擬真情境教學介入對護理人員失禁性皮膚炎照護之成效

The Effectiveness of Situated Simulation Teaching on the Care of Incontinence Associated Dermatitis Among Nurses

劉雅閔(YA-MIN LIU)

指導教授 ： 胡月娟

中臺科技大學/護理學院/護理研究所/碩士(2019年)

摘要

本研究旨在探討擬真情境教學介入，對護理人員失禁性皮膚炎照護知識、態度及實務之成效，採類實驗研究設計（Quasi-experimental research design)，將中部某區域教學醫院的四個加護單位隨機分成實驗組(n=27)與對照組(n=28)。實驗組接受失禁性皮膚炎網路數位講述課程及失禁性皮膚炎照護擬真情境教學介入，對照組接受失禁性皮膚炎網路數位講述課程教學；兩組於教學介入前及結束後六週，以「失禁性皮膚炎照護問卷」及「失禁性皮膚炎照護技術DOPS評量表」評量其學習成效；以t檢定(t test)及共變數 (ANCOVA)進行資料分析。研究結果顯示擬真情境教學介入後，實驗組在失禁性皮膚炎照護知識、態度與實務有顯著成效(p < .05)。期望藉由本研究的成效分析，能提供未來擬定失禁性皮膚炎相關在職教育計畫之參考，建議採多元的教學策略，以提升護理人員對失禁性皮膚炎的照護能力。

關鍵字

擬真情境教學 ； 失禁性皮膚炎 ； 照護成效

並列摘要

The purpose of this study was to investigate the effects of situated simulation teaching on the care of incontinence associated dermatitis among nurses. A quasi-experimental design was adopted in the study. Nurses from four intensive care units were randomly assigned to the esperimental group (n = 27) and the control group (n = 28). The experimental group received multimedia with video instruction and incontinence dermatitis care immersive situational teaching as an interventional program.The control group received multimedia assisted instruction. The study gathered data using questionnaire designed to address the care of incontinence associated dermatitis and the Direct Observation of Procedural Skills (DOPD). The participants were evaluated before and after the program was conducted. Data analysis was performed by t test and analysis of covariance (ANCOVA). According to the results of the post-intervention, the incontinence dermatitis care knowledge, attitude and skill in the experimental group were significantly better than the control group (p < .05). The incontinence dermatitis care immersive situational teaching was found to improve the incontinence dermatitis care knowledge, attitude and skill for nursing staff in intensive care unit. The results of the present study provide a reference for clinical situated simulation education.The research also suggests to adopt a multi-disciplinary teaching strategy to improve the capacity of incontinence dermatitis care among critical care nurses.

並列關鍵字

situated simulation teaching ； incontinence associated dermatitis ； care effectiveness

參考文獻

中文部分

李玉珊、高毓秀（2016）•護理人員參與擬真情境放射線治療皮膚照護工作坊之學習成效研究•護理雜誌，63(4)，80–89。

李惠珍、高麗茹、詹淑惠(2016)•在擬真情境下應用客觀結構式臨床測驗評量新進護理人員急救技能之成效•台灣擬真醫學教育期刊，3(1)，3-10。

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