二年期護理人員五大核心能力訓練成效評價

Five Core Competencies of Evaluation from a Two-Year Training Program for Nurses

蔡淑芳(Shu-Fang Tsai) ； 黃玉苹(Yu-Ping Huang) ； 賴宜虹(Yi-Hung Lai)

《榮總護理》 33卷3期 (2016/09) Pp. 256-266

https://doi.org/10.6142/VGHN.33.3.256

摘要

本研究目的在評價護理人員五大核心能力之訓練成效，包括以病人為中心的醫療照護、跨領域的團隊工作、基於實證的專業執行、品質改善技術的應用及資訊技術的利用。採量性縱貫式研究設計，方便取樣中部某醫學中心59位護理人員，以結構式評量表分別於到職時、到職滿三個月、滿一年及滿二年時自評共4次。結果：「提供以病人為中心的醫療照護」平均為3.08、3.26、3.5、3.71分；「跨領域的團隊工作」平均為2.83、3.13、3.39、3.69 分；「基於實證的專業執行」平均為2.92、2.84、3.1、3.55分；「品質改善技術的應用」平均為3.35、3.62、3.82、4.11分；「資訊技術的利用」平均為3.34、3.78、3.91、4.16分；皆逐漸提升且達顯著差異(p ＜ .001)。在年齡、教育程度和到職前工作經驗與五大核心能力均無顯著相關。教育程度與資訊技術的利用呈現交互作用且達顯著差異(p= .046)；到職前工作經驗與五大核心能力各構面呈現交互作用且達顯著差異(p ＜.05)。研究結果可提供醫療教學單位之參考，以期提升專業能力及護理品質。

關鍵字

二年期護理人員 ； 五大核心 ； 訓練成效

並列摘要

This study analyzed the five core competencies of self-evaluation for new nurses; providing patient-centered care, working within interdisciplinary teams, employing evidence-based practice, applying quality improvement, and utilizing informatics. We employed a longitudinal study design and structured questionnaire to evaluate a medical center consisting of 59 new nurses who had reported for duty over the various time frames of 3 months, 1 year, and 2 years. The results were as follows: The average scores for providing of patient-centered care were 3.08, 3.26, 3.50, and 3.71; the average scores for working within interdisciplinary teams were 2.83, 3.13, 3.39, and 3.69; the average scores for employing evidence-based practice were 2.92, 2.84, 3.10, and 3.55; the average scores for applying quality improvement were 3.35, 3.62, 3.82, and 4.11; and, finally, the average scores for utilizing informatics were 3.34, 3.78, 3.91, and 4.16. Thus, the five core competency scores showed significant progress (p ＜ .001). Age, the education level, and work experience before duty, along with the five core competency scores, were deemed irrelevant. The education level with the utilization of informatics presents an interaction with significance (p = .046), as does work experience before duty with the five core competencies (p ＜ .05). These results can provide a reference for medical education in nursing training unit systems and promote professional competence and quality of care.

並列關鍵字

nurse training program ； core competency ； training program effectiveness

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