Objective To explore domestic research status of nursing clinical competence assessment. Methods Relevant literatures on nursing clinical competence assessment published before July 2012 were retrieved from the databases of CNKI,Wanfang and CMB,and analyzed. Results Literatures on nursing clinical competence assessment debuted in 1994.A wide range of assessment objects were covered,with 59.7% of the literature focusing on undergraduate students;83.1% of the literature were research studies,which mainly focus on assessment system(55.8%) and practice(22.1%).Methods used in assessment included questionnaire surveys,OSCE and other forms,with some terms being used inconsistently.Research institutes of these literature showed some central trend. Conclusion Domestic research on nursing clinical competence assessment is still in its infancy.Use of the concepts should be standardized,assessment system should be developed according to different training goals of objects.Methods of assessment need further exploration.

Objective To explore the effects of case seminar in the training of graduate nursing students' clinical practice competence and comprehensive ability. Methods The care cases were prepared by the professional-degree nursing graduates, and were discussed in groups by all nursing graduates supervised by the tutors. The students ' evaluation on the seminar was collected by questionnaires. Results The students gave high appraisal on the preparation of cases(93.2%),devotion(77.3%) and interest(61.4%) to the seminar and the discussion atmosphere(61.4%). Moreover,they agreed that the seminar could increase professional knowledge(63.6%),improve clinical thinking(70.5%),promote communications between students and teachers(65.9%), and strengthen team spirit(79.5%). Conclusion Case seminar can mobilize the graduates ' interest in clinical problems, contributes to the development of clinical-thinking and clinical practice competence,as well as the comprehensive abilities.

Objective To clarify people′ s cognition about the connotation of clinical competence through appraising the existing evidence.Methods To clear up the existing evidence concerning the connotation of clinical competence,we retrieved related literature,screened out the research objects,selected the representative concepts,extracted independent connotation,and appraised the contents,etc.Results Seven independent connotations of clinical competence,four connotations of nursing clinical competence or nurse′ s clinical competence were extracted,four of which gave generalized or narrow sense to clinical competence rationally.Limits of the existing interpretion include:inappropriate description of the essence of competence;failure to correctly interpret the essence of clinical;inappropriate interpretion of ways and factors of clinical competence;limited or inappropriate definition of the principal part of clinical competence;syntax or logical errors in descriptions;tautology:using words containing clinical to interpret the connotation of clinical competence.ConclusionIt is suggested that the generalized connotation of clinical competence is the capability that medical staffs possess to provide medical or nur-sing service to the objects in medical or nursing facilities,and the narrow sense of it is the necessary capability that medical staffs possess to be engaged in such activities as diagnosis,treatment and nursing care.

目的:通过考核了解护理硕士专业学位研究生的临床能力状况;方法:床旁护理查房、操作考核、病史记录检查、带教老师访谈等;结果:护理硕士专业学位研究生的专业思想评价良好,护理病历书写欠规范,护理查房主要存在以下问题:(1)收集资料和沟通能力较欠缺;(2)体格检查能力薄弱;(3)病例分析能力不足;结论:护理硕士专业学位研究生的临床能力培养模式有待进一步完善。

Objective To study the effect of comprehensive nursing intervention on anxiety and depression of patients with cervical disc herniation.Methods Eighty patients with cervical disc herniation were divided into two groups randomly:observation group with 40 cases and control group with 40 cases.The control group was received routine nursing and health education.The observation group on the basis of routine treatment and nursing intervention was received comprehensive nursing including supportive intervention,behavioral intervention,educational intervention,group intervention,family intervention,relaxation therapy and recreation therapy.All of them were assessed about anxiety and depression with Zung's self rating anxiety scale (SAS) and self - rating depression scale ( SDS ).Results The observation group patients'mood of anxiety and depression were reduced significantly by the intervention.The scores of SAS,SDS were significantly lower than those of control group,the differences had statistical significance (P ＜0.01 ),but the scores of SAS,SDS in control group were not,the differences had not statistical significance (P ＞ 0.05 ).Conclusions The anxiety and depression of patients with cervical disc herniation are reduced effectively after comprehensive nursing intervention,it is worth promoting.

The aestheticization of daily life happened in the post-industry society of developend western country. The British scholar Featherstone. M and the German scholar Wolfgang Welsch were the first urger of this theory. We can draw lessons from analyzing their theory of the aestheticization of daily life. It will be affirmative effect on our embedded research this theory.