- 期刊
麻醉科專科護理師客觀結構式臨床測驗模式之發展與評量初探
Development and Evaluation of an Objective Structured Clinical Examination for Nurse Anesthetists: A Preliminary Study
摘要
衛生福利部於2020年修訂「專科護理師分科及甄審辦法」條文將麻醉科護理師納入專科護理師的科別之一，麻醉科專科護理師的考試模式值得探討。本文旨在探討麻醉科專科護理師證照考試以客觀結構式測驗執行的可行性，並評值其成效。研究為質量混合研究設計，以中部四間醫學中心麻醉部專家為對象，進行專家共識會、培訓工作坊建置考試內容、考官和標準病人培訓。量性部分邀請60位在職麻醉護理師於最後一個階段進行測驗。本研究共進行6次專家諮詢會議，參與教案設計研發者共42人次。參與評分考官培訓研習共36人。開發教案試題8例，最後選用兩題進行測驗，共60位學員參與測驗。結果顯示第一題未通過有88人次，第二題未通過有17人次，但在考生回饋問卷、評分考官回饋問卷、標準化病人演出評核、標準化病人回饋問卷和模擬考試難度的得分皆與全國醫學臨床技能測驗得分相近。實施客觀結構臨床測驗對於檢核職場應具備之臨床能力有其重要意義。考試型態的設計仍需依其課程訓練內容和臨床實踐所需能力規劃，以達到教、考、用合一的目標，確保麻醉專科護理師所養成的能力能因應未來臨床的挑戰。
並列摘要
The Regulations Governing the Specialties and Examination of Nurse Practitioners were amended by Taiwan's Ministry of Health and Welfare in 2020 to include nurse anesthetists as a specialist group. Consequently, tests to form the basis of the licensure examination for nurse anesthetists were required. In this mixed-methods study, 60 nurse anesthetists were recruited from four medical centers in central Taiwan. We conducted expert consensus meetings, instructor training, and workshops with standardized patients to create scenarios and ensure a standardized test process. Six expert meetings were conducted. A scenario design workshop and examiner training program had 42 and 36 participants, respectively (including repeat participants). Finally, eight scenarios were created, including two for the Objective Structured Clinical Examination (OSCE). In total, 60 participants attended the examination, with 88 scenarios failed on the first attempt and 17 failed on the second. The feedback from both the examiner and standardized patients was satisfactory and concordant with the national OSCE. The test's level of difficulty was appropriate. The OSCE, as a licensure test, was deemed meaningful for evaluating clinical competence according to the Miller pyramid of assessment. The test format must be planned in accordance with the course curriculum and competencies required for clinical practice to achieve the purposes of education, licensure, and practice and to cultivate nurse anesthetists' competencies for meeting future challenges in the workplace.
參考文獻
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