Key nursing skills necessary for nursing college graduates and its importance

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1 , pp Key nursing skills necessary for nursing college graduates and its importance Mi-Ran Kim College of Nursing, Konyang University, Abstract. This study is a collective analysis of data obtained from the Korean Nursing Association, the nursing societies of hospitals, the graduates hospital of employment regarding basic nursing practices, and the graduates academic records, for the identification of key nursing skills necessary for nursing college graduates and to evaluate its importance and perception. A survey was conducted on the entire 43 graduating 4th-year students of K Nursing College in the city of D and on 150 nurses at the K University Hospital from September 20, 2010 to November 30, Based on the literature and materials of study results, a of 8 key nursing skills were identified: 1) vital signs, 2) intravenous injection, 3) intramuscular injection, 4) urethral catheterization, 5) aspiration nursing, 6) oxygen therapy, 7) enema, 8) gavage. Key words: Nursing Student, Nursing Competency, Education 1 Introduction The key competencies of new nurses were defined by the Korean Nursing Education Evaluation as the necessary knowledge, decision-making, skills, or even the strength required to perform an activity or task by a new nurse employed at a medical institution after the process of graduating from a nursing college and having attained a nursing license (Ko et al., 2013). The defining of the key competency of nursing graduates could become a measure for an evaluation of the educational department and a factor of external competition, so in order to strengthen the key skills that integrate knowledge, skills, and attitude, a systematic development of the educational curriculum is needed, which shall be applicable in both national and foreign institutions. Following, to improve the clinical practice adaptability of graduates and to train field-experts fit for working for on-site care, it is expected that key competency enforcement programs for the improving of clinical practice skill will be developed. In this study, for the development of a custom key nursing skill set for nursing graduates, a collective analysis of data obtained from the Korean Nursing Association, the nursing societies of hospitals, the graduates hospital of employment regarding basic nursing practices, and the graduates academic records, for the defining of key nursing skills. Following, the needs for hands-on training and the importance of key nursing skills for nursing college graduates and hospital nurses were recognized for establishment. ISSN: ASTL Copyright 2015 SERSC

2 2 Method 2.1 Study design This study is a methodological research for the identification of key nursing skill abilities and its importance to be fostered by nursing college graduates for nursing education. 2.2 Sampling and data collection Data and materials obtained from the Korean Nursing Association, the nursing societies of hospitals, the graduates hospital of employment regarding basic nursing practices, and the graduates academic records were analyzed, and a survey was conducted on the entire 43 graduating 4th-year nursing students of K Nursing College in the city of D and on 150 nurses, excluding newly employed nurses, at the K University Hospital from September 20, 2010 to November 30, Data analysis A content analysis of literature was done to define the key nursing skill set expected from a nursing college graduate, and the mean and standard deviation was used to evaluate the demand for hands-on training and the importance of nursing skills for the 4th-year nursing students and the hospital nurses. 3 Results The most common types of practices or skills carried out by the nursing students at the university were found to be vital sign, nutrition (gavage), personal hygiene, bowel movement (enema, colostomy nursing), urination (artificial catheter). The most common skills for academic materials were vital sign, physical examination, oxygen therapy, aspiration nursing, and CPCR. For the Korean Nursing Association data, the skills identified through the hospital nursing society s new nurse educational checklist were vital sign, injection (oral medication, intravenous injection), oxygen therapy (nasal cannula, oxygen mask), aspiration nursing, and the skills from the general hospital documents were vital sign, hygiene care, and oral medication. On other related studies, Byun et al. (2003) found that high incidence of skill sets used in the study were blood transfusion, intravenous injection, oral medication, surgery, and infection control, and Han (2007) found that the skills demanding frequent practical training were circulatory machines, Copyright 2015 SERSC 13

3 operational nursing, water-electrolysis, and medication administration. The comparative analysis and survey results of the skill set training needs of nursing students are as follows (Table 1, 2). Table 1. Demand for basic nursing practice education of 4 th -year nursing students. (N=43) IV 4.79± urethral catheter 4.65± blood transfusion 4.65± catheter, simple 4.47± enema 4.30± suction method 4.19± gavage 4.16± IM 4.09± SC 4.07± ID 3.95± oxygen therapy (Venturi mask) 3.40± oxygen therapy (Nasal cannula) 3.40± vital sign 2.56± Table 2. Importance of clinical basic nursing skills of 4 th -year nursing students (N=43) IV 4.95± blood transfusion 4.72± urethral catheter 4.67± IM 4.53± suction method 4.49± catheter, simple 4.49± enema 4.40± gavage 4.33± Copyright 2015 SERSC

4 SC 4.00± ID 4.00± oxygen therapy (Nasal cannula) 3.93± oxygen therapy (Venturi mask) 3.91± vital sign 3.86± On the other hand, the study results on the skill set training needs of hospitalemployed clinical nurses are as follows (Table 3, 4). Table 3. Basic nursing practice education needs of clinical nurses (N=150) Urethral catheter 5.00± gavage 4.80± Suction method 4.80± Catheter, simple 4.80± Vital sign 4.80± IM 4.80± IV 4.80± ID 4.60± Blood transfusion 4.40± SC 4.40± enema 4.20± Oxygen therapy (Venturi mask) 4.00± Oxygen therapy (Nasal cannula) 3.80± Table 4. Importance of clinical basic nursing skills of clinical nurses (N=150) Urethral catheter 5.00± Copyright 2015 SERSC 15

5 IM 5.00± IV 5.00± Blood transfusion 4.80± gavage 4.80± Suction method 4.80± Catheter, simple 4.80± Vital sign 4.80± ID 4.80± Oxygen therapy (Venturi mask) 4.60± SC 4.60± enema 4.40± Oxygen therapy (Nasal cannula) 4.20± Final selection of skills based on literature and data Items such as 1) intravenous injection 2) intramuscular injection 3) intraderma injections 4) subcutaneous injection 5) Nasal cannula 6) Venturi mask 7) urethral catheter 8) simple catheter 9) vital sign 10) blood transfusion nursing 11) aspiration nursing 12) enema 13) gavage are expected items that are agreed. 4 Conclusion and Proposal Based on the literature and materials of study results, a of 8 key nursing skills were identified: 1) vital signs, 2) intravenous injection, 3) intramuscular injection, 4) urethral catheterization, 5) aspiration nursing, 6) oxygen therapy, 7) enema, 8) gavage. Reference 1. Ko, J. K., Chung, M. S., Choe, M. A., Park, Y. I., Bang, K. S., Kim, J. A., et al. (2013). Modeling of nursing competences for competency-based curriculum development. The Journal of Korean Academic Society of Nursing Education, 19(1), Jong-Im Kim, Nan-Young Lim, Keum-Sun Kim (2003) Development of Standard of Educational Equipment for Fundamental Nursing Practice in BSN Programs. J Korean Acad Fundam Nurs, 10(3), Copyright 2015 SERSC

6 3. Young-Soon Byeon, Nan-Young Lim, Kyu-Sook Kang, Myung-Sook Sung, Jong-Soon Won, Il-Sun Ko, Sung-Ok Chang, Hee-Jung Jang, Sun-Hee Yang, Hwa-Soon Kim (2003) Clinical Nursing Competency for New Graduate Nurses - A Grounded Theory Approach -. J Korean Acad Fundam Nurs, 10(1), Su jeong Han (2007) A Study on Clinical Competence and Education Needs of Hospital Nurses. J Korean Acad Nurs Admin, 13(3), Jung Tae Son et al (2008) Checklists in Fundamentals of Nursing.hyunmoonsa 281. Copyright 2015 SERSC 17