中部某科技大學四年制護生初次實習之經驗

First Experience of Clinical Practice for Students of a 4-Year Nursing Program at a University of Technology in Central Taiwan

江青桂(Ching-Kuei Chiang) ； 楊淯甯(Yu-Ning Yang)

《榮總護理》 35卷2期 (2018/06) Pp. 163-172

https://doi.org/10.6142/VGHN.201806_35(2).0006

摘要

「基本護理學實習」為護生初次實習入門基礎，影響護生的臨床表現及職場適應甚鉅。本研究目的為探討中部某科技大學四年制護生的初次實習經驗。採描述性現象學研究法，研究對象為10位科技大學四年制護生，以一對一非結構式深度訪談收集護生的實習經驗資料，再以Colaizzi分析法進行資料分析。結果呈現三個主題及九個次主題，含(一)煎熬困頓歷程：經歷身體的煎熬、感受內心的震盪及體驗現實的困頓；(二)能力淬煉歷程：護理技能成長、激發關愛素養及社會關係歷練；(三)破繭成長歷程：壓力因應、察覺反思及發現護理亮點。護生初次基本護理學實習經歷煎熬困頓、能力淬煉與破繭成長歷程，從實務經驗中淬煉護理技能、關愛素養及社會關係等能力，在破繭成長歷程中，護生調適與因應壓力、展現出自我察覺並感受自我成長，進而啟發對護理的熱情。本研究結果可提供護生自我準備、及護理教育者和臨床護理人員指導護生之參考。

關鍵字

護生 ； 臨床實習 ； 經驗 ； 現象學

並列摘要

Background: The fundamental nursing practicum is the foundation for initial practice among nursing students, deeply affecting their clinical performance and workplace adaptation. Purpose: To explore the lived experience of clinical practice for students of a 4-year nursing program at a university of technology in central Taiwan. Methods: This study used a phenomenological methodology. Ten participants from a 4-year nursing program at a university of technology were recruited. Data were collected through nonstructured, in-depth, and one-on-one interviews. Colaizzi's phenomenological method of data analysis was used to explore the nursing students' lived experiences. Results: The results included three themes and nine subthemes: (1) hardship and suffering stage: physical strain, inner shock, and experiencing the hard reality of nursing; (2) competency refinement stage: nursing, caring, and social skill development; and (3) growth and change stage: learning coping strategies, awareness and reflection, and the values of nursing. Conclusion: Nursing students passed through all three stages-hardship and suffering, competency refinement, and growth and change-during the fundamental nursing practicum. They refined their nursing, caring, and social skills through practical experience. In the final stage, the nursing students learned to adapt and cope with stress, becoming more self-aware and finding new enthusiasm for nursing. The results of this study can serve as a reference for nursing students, educators, and instructors.

並列關鍵字

nursing students ； clinical practice ； experience ； phenomenology

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