Discussion on the application of training methods of nurses' core competence in nursing education: In the 20th century, nurses' core competence was gradually introduced into the field of nursing specialty in China. In February, 2003, the Ministry of Education and the Ministry of Health jointly issued the "Guidance Program for Training Skilled Talents of Three-year Higher Vocational Nursing Specialty", which put forward the core competence of nurses in China for the first time. Strengthening the cultivation of foreign-related nursing undergraduates' core competence can be achieved by establishing the connotation of nurses' core competence, reforming the training scheme and curriculum, and adopting reasonable evaluation methods. Promote them to be competent as clinical nurses.

1, defining the connotation of nurses' core competence;

Nurse's core competence is the most important competence area that nursing education should pay attention to, and it is also the competence that nursing professionals must possess. The core competence of nurses mainly includes critical thinking ability, communication and cooperation ability, practical operation ability and innovation ability.

2. Factors affecting the development of core competence of foreign-related nursing undergraduates:

The curriculum of school education is unreasonable. Nursing education in China is divided into five levels: technical secondary school, junior college, undergraduate, master and doctor. Education at junior college level is now included in the category of higher vocational education, which is between technical secondary school and undergraduate course. Its teaching content "medicine" is more than "nursing", and it lacks comprehensive knowledge such as nursing professional knowledge, health prevention knowledge and rehabilitation nursing. The nursing courses offered by most medical colleges in China are composed of three knowledge systems: public course system, basic medical course system and nursing course system, which do not emphasize the cultivation of core competence, resulting in students' theoretical and practical level being inferior to that of undergraduates and lacking professional competitiveness. The singleness of teaching methods. Ignore students' dominant position and practice teaching by imitation of teachers and students. For the teaching and examination of basic nursing technology, it is almost rigidly attached to the standardized methods of operating steps and procedures, while ignoring the ability of clinical decision-making and solving practical problems.

Hospital practical environmental nursing is a practical course, and all its core abilities need to be honed and developed through clinical practice. At present, the nursing work in our country has a strong dependence, and the decision-making power of nurses in clinical nursing has not been paid attention to. The working mode of nurses is largely limited to the mechanical execution of doctor's orders. Nursing students entering the I clinic are not conducive to the cultivation of core competence.

3. Reform of training programmes:

In recent years, the development of medical science and technology, the change of nursing mode and the improvement of medical and health system have injected new connotation into the training goal of nursing talents, and put forward higher requirements for the comprehensive quality of nursing talents such as knowledge, ability and attitude. Probe into how to cultivate the core competence of nursing undergraduates. Combined with China's national conditions, the training goal should be to adapt to the society's high-quality nursing talents and improve the quality of high-quality medical services.

① Practical operation ability goal: cooperate with doctors for diagnosis and treatment and first aid, implement common nursing operation techniques: implement holistic nursing, write a complete nursing plan, and assist and guide all kinds of people to carry out self-care.

② Ability of communication and cooperation: Good medical ethics, professionalism, respect and care for patients, good trust and cooperation between doctors and patients, good social activities and interpersonal communication skills are important factors to ensure the smooth development of nursing measures.

③ Critical thinking ability and innovative ability Objective: To master the relevant theoretical knowledge of common diseases and explore and find problems in nursing practice. Ask questions, analyze problems and solve problems. Critical thinking ability can be trained. Actively seek effective ways to cultivate critical thinking ability and innovation ability.

4. Reform the curriculum:

Highlighting the characteristics of foreign-related nursing, The Outline of Nursing Development Planning in China (2005 ~ 20 10) proposed that humanities and social sciences should be significantly added to the knowledge structure system of nursing staff. Elderly care, community preventive health care and mental health care should increase professional knowledge and ability. Some scholars suggest that the proportion of basic courses in universities should be as high as 40%, nursing courses as high as 60%, and experimental courses as high as 50%, so as to form a curriculum design and class time allocation with professional characteristics that is in line with international standards. Increase the proportion of experimental courses, and adjust the proportion of theory and practice to 1: 1.5. Highlight the characteristics of foreign-related nursing, carry out bilingual teaching and increase specialized nursing courses; Increase medical English, professional English and oral English; Strengthen students' humanistic quality, offer social courses such as medical ethics, medical psychology and humanities, and improve nursing students' effective interpersonal skills.

Reform teaching methods and adopt various teaching methods. For example, heuristic problem-based learning (PBL) can cultivate students' ability to analyze problems; Discussion and research method to cultivate students' interpersonal communication ability and teamwork ability; Role-playing, case teaching and bedside teaching cultivate students' critical thinking ability and innovation ability. Use diversified teaching methods to stimulate students' interest in learning and effectively improve their professional basic knowledge and core competence.

Reforming the traditional teaching mode makes it difficult for teachers to give lectures and students to understand. Multimedia courseware teaching method visualizes abstract problems, moves static images, has simple pictures and clear content expression, and can increase teaching appeal. Stimulate students' interest in learning. The development of computer and network provides strong support for teaching. Network teaching has the characteristics of interactivity, openness, quick update, large amount of information and rich content. Network teaching can also provide students with CAI courseware, course content, exercises, reference materials, forums and so on. After class, students can consolidate and digest classroom learning, cultivate students' active learning ability, and broaden their subject knowledge and horizons. Using network resources can solve the contradiction of more content and less class hours, and constructing a new teaching mode of teacher-student interaction is an effective supplement to classroom teaching. For example, teaching the anatomy of the liver, the hemodynamic changes of liver cirrhosis and related clinical knowledge are inserted into the courseware of medical education network through hyperlinks to collect and sort out. When teaching the decompensated stage of liver cirrhosis, first play a courseware about the diagnosis and treatment of patients with liver cirrhosis, so that students can feel the clinical manifestations of patients with portal hypertension and circulatory obstruction. The whole teaching is vivid and intuitive, so that students can feel the hospital environment in class and stimulate their enthusiasm for learning. Teachers can further guide students to analyze the causes and pathogenesis. Master clinical manifestations, nursing diagnosis, nursing measures, etc. In this teaching method, students receive intensive stimulation from all directions and truly understand what they have learned. And can ask questions and solve problems. At the same time, students are required to copy multimedia courseware after class and review medical education, which improves learning efficiency.

5, establish and improve the examination evaluation method:

Under the concept of cultivating nursing core competence talents, examination evaluation should be scientific and objective, and various examination methods should be adopted to truly examine students' learning quality and teachers' teaching quality. The examination content should pay special attention to the assessment of students' comprehensive knowledge and ability to solve practical problems, and attach importance to the assessment of students' critical thinking and innovation ability. The examination method should establish a multi-subject evaluation system. For example, the evaluation model of general grade-theoretical examination-practical examination can be systematically evaluated through classroom discussion, classroom notes, homework and practical examination. A teacher's evaluation model among small groups of students promotes students' autonomous learning and self-development.

In a word, attaching importance to the cultivation of core competence of foreign-related nursing undergraduates, making them change passive learning into active learning, and enjoying the happiness of learning will help to improve their professional quality, comprehensive ability and self-efficacy, and highlight the characteristics of nursing specialty. Promote the development of nursing career more effectively.

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