Volume 10,Issue 9
A Study on the Construction and Implementation Effectiveness of a Higher Vocational Nursing Talent Development Model Based on the 1 + X Certificate System
Objective: To explore the methodology for constructing a talent development model integrating the 1 + X Certificate System into vocational nursing internship teaching, as well as to assess the effectiveness of this approach. Methods: A quasi-randomized controlled trial design was employed. A total of 280 vocational nursing students who were undertaking internships at a tertiary Grade-A hospital in Sichuan Province between May 2024 and March 2025 were recruited and randomly assigned, using a random number table, into an experimental group (n = 140) and a control group (n = 140). The control group received conventional internship teaching instruction, while the experimental group was taught using a curriculum-certificate integration training model based on the 1 + X Certificate System. The theoretical scores, clinical practical skills, clinical thinking abilities, and course evaluation outcomes were compared between the two groups. Results: The experimental group demonstrated significantly higher scores than the control group in theoretical knowledge, total clinical practical skills score, total clinical thinking ability score, and course evaluation score (p < 0.05). Conclusion: Integrating the 1 + X Certificate System into vocational nursing internship teaching can effectively enhance nursing students’ theoretical knowledge, practical skills, and clinical thinking abilities, and thus holds potential for broader application.
[1] Su L, 2025, Research on Teaching Reform for Pediatric Nursing in Higher Vocational Nursing Programs Under the “1 + X” Certificate System. Continuing Medical Education, 39(1): 33–36.
[2] Li N, Xu D, Xue Y, et al., 2024, Research on Cultivation Strategies for Applied Nursing Professionals Within an Innovative Ecosystem: An Empirical Analysis of “1 + X” Programs in Private Undergraduate Institutions. Health Vocational Education, 42(22): 11–14.
[3] Hu J, 2024, Exploration of a Talent Development Model Integrating “Job-Driven Curriculum, Competency-Based Teaching, Skills Competition, and Certification” for the Higher Vocational Nursing Program Cluster Under the “1 + X” Certificate System. Science and Education Journal, 2024(30): 16–18.
[4] Xia C, Zhang X, Lian X, 2024, Research on a Multidisciplinary Talent Development Model for Higher Vocational Nursing Programs Under the “1 + X” Certificate System. Shanxi Youth, 2024(2): 117–119.
[5] Zhou X, Zhuang S, Wu F, 2024, Dual-Drive Approach: A New Pathway for Cultivating Elderly Care Professionals Under the 1+X Certificate System. Health Vocational Education, 42(1): 87–90.
[6] Fang L, Lu H, Zhang J, et al., 2023, Application of the “1+X” Certificate System in the Cultivation of Maternal and Infant Nursing Professionals in Higher Vocational Education. Modern Vocational Education, 2023(36): 94–97.
[7] Ren Y, Jing L, 2023, Exploration of a “Integration of Positions, Courses, Competitions, and Certificates” Talent Development Model for Higher Vocational Nursing Program Clusters Under the “1 + X Certificate System”. China Pharmaceutical Guide, 25(6): 650–653.
[8] Miao M, Du F, Dong Y, et al., 2023, Reform and Practice Research on the “Dual-Entity, Three-Integration” Talent Cultivation Model for Higher Vocational Nursing Programs Under the 1 + X Certificate System. Higher Education Journal, 9(14): 159–162.
[9] Zhang Y, Niu X, 2023, Research on the Restructuring of the Talent Development Program for the Higher Vocational Nursing Program Cluster Under the “1 + X” Certificate System. Journal of Shaanxi Youth Vocational College, 2023(2): 50–53.
[10] Mo Y, Gao Y, Yi S, et al., 2023, An Exploration of Reforming the Talent Cultivation Model for “Elderly Care” Nursing Professionals Based on the Health-Oriented Aging Approach: A Case Study of the Pilot Implementation of the “1 + X” Certificate System. Hunan Education (C Edition), 2023(1): 50–53.
[11] Zheng X, 2022, Reform and Implementation of the Talent Cultivation Model for Secondary Vocational Nursing Programs Under the 1 + X Certificate System. Journal of China Multimedia and Online Teaching (Mid-Quarterly Issue), 2022(11): 45–48.
[12] Zhang R, Feng Q, Wang B, 2022, Design of a Talent Cultivation Pathway for Nursing Professionals Under the “1 + X” Certificate System in the Context of Industry-Education Integration. Knowledge Library, 2022(11): 1–3.
[13] Li C, Wang X, 2022, Exploring a Talent Development Model Integrating Education and Training for High-Level Nursing Professional Groups Under the “1 + X” Certificate System. Modern Vocational Education, 2022(18): 46–48.
[14] Gu Y, Zhu M, Song Y, 2022, A Study on the Integration of the “1 + X” Certificate System for Elderly Care Into Secondary Vocational Nursing Talent Cultivation From the Perspective of the National Qualifications Framework. China Rural Health, 14(4): 34–37.
