實習護生接受安寧療護教育課程之成效

Effects of a Hospice Palliative Care Education Program for Nursing Students

顧艶秋(Yan-Chiou Ku) ； 林麗英(Li-Ying Lin) ； 蔣秀容(Shiow-Rong Jeang) ； 王珮珩(Pei-Hern Wang) ； 高紀雅(Chi-Ya Kao)

《安寧療護雜誌》 22卷3期 (2017/11) Pp. 273-287

https://doi.org/10.6537/TJHPC.201711_22(3).002

摘要

研究目的：本研究旨在瞭解安寧療護教育課程對提升實習護生在全人照護的知識、態度與自我效能的效果，增進護生在照護末期病人之能力。材料與方法：本研究設計為類實驗性研究，以2015 年南部某醫學中心內外科、婦兒科等十四個病房單位實習四週的護生為收案對象共計148 人，依病房科別屬性配對，分為實驗組與對照組。實驗組於實習第一天進行安寧療護教育課程。結果：護生在安寧療護知識方面，實驗組在後測一（立即後測）、後測二（實習結束第四週之後測）進步之幅度比對照組顯著且達統計差異（p ＜ 0.001）。在態度方面，實驗組在後測一進步之幅度比對照組顯著且達統計上差異（p ＜ 0.001）。在自我效能方面，實驗組在後測一、後測二進步之幅度比對照組顯著且達統計上差異（p ＜ 0.01）。結論：研究結果顯示安寧療護教育課程介入後，護生對於安寧療護照護知識提升，對提供全人照護更具自信且正向態度。

關鍵字

安寧療護 ； 實習護生 ； 知識 ； 態度 ； 自我效能

並列摘要

Purpose: The study purpose is to understand the effects on hospice palliative care education programs in the knowledge, attitude, self-efficacy, and behavior, as well as to improve nursing students’ ability to take care of terminal patients. Research Subjects and Method: The study used quasi-experimental design to enroll nursing students engaging in internship at a total of 14 units, such as Department of Internal Medicine, Department of Surgery, and Divisions of Gynecology and Pediatrics, in a certain medical center in the southern Taiwan in 2015 as the research subjects, with a total of 148 subjects enrolled. In addition, this study divided the subjects into the experimental group and control group according to the properties of divisions. The nursing students in the experimental group received the educational training of hospice palliative care on Day 1 of internship. Results： For nursing students' knowledge of hospice palliative care, the improvements in the posttest 1 and posttest 2 of the experimental group were more significant those of the control group, and reached statistical differences (p ＜ 0.001). For attitude, the improvement in the posttest 1 of the experimental group was more significant than that of the control group, and reached statistical difference (p ＜ 0.001). For self-efficacy, the improvements in the posttest 1 and posttest 2 of the experimental group were more significant than those of the control group, and reached statistical differences (p ＜ 0.01). Conclusion：The research results showed that after the intervention of educational training, nursing students' knowledge of care for terminal patients was improved and they were more confident in and held a positive attitude towards providing holistic care.

並列關鍵字

Hospice Palliative Care ； Nursing Students ； Knowledge ； Attitude ； Self-efficacy

參考文獻

趙可式。安寧療護是普世價值且為護理的本質。護理雜誌 2015；62(2)：5-12。doi : 10.6224/JN.62.2.5

胡文郁、張媚。安寧緩和護理之教育觀。護理雜誌 2015；62(2)：25-33。doi : 10.6224/JN.62.2.25

胡文郁、曾建寧、王浴、翁瑞萱。護理系學生接受安寧緩和醫學臨床實習教育介入之成效。安寧療護雜誌2004；9(1)：1-20。doi : 10.6537/TJHPC.2004.9(1).1

孫嘉玲、王秀香、陳佩英、郭素青、黃美瑜、宋梅生。安寧療護課程對護生死亡恐懼與態度之影響。安寧療護雜誌 2004；9(4)：353-364。doi : 10.6537/TJHPC.2004.9(4).3

陳瑞娥、楊均典。護生於安寧病房實習之專業核心能力自我察覺探討。安寧療護雜誌 2012；17(2)：173-86。doi : 10.6537/TJHPC.2012.17(2).4