護生於安寧病房實習之專業核心能力自我察覺探討

Qualitative Research in Nursing Student's Self-perceived of Professional Core Competencies: Display in Hospice Care Practice

陳瑞娥(Jui-O Chen) ； 楊均典(Chun-Tien Yang)

《安寧療護雜誌》 17卷2期 (2012/07) Pp. 173-186

https://doi.org/10.6537/TJHPC.2012.17(2).4

摘要

現今護理專業面臨許多競爭與挑戰，教育部為提升護理教育品質，擬定了護理畢業生所應具備的基本專業核心學養，做為培育臨床護理人員的專業能力與態度的指標。研究目的：本研究旨在探究護生於安寧病房實習過程中對護理專業核心能力學習之自覺情形。材料與方法：自然主義為根基的質性研究，以14位曾選修一學期安寧療護課程，並完成安寧病房實習的二技護生為訪談研究對象。訪談資料以Ritchie及Spencer的主題分析為架構。結果：護生自覺最易達成的專業核心學養有三項分別為：關愛、克盡職責性、倫理素養。護生認為已盡最大的能力展現護理之美及個人生命成長，然而令其最感困難的則為基礎生物醫學科學與批判性思考能力，護生認為基礎醫學科學的知識與病人問題間出現隔閡。結論：本研究呈現護生於安寧病房實習過程中，核心能力達成及不足之處，希望可以提供護理教育者，在安排核心能力融入課程及臨床教學策略上之參考。

關鍵字

護生 ； 專業核心能力 ； 安寧臨床實習

並列摘要

The nursing professional encountered more competition and challenge in present. Therefore, the Taiwan Ministry of Education built the essential professional core competencies for promoting the quality of nursing education.Purpose: This study was to explore nursing students' self-perceived of professional core competencies display in hospice clinical practice. Material and Method: Qualitative research is taken as main method. Fourteen baccalaureate nursing programs students, who had chosen the course of hospice nursing care for one semester and participated for hospice clinical practice, were interviewed. Ritchie and Spencer's framework of thematic analysis was used to analyze the interview data. Results: Nursing students self-perceived that the easiest achievement of the professional core competencies were caring, accountability and ethics. Participants believed that they have tried the best to practice the art of nursing care, and to develop life strengths. However, the most difficult professional core competencies were basic biomedical science, and critical thinking, because the gap existed between the knowledge of basic biomedical science and patients' healthy problems. Conclusions: This study displayed successful and insufficient professional core competencies for nursing students, and to offer the guideline in hospice lecture and clinical practice.

並列關鍵字

nursing student ； professional core competencies ； hospice clinical practice