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      Improving the curriculum for a community nursing training program in Guangzhou City, China

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          Abstract

          In China, community nurses do not have systematic training, and the nursing education curriculum focuses on clinical nursing both in vocational school and high school. Most nurses work at a hospital, and almost all community nurses lack systematic knowledge about community nursing. A training program for community nurses in Guangzhou City has been conducted since 2003. The training curriculum has evolved over the years, but is not standardized. This article describes research on improving community nurses’ basic knowledge and practice skills. We modified the curriculum with a questionnaire and a modified Delphi method. First, 318 participating nurses and instructors were queried in December 2012. Then 22 experts modified the training program based on the results of the questionnaire and implementation since 2013. After 4 years, we followed up with the new participating nurses to evaluate the curriculum.

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          Training community psychiatric nurses for psychosocial intervention. Report of a pilot study.

          Community psychiatric nurses were trained to deliver psychosocial intervention to clients with a diagnosis of schizophrenia living at home with relatives. The training package consisted of family assessment, health education, and family stress management strategies. In a 'quasi-experimental' design, a sample of families (n = 54) were recruited to either a control or experimental condition and followed up for 12 months. A number of favourable outcomes were observed in the experimental group, including improvements in the client's target symptoms, personal functioning, and social adjustment. Relatives' satisfaction with services increased and reports of their own minor psychiatric morbidity improved.
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            The need for leadership and management training for community nurses: results of a Ugandan district health nurse survey.

            A joint Ugandan-American team conducted a nonrandom convenience survey of 14 Ugandan district health nurses from 12 of Uganda's 39 districts. The survey was designed to (a) identify what senior nursing personnel are actually doing in Ugandan districts, (b) determine whether these nurses believe that their nursing education prepared them for their roles, and (c) discover what these nurses believe should be added to the basic nursing curriculum to better prepare district nurses for their jobs. Supervision and general management made up the largest portion of the current district health nurse's actual and perceived roles. The nurses varied on how well their nursing education prepared them for their roles, but the majority voiced a need for further training in management skills. None of the nurses perceived herself to be a leader, and most displayed an inability to prioritize within their work settings.
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              A curriculum for nurses in Germany undertaking medically-delegated tasks in primary care.

              This paper is a report of a study conducted to develop a qualification for nurses in primary care based on the delegation of medical tasks in order to relieve general practitioners and to supply the population in rural regions today and in the future. Age-demographic changes will cause medical care supply problems, especially for older people, motivating a re-evaluation of the nursing role in ambulatory medical care. An intervention study was conducted in Germany between 1 January 2006 and 31 December 2007, comprising a theoretical and practical phase evaluated by participants, general practitioners and patients through questionnaires, reflection rounds and structured interviews during and after the practice phase. Participants and general practitioners rated the curriculum as relevant and useful. Nurses were motivated by the ability to be self-employed and the expansion of their scope of professional work general practitioners regarded medical duty delegation as workload relief. Patients positively evaluated nurse visits, comparing medical competence and conduct to that of a general practitioner's. The qualification is a promising approach to compensate for the imminent under-supply of primary care and allows maintenance a high standard of healthcare quality for rural areas of Germany and countries with similar structures. It supports doctors through task delegation, and offers an option for an advanced training for nurses.
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                Author and article information

                Contributors
                chenweiju@126.com
                Journal
                Public Health Nurs
                Public Health Nurs
                10.1111/(ISSN)1525-1446
                PHN
                Public Health Nursing (Boston, Mass.)
                John Wiley and Sons Inc. (Hoboken )
                0737-1209
                1525-1446
                19 December 2018
                Jan-Feb 2019
                : 36
                : 1 ( doiID: 10.1111/phn.2019.36.issue-1 )
                : 70-78
                Affiliations
                [ 1 ] Nursing Department, The First Affiliated Hospital Jinan University Guangzhou China
                Author notes
                [*] [* ] Correspond ence

                Weiju Chen, Nursing Department, The First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China.

                Email: chenweiju@ 123456126.com

                Author information
                http://orcid.org/0000-0001-9080-5360
                Article
                PHN12562
                10.1111/phn.12562
                7380011
                30569469
                48ee2657-7382-453e-a170-0bc0f649cfdf
                © 2018 The Authors. Public Health Nursing Published by Wiley Periodicals, Inc.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 14 December 2017
                : 02 October 2018
                : 02 October 2018
                Page count
                Figures: 0, Tables: 5, Pages: 9, Words: 9626
                Funding
                Funded by: Special Foundation for Discipline Construction of Jinan University , open-funder-registry 10.13039/501100004024;
                Award ID: 52702062
                Categories
                Special Features: Education
                Special Features
                Education
                Custom metadata
                2.0
                January/February 2019
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.5 mode:remove_FC converted:24.07.2020

                community‐based nursing,continuing education,curriculum

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