專科護理師訓練課程成效評估之探討

Evaluating the Effectiveness of the Nurse Practitioners Training Program in Taiwan

鍾瑞瑛(Rei-Yiung Chung) ； 高毓秀(Yu-Hsiu Kao)

《護理暨健康照護研究》 8卷3期 (2012/09) Pp. 201-211

https://doi.org/10.6225/JNHR.08.3.201

摘要

背景：2007年5月，首批經甄審通過領有專科護理師證照的護理人員產生；自此，台灣專科護理師正式走向制度化。但有關其課程訓練，是否真能提升專科護理師的專業能力？值得深思。目的：本研究以Kirkpatrick四層次評估模式作為研究之理論架構，以了解專科護理師之訓練課程成效，並分析不同個人背景因素之專科護理師在訓練課程成效的差異情形，同時探討課程滿意度、個人專業能力增進及實際工作應用成效等彼此間之關係。方法：本研究為問卷調查法，以全程參與衛生署公告合格醫院舉辦之專科護理師標準訓練課程且實際參與執行專科護理師或資深護理師之臨床照護者為研究對象，共發放250份，有效問卷196份，回收率78%。結果：結果顯示（1）受訓學員對訓練課程成效皆有正面的評價，在課程滿意度中，最高為「訓練課程能夠提供新的觀念與知識」，最低則為「訓練課程時間的安排」；在個人專業能力增進中，最高為「事務處理與執行能力」，最低則為「倫理決策能力」；在實際工作應用成效中，最高為「能依據病患健康問題執行身體檢查以完整的評估病患」，最低為「能執行連續性照護（居家轉介、醫療輔助租借、醫師複診）」。（2）受訓學員對訓練課程成效，不會因性別、年齡、平均月收入、婚姻狀況、教育程度、專業背景、工作年資、訓練機構及訓練期別年度之不同而有所差異。（3）整體而言，課程滿意度、個人能力增進與實際工作應用彼此間呈現顯著正相關。結論：研究結果，可做為未來專科護理師訓練課程規劃之參考，以增進照護管理的品質。

關鍵字

專科護理師 ； Kirkpatrick四層次評估模式 ； 課程訓練成效

並列摘要

Background: Nurse practitioners (NPs) were first qualified in Taiwan in May 2007. The effectiveness of NP-related courses and training in enhancing nurse practitioner proficiency requires further investigation.Purpose: This study used Kirkpatrick's four levels of evaluation as its research framework and analyzed the influence of various NP demographic variables on NP training program effectiveness. This study also explored relationships among course satisfaction, individual proficiency improvements, and practical applications.Method: This study used a questionnaire to investigate subjects. Those recruited included nurse practitioners and senior nurses who had completed a nurse practitioners training program held by Department of Health-approved hospitals and had clinical care experience. A total of 250 questionnaires were distributed and 196 valid questionnaires were retrieved, giving a response rate of 78%.Results: All subjects held positive attitudes toward the effectiveness of their NP training program. In terms of course satisfaction, the questionnaire item ”training courses can provide the latest concepts and knowledge” and ”arrangement of training course schedules” earned the highest and lowest scores, respectively. In terms of personal proficiency improvement, ”handling and implementation abilities” and ”ethical decision-making abilities” earned the highest and lowest scores, respectively. In terms of practical application, ”enable the implementation of physical examinations to fully evaluate patient health” and ”enable the implementation of continuing care (including home care referrals, medical device leases, and physician-initiated visits)” earned the highest and lowest scores, respectively. Results further found that gender, age, average monthly income, marital status, education level, professional background, seniority, training institutions, and number of training years, respectively, had no significant impact on training effectiveness. Overall, results showed course satisfaction, individual proficiency improvements, and practical applications to be positively correlated.Conclusion: Research results can serve as a reference for planning nurse practitioners training programs in the future.

並列關鍵字

nurse practitioners ； Kirkpatrick's four levels of evaluation ； evaluation of training program effectiveness

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