護理臨床教師護理專業能力量表發展與測試

醫院護理人力荒，使得護理人員面對工作職場更添加許多壓力，培訓護理臨床教師，期能留任好不容易招聘的新進護理人員，護理臨床教師是臨床工作者，更具備教學者的角色，須以雙重標準檢視其表現成效，故培訓一位完善的護理臨床教師、使其具有足夠的護理專業能力，並能適切的運用教與學之技巧，方能成為學習者的模範。本研究目的為發展與測試護理臨床教師之護理專業能力測驗量表，提供醫院於培育護理臨床教師之管理及協助措施。依據美國護理協會（ANA）專業護理臨床護理實踐和標準為依據，以勤務品質、在職教育、勤務評值、同事溝通、協作勤務、護理倫理、護理研究、資源運用、護理領導九項構面制定50題相對應的專業測驗題目，進行200位護理臨床教師在不受教育或自我成長的干擾下兩次測試，結果發現護理臨床教師個人專業能力測驗平均得分為67.64(總分100分)，同一護理臨床教師在不同時間的認知一致性高；測驗題難度適中，平均難度分散；題目的鑑別度為尚可。開發「隨機自動命題」與「護理人員專業能力測驗簿」二套系統提供臨床教育規劃執行之運用，可改變護理人員專業能力的臨床表現之測量方法，提供護理單位之人力資源管理的運用。

關鍵字

護理臨床教師；護理專業能力；測驗量表；認知再現；專業同現；雙現度

並列摘要

The shortage of hospital nurses makes the nurses more stressed. In order to prevent the new nurses quitting the job from the hospital easily, we have to train some preceptors to help them. However, a preceptor can't be a good model of new nurses until she has professional ability and knows how to teach new nurses properly and learn from the clinical experience well. In addition, a preceptor is not only a nurse but also a teacher, we have to test their performance by two standards to make sure if they are qualified. In order to give the hospital an appropriate way to measure the qualified preceptor, the researcher decided to develop the efficient Scale of Nursing Performance of Preceptor. According to the American Nurses Association (ANA), the researcher made a test with 50 questions about nursing standard to measure 200 experienced nurses to see if the test is efficient. The result shows that the difficulty of the questions of the test is moderate and the discrimination of the test is good. In the meanwhile the researcher created two measuring systems that not only changed the traditional Method of Assessment but also can be used for Human Resources Management.