- 期刊
論執業習慣衍生複利效應驅動護理能力精進
The compound effects derived from practice habits driving the improvement of nursing competencies
摘要
護理養成教育之目標是透過課程設計紮根通識人文、基礎醫學與專業知能，培養術德兼備的護理師。現況顯示：護理新人或資深者於扮演雙生涯角色時，因未能在負向職場環境中有效施展專業能力，解決臨床問題、緩解壓力、舒緩身心困擾與落實人性化照護行為，致使壓力與挫折感長期累積造成情緒壓抑與疲潰現象，損及健康、生活平衡與職涯發展，因難以兼顧自我成長、獲得尊嚴與成就感而離職，形成臺灣護理師執業率與執業壽命均低於OECD國家之窘境，除浪費教育資源，且傷及醫療量能與照護品質。本文主旨在探討養成教育培養的專業能力，是否被慣性思維及行為所掣肘，阻礙內化成執業習慣？師生若能於就學時，系統性審視以上的阻力，使專業能力內化成為自動化的執業習慣，善用習慣衍生之複利效應，達到賦能、克服困境與穩定職涯發展之目標。本文期能由落實知行合一改善護理人力流失之問題。
並列摘要
The goal of nursing education is to cultivate nurses with skills and morals by taking root in general humanities, medicine, professional knowledge and competencies through curriculum design. The reality shows that when new or seniors nurses play dual-career roles, the competencies cannot effectively apply to solve clinical problems, relieve stress, deal with distress, and implement care behavior. The competencies can't be demonstrated in negative workplace environments which accumulated stress and frustration causes depression, exhaustion, illness, life balance and career development harms. They resign due to difficulty in balancing self-growth, dignity, and sense of accomplishment. The dilemma related to both the practice rate and practice life of Taiwanese nursing workforce is lower than other countries in OECD. In addition to wasting educational resources, it also damages the medical capacity and quality of care. The main purpose of this article is to explore why the competencies cultivated in school cannot effectively applied in practice. Is it constrained by the habitual thinking and behavior of dealing with things, resulting in the failure to apply competencies in complex clinical settings? If both teachers and students can systematically examine the habit domains and smoothly internalizing the competencies through continuous practice and become automated practice habits, the compound effects derived from the habits to empower oneself, overcome difficulties, and promote career development to reach the goals. This article can help to implement the integration of knowledge and action and improve the loss of nursing manpower.