情境教學法融入於護理倫理法規應用課程之研究

Research on the Integration of Situational Teaching Method to the Application Course of Nursing Ethics Law

陳清惠(Ching-Hui Chen) ； 黃靜鳳(Ching-Feng Huang)

《長庚科技學刊》 39期 (2023/12) Pp. 27-44

https://doi.org/10.6192/CGUST.202312_(39).4

摘要

社會快速變遷，醫療環境日趨複雜化，護理專業人員面臨多變的倫理困境的情境。護理學是重視實際應用與實踐性之學科，故護理人員分析與解決倫理困境能力的培養更顯重要。本研究基於類實驗研究設計，研究對象為某科技大學護理系二技之學生。探討護理倫理法規應用課程規劃與實施，採用模擬臨床倫理困境之情境並運用倫理決策模式分析思辨，強化其批判性思考與自主學習能力，讓學生學習獲得應用護理倫理法規解決倫理困境能力之學習成效。教學成果以量化研究分別蒐集、比較學生分析與解決倫理困境能力之學習成效，並以質性研究之焦點團體訪談蒐集學生對情境教學的想法及影響。研究結果發現：1.學生回饋評量平均4.58分（滿分5分），學生於學習歷程中透過情境案例以倫理決策模式分析而精熟應用護理倫理法規，並增進處理臨床實務之倫理困境能力。2.學生認同情境教學法，認為教學設計活潑生動，激發興趣與學習動機；討論分析過程中能腦力激盪，學習不同的想法與經驗，擴增思辨脈絡與批判性能力，並增進學習成效。本研究可做為護理倫理與法規相關課程規劃與實施參考。

關鍵字

護理倫理法規 ； 倫理困境 ； 情境教學法

並列摘要

Due to social changes and a complexity medical environment with time, the registered professional nurses (RPN) are faced with changeable ethical dilemmas. Nursing is a discipline that attaches importance to practical application and practicality. Therefore, it is more important for the RPNs to analyze and solve the ethical dilemma ability. In this research is based on a quasi-experimental study which research object is two-year under-graduated nursing students. In order to discuss the planning and implementation of the application course of nursing ethics law, this research used the situation of simulating clinical ethical dilemma and apply the ethical decision-making model to analyze and thinking. The research could let the students learn to obtain the learning effect of applying nursing ethics law to solve ethical dilemmas. The research results were collected, compared by quantitative research learning effectiveness which is based on the students' ability to analyze and solve ethical dilemmas. And qualitative research focus on group interviews which were used to collect students' thoughts and influences on situational teaching. The following is this research found: 1. The average score of student feedback evaluation is 4.58 (out of 5). The students are proficient in the application of nursing ethics and law through the analysis of situational cases and ethical decision-making models during the learning process, and improve their ability to deal with ethical dilemmas in clinical practice. 2. The students agree situational approach that lively teaching designed to stimulate interest and motivation to learn. The discussion and analysis process could brainstorm, learning different ideas and experiences and expand their speculative context, critical ability and achieve learning effectiveness. The research can be used as a reference for the planning and implementation of courses related to nursing ethics and law.

並列關鍵字

nursing ethics and law ； ethical dilemma ； situational teaching method

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