護理應屆畢業生實證健康照護能力與實證健康照護準備度之相關因素探討

The Exploration of Evidence-based Health Care Competency, Readiness and Related Factors among Newly Nursing Graduates

張承勉(Cheng-Mien Chang) ； 郭淑芬(Shu-Fen Kuo) ； 陳可欣(Kee-Hsin Chen)

《新臺北護理期刊》 25卷2期 (2023/09) Pp. 21-34

https://doi.org/10.6540/NTJN.202309_25(2).0003

摘要

前言：目前研究較多探討臨床護理人員實證健康照護認知及應用，關於護理應屆畢業生實證健康照護能力與實證健康照護準備度之研究有限。目的：（1）了解台灣護理院校實證健康照護課程開設情況；（2）探討護理應屆畢業學生對於實證健康照護能力及實證健康照護準備度。方法：採橫斷性研究，針對台灣109學年度護理應屆畢業生進行網路問卷調查，包括基本屬性、學校實證健康照護課程開設情況、實證健康照護能力及實證健康照護準備度。資料以IBM®SPSS® for Mac 25.0統計軟體進行描述性及相關性統計分析。結果：共收集214份有效問卷，研究結果顯示：公立學校、在校期間曾修習實證健康照護課程、臨床實習有包含實證健康照護應用及知道臨床護理能力進階中包含「實證健康照護能力」文章審查者自評實證健康照護能力較高（t=3.370, t=3.336, t=3.284, t=2.300, all p<0.05），整體解釋力為12.9%（F=7.665, p<0.001）。公立學校及曾修習實證健康照護課程之應屆畢業生自評實證健康照護準備度較佳（t=2.716, t=3.218, all p<0.05），整體解釋力為9.0%（F=9.817, p<0.001）。結論：建議將實證健康照護列為護理養成教育之必修課程，並與各科護理臨床實習整合，及早培育具備「實證健康照護」能力的護理師，順利銜接臨床護理能力進階制度。

關鍵字

護理應屆畢業生 ； 實證健康照護 ； 能力 ； 準備度

並列摘要

Background: Evidence-based health care (EBHC) integrates the best evidence, professional experience, and patient preferences to improve the quality of care. Relevant studies investigating the knowledge and application of EBHC among clinical nursing staff have been published in past years. However, there is a lack of research on nursing graduates' competency and readiness for EBHC. Aims: This study aims to (1) understand the situation of EBHC curriculum offered in nursing schools in Taiwan, and (2) explore the nursing fresh graduates' competency and readiness for EBHC. Methods: A cross-sectional study was conducted with an online questionnaire. The data collection included basic characteristics, school-based EBHC course offerings, the competency of EBHC, and readiness of nursing graduates in the 109 academic years. Data were analyzed by IBM® SPSS® for Mac 25.0 statistical software for descriptive and correlational statistics. Results: Those in public schools, those who had taken an EBHC course in school, those who had a clinical practicum course integrated EBHC applications, and those who knew that "evidence-based health care competency" were included in the clinical nursing ladder system rated themselves as having higher evidence-based health care competency (t = 3.370, t = 3.336, t = 3.284, t = 2.300, all p < 0.05), and the overall model explanation was 12.9% (F = 7.665, p < 0.001). Additionally, fresh nursing graduates from public schools and those who had taken an evidence-based nursing course rated themselves as more readiness for EBN (t = 2.716, t = 3.218, all p < 0.05), with an overall model explanation of 9.0% (F = 9.817, p < 0.001). Conclusion: Nursing graduates who had taken an EBN course during their school years rated themselves as having better EBHC competence and readiness. It is recommended that EBHC curriculum be included as a required course in nursing education and integrated with clinical practicum, so that nurses with EBHC competency can be nurtured early and connect to the clinical nursing ladder system smoothly.

並列關鍵字

nursing graduates ； evidence-based health care ； competency ； readiness

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