護理人員實證護理訓練之評價－以嚴謹評讀文獻主題爲例

An Evaluation of Evidence-Based Nursing Training Implementated on Nurses: Critically Appraised Topics (CATs) as an Example

張碧華(Pi-Hua Chang) ； 張麗銀(Li-Yin Chang) ； 林麗英(Lih-Ying Lin)

《榮總護理》 27卷3期 (2010/09) Pp. 240-250

https://doi.org/10.6142/VGHN.27.3.240

摘要

本研究以「嚴謹評讀文獻主題為例」之實證護理訓練課程，評價護理人員之學習效果。係採單組前、後測之縱貫性類實驗研究設計，選取中部某醫學中心護理能力進階為N2（含）以上且受過實證問題解析訓練之人員，隨機取樣共22名。以一次7小時課程解說，課後第1、4、8週提供每次2-3小時演練及評讀共三次，訓練前、結束後第1、4、8週評價學習狀況、問題解決能力之信心程度、臨床護理業務之可行性的重要及滿意程度。資料分析以描述性統計及GEE模式處理。結果顯示學習狀況及解決問題的信心程度均有成長，在可行性的重要及滿意程度僅些微變化。本研究建議以嚴謹評讀文獻主題提升專業思考能力之訓練，供日後課程設計及應用之參考。

關鍵字

實證護理訓練 ； 嚴謹評讀文獻主題

並列摘要

The purpose of this study was to evaluate the effectiveness of evidence-based nursing training (the formation of CATs) among nurses from a medical center in central Taiwan. Random sampling and longitudinal quasi-experimental design were used. 22 registered nurses who had completed the N2 and Evidence-Based Problem-Solving training course at the medical center were recruited. The training courses included a 7-hr lecture of CATs formation and repeated practices and discussions. Confidence level and learning effects of these nurses were measured before lecture on week 1, 4, and 8, accompanied with practices and discussions. Data were analyzed using descriptive statistics and Generalized Estimating Equations (GEE) models. From the GEE models, we found that their learning and confidence levels were significantly increasing, but few changes were observed on the importance and satisfaction in clinical nursing practices. The results of this study can be used as a reference to revise evidence-based training courses, and on similar designs and applications.

並列關鍵字

evidence-based nursing ； critically appraisal education training