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American Journal of Medical Sciences and Medicine. 2016, 4(3), 66-70
DOI: 10.12691/ajmsm-4-3-5
Open AccessArticle

The Study on the Application of Continuous Quality Improvement in the Clinical Education of Nursing Trainees in a Universal Hospital of China

Cui Kong1, Jianwei Zhou2, , Li Xu1, Yuqin Chen3, Zhongyun Wang1 and Xianghua Hou1

1Nursing Department, Affiliated Hospital of Jining Medical University, Jining, P. R. China

2Clinical Laboratory, Affiliated Hospital of Jining Medical University, Jining, P. R. China

3Nusing School, Jining Medical University, Jining, P. R. China

Pub. Date: June 16, 2016

Cite this paper:
Cui Kong, Jianwei Zhou, Li Xu, Yuqin Chen, Zhongyun Wang and Xianghua Hou. The Study on the Application of Continuous Quality Improvement in the Clinical Education of Nursing Trainees in a Universal Hospital of China. American Journal of Medical Sciences and Medicine. 2016; 4(3):66-70. doi: 10.12691/ajmsm-4-3-5


The clinical education of nursing trainees should be an important task for the teaching hospital. However, this work is always ignored to some extent. In this study, the continuous quality improvement (CQI) approach was applied in the clinical teaching of nursing trainees. The result indicated that CQI could raise the training quality for the nursing trainees, including the levels of professionalism, communicative competence, nursing theory and operation. Conclusion: Based on the present results, we suggested that CQI approach should be used in practice teaching during the period of clinical training for nurses.

communicative competence continuous quality improvement clinical education nursing trainee

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[1]  Zhang JF, Gao LL. Application of continuous quality improvement in the management of nursing shift change. Chinese Rural Health Service Administration 2012, 32(6): 575-576.
[2]  Xu YH, Yang JQ, Fang H. Impact of applying continuous quality improvement in ICU patient restraint nursing. Hospital Nursing 2014, 18(11): 68-9.
[3]  Lee SB, Lee LL, Yeung RS, Chan JT. A continuous quality improvement project to reduce medication error in the emergency department. Word J Eerg Med 2013, 4(3): 179-182.
[4]  Wolf ZR, Czekanski KE. Analyzing student complaints against nursing programs: taxonomies of complaints and outcomes. J Prof Nurs 2011, 27(5):283-91.
[5]  Burgatti JC, Bracialli LA, Oliveira MA. Ethical problems experienced in a supervised curricular internship in nursing in an integrated curriculum. Rev Esc Enferm USP 2013, 47(4):937-942.
[6]  Olson SE. Achievign success when returning to nursing education. Nursing 2015, 45(2): 22-24.
[7]  Zheng J, Gao YZ, Wu Wj. Han LQ, Sang ML. Construction of the evaluation index system of nursing students and the teaching quality of clinical clerkship. Chinese Nursing Education 2008, 5(3): 99-102.
[8]  He MW. The application of nurse teaching management system in gynaecology department. China Higher Medical Education 2014, 2: 98.
[9]  Xu F, Di CH. The questions and strategy in the current clinical nurse teaching. Journal of Qilu Nursing 2008, 14(23): 96-98.
[10]  Chapman R, Orb A. Coping strategies in clinical practice: the nursing students' lived experience. Contemp Nurse 2001, 11(1): 95-102.
[11]  Shuman LS. The signature pedagogies of the professions of law, medicine, engineering, and the clergy: potential lessons for the education of teachers. 2005, Availiable:
[12]  Ding J, Xu X, Shi F, Yang Y, Wang XF, Zhang XN. The acknowledgement and analysis of nursing undergraduate trainees toward to excellent nursing service. Journal of Qilu Nursing 2014, 20(5): 26-27.
[13]  Bloomfiled J, Roberts J, While A. The effect of computer-assisted learning versus conventional teaching methods on the acquisition and retention of handwashing theory and skills in pre-qualification nursing students: a randomized controlled trial. Int J Nurs Stru 2010, 47: 287-294.
[14]  Pitt V, Powis D, Levett-Jones T, Hunter S. Factors influencing nursing students’ academic and clinical performance and attrition: an integrative literature review. Nurse Education Today 2012, 32(8): 903-913.
[15]  Quinn F, Hughes SJ. Quinn’s principles and practice of nurse education. 2007, Nelson Thornes Ltd, Cheltenham.
[16]  Yu CH, Xu H, Zhao SH. Comparison between nurse’s and nursing intern’s cognition of quality nursing care. Journal of Nursing Science 2011, 26(17): 16-18.
[17]  Struksnes S, Engelien RI, Bogsti WB, Moen ÖL, Nordhagen SS, Solvik E, Arvidsson B. Nurses’ conceptions of how an alternative supervision model influences their competence in assessment of nursing students in clinical practice. Nurse EEUC Pract 2012,12(2): 83-84.
[18]  oskinen L, Mikkonen I, Jokinen P. Learning from the world of mental health care: nursing students’ narratives. J Psychiatr Ment Health Nurs 2011, (18): 622-628.
[19]  Fakhr Movahedi A, Yousefpour M, Sadeghi S. Comparison of teaching behaviors of clinical nursing instructors from the perspective of nursing students of the public and private Universities of Semnan in 2012. Journal of Medical Education and Deveplpment 2013, 8(3): 81-95.
[20]  Steen JE, Gould EW, Raingruber B, Hill J. Effect of student nurse intern position on ease of transition from student nurse to registered nurse. J Nurses Staff Dev 2011, 27(4):181-186.
[21]  Tavakoli M, Khazaei T, Tolyat M, Ghorbani S. The quality of clinical education from the viewpoints of students and instructors of paramedical and nursing obstetrics schools of Birjand University of Medical Science. Daneshvar 2014, 110: 1-9.
[22]  Walker K. Postmodern pedagogy and the nursing curriculum: collaborating for excellence. Collegian 2005, 12: 36-40.
[23]  Oermann MH, Kardong-Edgren SE, Odom-Maryon T. Effects of monthly practice on nursing students’ CPR psychomotor skill performance. Resuscitation 2011, 82(4): 447-453.
[24]  Zhang XP. Comparison of different methods applying in clinical teaching for trainees. Health Vocation Education 2014, 32(1): 111-112.
[25]  Wang H, Dou HC, Xin CJ, Wang P. The application of nursing education management system in the clinical trainees. Chinese General Practice 2010, 13(5S): 100-101.
[26]  Nicholl TA, Lou K. A model for small-group problem-based learning in a large class facilitated by one instructor. Am J Pharm Educ 2012, 76(6): 117.