺灣4所公立大學(xué)護(hù)理學(xué)院的法律課程設(shè)置;隨機(jī)選取美國四大地區(qū)的8所經(jīng)過美國高等護(hù)理教育學(xué)會認(rèn)證的護(hù)理本科院校及德國、日本、英國、澳大利亞等發(fā)達(dá)國家8所重點(diǎn)大學(xué)護(hù)理學(xué)院的法律課程設(shè)置。 護(hù)理本科生法律課程設(shè)置的看法及建議,護(hù)理本科生法律知識的需求:選取中國協(xié)和醫(yī)科大學(xué)、中國人民解放軍第二軍醫(yī)大學(xué)、山西醫(yī)科大學(xué)3所大學(xué)最后一年進(jìn)入生產(chǎn)實(shí)習(xí)的護(hù)理本科生(簡稱“本科護(hù)生”)334人,其中女324人,男10人;平均年齡22歲;選取北京協(xié)和醫(yī)院、中國人民解放軍第二軍醫(yī)大學(xué)長海醫(yī)院、山西醫(yī)科大學(xué)第一醫(yī)院3所醫(yī)院臨床工作1年以上并取得護(hù)士執(zhí)業(yè)證書的護(hù)理本科生(簡稱“本科護(hù)士”)412人,其中女402人,男10人;平均年齡27歲。 研究方法 本課題采用文獻(xiàn)回顧法、問卷調(diào)查法等定性與定量分析相結(jié)合的方法進(jìn)行橫向比較研究,對中外護(hù)理本科生法律課程設(shè)置的現(xiàn)狀進(jìn)行現(xiàn)象學(xué)研究,對我國護(hù)理本科生法律課程設(shè)置及法律知識需求的看法進(jìn)行比較研究。 回收有效問卷,進(jìn)行統(tǒng)一編碼,將數(shù)據(jù)錄入計算機(jī),運(yùn)用SPSS 11.5 for Windows軟件進(jìn)行統(tǒng)計分析。統(tǒng)計方法有χ2檢驗(yàn),秩和檢驗(yàn),多選題分析。 研究結(jié)果 1.國內(nèi)外護(hù)理本科院校開設(shè)相關(guān)法律課程的名稱各不相同,開課時間大都在第1、2學(xué)年,為必修課。國外護(hù)理本科生法律課程的平均學(xué)時數(shù)為60.8個課時,主要授課方式是案例分析,即以實(shí)踐講授為主;我國護(hù)理本科生法律課程的平均學(xué)時數(shù)為24.4個課時,主要授課方式是課本講授與幻燈片講授,即以理論講授為主。我國70%以上的護(hù)理本科生認(rèn)為相關(guān)法律課程應(yīng)該設(shè)置為“必修課”,課程名稱應(yīng)該稱作“護(hù)理與法”,開課時間應(yīng)該在“第3學(xué)年”,學(xué)時數(shù)應(yīng)該“大于36個課時”,主要授課方式應(yīng)該是“案例分析”。 2.96%的護(hù)理本科生認(rèn)為護(hù)理立法“很重要”,“很需要”掌握相關(guān)的法律知識,對以前所學(xué)法律知識的掌握程度是“了解”,在臨床工作中“很少發(fā)生”護(hù)理差錯事故,當(dāng)發(fā)生差錯事故時“很少知道”怎么處理。本科護(hù)生比本科護(hù)士更加認(rèn)為護(hù)理立法很重要,本科護(hù)生比本科護(hù)士對法律知識的需求更強(qiáng)烈,本科護(hù)生比本科護(hù)士更容易發(fā)生護(hù)理差錯事故,本科護(hù)士比本科護(hù)生對法律知識的掌握程度更好,本科護(hù)士比本科護(hù)生更了解護(hù)理差錯事故的處理辦法。本科護(hù)生獲得相關(guān)法律知識的主要途徑是“學(xué)�！�,知識欠缺的主要原因是“法律課程安排不合理”。本科護(hù)士獲得相關(guān)法律知識的主要途徑是“自學(xué)”,知識欠缺的主要原因是“相關(guān)法律書籍不多”和“醫(yī)院繼續(xù)教育不夠”。 3. 80%的護(hù)理本科生認(rèn)為最需要的基礎(chǔ)法律知識是《勞動法和社會保障法》、《民法》、《婚姻家庭法和繼承法》。最需要的相關(guān)衛(wèi)生法律法規(guī)知識是《護(hù)士管理辦法》、《護(hù)理過失、護(hù)理糾紛》、《護(hù)理工作中病人權(quán)利侵犯與保護(hù)》、《護(hù)理操作規(guī)程》、《護(hù)士工作制度、護(hù)士職責(zé)》。最需要的國際相關(guān)法律知識是《國際護(hù)士會倫理法典》。 研究結(jié)論 1.初步提出我國護(hù)理本科生法律課程設(shè)置的整改方案:課程名稱“護(hù)理與法”,開課時間“第3學(xué)年”,開課形式“必修課”,學(xué)時數(shù)“大于36個學(xué)時”,主要授課方式“案例分析”。 2.建議不同階段我國護(hù)理本科生法律意識的培養(yǎng)模式為:“分段施教、梯度培訓(xùn)”,建議我國護(hù)理本科生法律課程的施教模式為:“CBR+PBL”教學(xué)(即“基于案例推理的問題式學(xué)習(xí)”);同時注重“校本培訓(xùn)”,發(fā)展具有“雙師”角色的護(hù)理專業(yè)法律師資。 3.初步提出我國護(hù)理本科生法律課程專用教科書的目錄提綱:①基礎(chǔ)法律知識:《勞動法和社會保障法》、《民法》、《婚姻家庭法和繼承法》、《訴訟法》、《知識產(chǎn)權(quán)法》、《憲法》、《刑法》;②相關(guān)衛(wèi)生法律法規(guī)知識:《護(hù)理過失、護(hù)理糾紛》、《護(hù)理操作規(guī)程》、《護(hù)士工作制度、護(hù)士職責(zé)》、《護(hù)理工作中病人權(quán)利侵犯與保護(hù)》、《護(hù)士管理辦法》、《醫(yī)療責(zé)任保險法》、《醫(yī)院感染管理辦法》、《臨床輸血技術(shù)規(guī)范》、《傳染病防治法》、《醫(yī)患法律關(guān)系》、《醫(yī)務(wù)人員醫(yī)德規(guī)范及實(shí)施辦法》、《消毒管理辦法》、《病例書寫基本規(guī)范》、《一次性使用無菌醫(yī)療器械監(jiān)督管理辦法》、《醫(yī)療事故處理?xiàng)l例》、《醫(yī)患雙方的權(quán)利和義務(wù)》、《舉證責(zé)任倒置》;③國際相關(guān)法律知識:《國際護(hù)士會倫理法典》、《美國護(hù)士學(xué)會護(hù)士守則》。
[Abstract]:research objective
Based on the comparative study of law courses offered by nursing undergraduates at home and abroad and the theoretical study of law courses offered by nursing undergraduates at home, a reform plan of law courses offered by nursing undergraduates in accordance with the characteristics of nursing education in China was put forward to provide the basis and guarantee for training nursing undergraduates with legal knowledge.
By investigating and analyzing the cognition level of law knowledge and the demand of law knowledge of nursing undergraduates in China, the catalogue outline of law textbooks for nursing undergraduates was constructed to meet the needs of society and to standardize and rationalize the contents of law textbooks for nursing undergraduates.
Research object
Current situation of law curriculum for nursing undergraduates: 14 nursing undergraduate colleges and universities enrolled by the Department of Higher Education of the Ministry of Education of China and 4 nursing schools of public universities in Hong Kong, Macao and Taiwan were randomly selected; 8 nursing books certified by the American Association of Higher Nursing Education in four major regions were randomly selected. The law courses offered in the nursing schools of 8 key universities in developed countries such as Germany, Japan, Britain and Australia.
The opinions and suggestions of law curriculum for undergraduate nursing students and the needs of law knowledge for undergraduate nursing students were as follows: 334 undergraduate nursing students (abbreviated as "undergraduate nursing students") were selected from China Union Medical University, the Second Military Medical University of the Chinese People's Liberation Army and three universities of Shanxi Medical University in their last year of production practice, including 324 women and 10 men. The average age was 22 years. 412 nursing undergraduates (abbreviated as "undergraduate nurses") who had worked for more than one year in three hospitals of the First Hospital of Shanxi Medical University, Changhai Hospital of the Second Military Medical University of the People's Liberation Army, Beijing Union Medical College Hospital, were selected, including 402 women and 10 men, with an average age of 27 years.
research method
In this study, the methods of literature review, questionnaire survey and other qualitative and quantitative analysis were used to conduct a horizontal comparative study. Phenomenological research was carried out on the current situation of law curriculum for nursing undergraduates at home and abroad, and a comparative study was conducted on the views of law curriculum and legal knowledge needs of nursing undergraduates in China.
The valid questionnaires were retrieved and uniformly encoded. The data were input into the computer and analyzed by SPSS 11.5 for Windows software. The statistical methods included_2 test, rank sum test and multiple choice analysis.
Research results
1. The names of relevant legal courses offered by nursing undergraduate colleges and universities at home and abroad are different, and the courses are mostly compulsory in the first and second academic years. More than 70% of nursing undergraduates in China believe that the relevant law courses should be set up as "compulsory courses". The title of the courses should be called "nursing and law". The teaching time should be in the "third school year" and the number of classes should be "more than 36 courses". The main way of teaching should be "case analysis".
2.96% of the nursing undergraduates thought that nursing legislation was "very important", "very necessary" to master the relevant legal knowledge, the degree of grasping the previous legal knowledge was "understanding". In clinical work, "very few" nursing errors occurred, and "very little" to know how to deal with them when the errors occurred. The undergraduate nursing students were more than the undergraduate nurses. Undergraduate nurses are more likely to have nursing errors than undergraduate nurses. Undergraduate nurses have a better grasp of legal knowledge than undergraduate nurses. Undergraduate nurses know better how to handle nursing errors than undergraduate nurses. The main way to acquire relevant legal knowledge is "school". The main reason for the lack of knowledge is "unreasonable arrangement of legal courses". The main way for undergraduate nurses to acquire relevant legal knowledge is "self-study". The main reason for the lack of knowledge is "lack of relevant legal books" and "insufficient continuing education in hospitals".
3.80% of nursing undergraduates thought that the basic legal knowledge they needed most was Labor Law and Social Security Law, Civil Law, Marriage and Family Law and Inheritance Law. The international legal system of the international nurses union is the most relevant international legal knowledge.
research conclusion
1. Preliminary proposals were put forward for the reform of the law curriculum for nursing undergraduates in China: the name of the course "Nursing and Law", the opening time of the course "the third academic year", the form of the course "compulsory course", the number of hours "more than 36 academic hours" and the main teaching method "case analysis".
2. It is suggested that the training mode of law consciousness of nursing undergraduates in different stages in China should be "teaching by stages and gradient training". It is suggested that the teaching mode of law course for nursing undergraduates in China should be "CBR + PBL" teaching (that is, "case-based reasoning problem-based learning"); at the same time, "school-based training" should be emphasized to develop nursing with the role of "double teachers". Professional law teachers.
3. A preliminary outline of the catalogue of the law textbooks for undergraduate nursing students in China was put forward as follows: (1) Basic legal knowledge: < Labor Law and Social Security Law,< Civil Law,< Marriage and Family Law and Inheritance Law,< Procedural Law,< Intellectual Property Law,< Constitution,< Criminal Law,>; (2) Related knowledge of health laws and regulations: < Nursing Fault, Nursing Dispute,< Nursing Operating Rules >. Nurse work system, nurse duty, infringement and protection of patients'rights in nursing work, management measures of nurses, medical liability insurance law, management measures of nosocomial infection, technical specifications of clinical blood transfusion, prevention and treatment of infectious diseases, legal relationship between doctors and patients, medical ethics norms and implementation methods of medical staff, disinfection management methods, and case writing Basic Specifications >, < Regulations on the Supervision and Management of Disposable Sterile Medical Devices >, < Regulations on the Handling of Medical Accidents >, < Rights and Duties of Doctors and Patients >, < Inversion of the Burden of Proof >; and < Code of Ethics of the International Nurses Association >, < Code of Nurses of the American Nurses Association >.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2008
【分類號】：R47-4
本文編號：2189219
[Abstract]:research objective
Based on the comparative study of law courses offered by nursing undergraduates at home and abroad and the theoretical study of law courses offered by nursing undergraduates at home, a reform plan of law courses offered by nursing undergraduates in accordance with the characteristics of nursing education in China was put forward to provide the basis and guarantee for training nursing undergraduates with legal knowledge.
By investigating and analyzing the cognition level of law knowledge and the demand of law knowledge of nursing undergraduates in China, the catalogue outline of law textbooks for nursing undergraduates was constructed to meet the needs of society and to standardize and rationalize the contents of law textbooks for nursing undergraduates.
Research object
Current situation of law curriculum for nursing undergraduates: 14 nursing undergraduate colleges and universities enrolled by the Department of Higher Education of the Ministry of Education of China and 4 nursing schools of public universities in Hong Kong, Macao and Taiwan were randomly selected; 8 nursing books certified by the American Association of Higher Nursing Education in four major regions were randomly selected. The law courses offered in the nursing schools of 8 key universities in developed countries such as Germany, Japan, Britain and Australia.
The opinions and suggestions of law curriculum for undergraduate nursing students and the needs of law knowledge for undergraduate nursing students were as follows: 334 undergraduate nursing students (abbreviated as "undergraduate nursing students") were selected from China Union Medical University, the Second Military Medical University of the Chinese People's Liberation Army and three universities of Shanxi Medical University in their last year of production practice, including 324 women and 10 men. The average age was 22 years. 412 nursing undergraduates (abbreviated as "undergraduate nurses") who had worked for more than one year in three hospitals of the First Hospital of Shanxi Medical University, Changhai Hospital of the Second Military Medical University of the People's Liberation Army, Beijing Union Medical College Hospital, were selected, including 402 women and 10 men, with an average age of 27 years.
research method
In this study, the methods of literature review, questionnaire survey and other qualitative and quantitative analysis were used to conduct a horizontal comparative study. Phenomenological research was carried out on the current situation of law curriculum for nursing undergraduates at home and abroad, and a comparative study was conducted on the views of law curriculum and legal knowledge needs of nursing undergraduates in China.
The valid questionnaires were retrieved and uniformly encoded. The data were input into the computer and analyzed by SPSS 11.5 for Windows software. The statistical methods included_2 test, rank sum test and multiple choice analysis.
Research results
1. The names of relevant legal courses offered by nursing undergraduate colleges and universities at home and abroad are different, and the courses are mostly compulsory in the first and second academic years. More than 70% of nursing undergraduates in China believe that the relevant law courses should be set up as "compulsory courses". The title of the courses should be called "nursing and law". The teaching time should be in the "third school year" and the number of classes should be "more than 36 courses". The main way of teaching should be "case analysis".
2.96% of the nursing undergraduates thought that nursing legislation was "very important", "very necessary" to master the relevant legal knowledge, the degree of grasping the previous legal knowledge was "understanding". In clinical work, "very few" nursing errors occurred, and "very little" to know how to deal with them when the errors occurred. The undergraduate nursing students were more than the undergraduate nurses. Undergraduate nurses are more likely to have nursing errors than undergraduate nurses. Undergraduate nurses have a better grasp of legal knowledge than undergraduate nurses. Undergraduate nurses know better how to handle nursing errors than undergraduate nurses. The main way to acquire relevant legal knowledge is "school". The main reason for the lack of knowledge is "unreasonable arrangement of legal courses". The main way for undergraduate nurses to acquire relevant legal knowledge is "self-study". The main reason for the lack of knowledge is "lack of relevant legal books" and "insufficient continuing education in hospitals".
3.80% of nursing undergraduates thought that the basic legal knowledge they needed most was Labor Law and Social Security Law, Civil Law, Marriage and Family Law and Inheritance Law. The international legal system of the international nurses union is the most relevant international legal knowledge.
research conclusion
1. Preliminary proposals were put forward for the reform of the law curriculum for nursing undergraduates in China: the name of the course "Nursing and Law", the opening time of the course "the third academic year", the form of the course "compulsory course", the number of hours "more than 36 academic hours" and the main teaching method "case analysis".
2. It is suggested that the training mode of law consciousness of nursing undergraduates in different stages in China should be "teaching by stages and gradient training". It is suggested that the teaching mode of law course for nursing undergraduates in China should be "CBR + PBL" teaching (that is, "case-based reasoning problem-based learning"); at the same time, "school-based training" should be emphasized to develop nursing with the role of "double teachers". Professional law teachers.
3. A preliminary outline of the catalogue of the law textbooks for undergraduate nursing students in China was put forward as follows: (1) Basic legal knowledge: < Labor Law and Social Security Law,< Civil Law,< Marriage and Family Law and Inheritance Law,< Procedural Law,< Intellectual Property Law,< Constitution,< Criminal Law,>; (2) Related knowledge of health laws and regulations: < Nursing Fault, Nursing Dispute,< Nursing Operating Rules >. Nurse work system, nurse duty, infringement and protection of patients'rights in nursing work, management measures of nurses, medical liability insurance law, management measures of nosocomial infection, technical specifications of clinical blood transfusion, prevention and treatment of infectious diseases, legal relationship between doctors and patients, medical ethics norms and implementation methods of medical staff, disinfection management methods, and case writing Basic Specifications >, < Regulations on the Supervision and Management of Disposable Sterile Medical Devices >, < Regulations on the Handling of Medical Accidents >, < Rights and Duties of Doctors and Patients >, < Inversion of the Burden of Proof >; and < Code of Ethics of the International Nurses Association >, < Code of Nurses of the American Nurses Association >.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2008
【分類號】：R47-4
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