The Development of a Competency-Based Group Health Teaching Performance Examination Model for BSN Graduates

大學層級護理系畢業生團體健康教學能力鑑定模式的研發

戴君倚(Chun-Yi Tai) ； 鍾聿琳(Ue-Lin Chung)

《The Journal of Nursing Research》 16卷4期 (2008/12) Pp. 275-285

摘要

目前台灣的護理教育在「教考用」的原則下，仍無一套公正、客觀的畢業生團體健康教學能力鑑定之工具，故本研究的目的在研發一套具信效度的大學層級護理系畢業生團體健康教學能力鑑定模式，以作為護理畢業生的團體健康教學能力評鑑之依據。本研究採行動研究法，分兩個階段進行，第一為研發之階段，在研究之初即成立鑑定模式研發團隊，此團隊定期開會討論，依據文獻及台灣護理實務，發展出以半模擬臨床情境模式的鑑定模式之內涵及過程，並完成考試場所的準備、模擬病人的招募、劇本的設計、鑑核老師和模擬病人的培訓以及評量與學習指引手冊。此草案在經專家的檢定及小型的預測，兩度修正後定案。第二為測試之階段，即實際應用此已研發完成的鑑定模式，來進行此模式效信度之初探。具有各2年以上臨床實務和教學經驗之大學層級護理人員3位、未修過教學原理且未有實務經驗的護生3位、鑑核老師3位和模擬病人6位，共同參與此鑑定模式效信度之驗證。本模式測試之結果具專家及區分效度，鑑核老師執行模式和模擬病人於每一場考試中的演出亦具高度之一致性，此模式不但可應用為能力鑑定考試，做為學生抵免學分之依據，亦可以應用於傳統護理學程及護理實務，做為鑑定護理人員團體健康教學能力的另一種選擇。

關鍵字

能力鑑定 ； 團體健康教學 ； 半模擬臨床情境模式 ； 臨床展現考試臨床考試

並列摘要

Under the current nursing education system in Taiwan, a fair and objective evaluation of group health teaching competency has been lacking for a long time. Therefore, the purpose of this study was to establish a competency-based group health teaching performance examination model for baccalaureate graduates. Action research was the main research methodology used in this study. The research consisted of two phases. In the first phase, a development committee was established. Based on routine discussions, literature reviews and realistic cases, a draft examination model with quasi-clinical situation model content and procedure was developed. Examination Facility Preparations, Simulated Scenarios and Client Recruitments, Examination Result Evaluation (evaluated by teachers) and Learning Guidelines were also prepared. This draft was reviewed twice for expert opinion, a pilot test was done and both the draft and pilot testing were reviewed again before the draft was finalized. The second phase involved refining the examination model by actually practicing the completed draft examination model in a simulated group-teaching setting in order to examine the model's reliability and validity. Fifteen people were involved in this experiment: three nursing personnel each having at least two years' clinical and teaching experience; three nursing students who did not have actual clinical experience and had not taken the course of teaching principles; three senior teachers; and six virtual patients. The responses from the nursing personnel, nursing students, teachers, and virtual patients who participated in the testing were gathered and integrated to refine the model. The model has content, expert and discriminative validity. The reliability of the model was proven by the high consistency in administration and scoring of the model by clinical examiners. This examination model is not only applicable for the proof of students' credit point exemption, but also as an alternative option for examining nursing personnel in traditional nursing education and practice.

並列關鍵字

competency examination ； group health teaching ； quasi-clinical situation model ； clinical performance examination clinical examination

參考文獻

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