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護理系學生接受安寧緩和醫療臨床實習教育介入之成效

The Effects of Clinical Practice Program toward Palliative Care for Nursing Student's Education in School of Nursing

摘要


The objectives of this study were to evaluate the effects in knowledge, attitudes, and ethical issues of student nurses. Form 2002 to 2003, thirty-seven student nurses was enrolled in a four or five weeks course of clinical practice for “Medical-Surgical Nursing” in the hospice palliative care unit of the NATIONAL Taiwan University Hospital. The questionnaire, assessing student nurses’ knowledge and attitudes towards towards ethical dilemmas, was used to assess philosophy and clinical management, and attitudes regarding common ethical issues before and after the educational intervening program. The Wilcoxon Signed Ranks test was used to examine pre-and post-training composite score. The findings showed that the clinical practice heighten the knowledge and attitudes for palliative care in student nurses (Z=-3.527, P<.001; Z=-1.750, P<0.05). Regarding attitudes for the student nurses towars the ethical dilemmas of artificial hydration and nutrition, in which was not of benefit in terminal patients, had increased in student nurses after clinical practice program. The three leading educational needs were communicative skills, management of physical discomfort and methods of emotional support. The attitudes of palliative care positively correlated with the agreement of ethical issues and educational needs (r=0.63, p<0.01; r=0.53, p<0.05). It was suggested to hold a seminar toward the end-of-life care for clinical tutors. The results of this study should encourage those providing or planning in training opportunities for student nurses in the area of end-of-life.

關鍵字

安寧緩和醫療 護生 知識 態度 教育需求

並列摘要


The objectives of this study were to evaluate the effects in knowledge, attitudes, and ethical issues of student nurses. Form 2002 to 2003, thirty-seven student nurses was enrolled in a four or five weeks course of clinical practice for “Medical-Surgical Nursing” in the hospice palliative care unit of the NATIONAL Taiwan University Hospital. The questionnaire, assessing student nurses’ knowledge and attitudes towards towards ethical dilemmas, was used to assess philosophy and clinical management, and attitudes regarding common ethical issues before and after the educational intervening program. The Wilcoxon Signed Ranks test was used to examine pre-and post-training composite score. The findings showed that the clinical practice heighten the knowledge and attitudes for palliative care in student nurses (Z=-3.527, P<.001; Z=-1.750, P<0.05). Regarding attitudes for the student nurses towars the ethical dilemmas of artificial hydration and nutrition, in which was not of benefit in terminal patients, had increased in student nurses after clinical practice program. The three leading educational needs were communicative skills, management of physical discomfort and methods of emotional support. The attitudes of palliative care positively correlated with the agreement of ethical issues and educational needs (r=0.63, p<0.01; r=0.53, p<0.05). It was suggested to hold a seminar toward the end-of-life care for clinical tutors. The results of this study should encourage those providing or planning in training opportunities for student nurses in the area of end-of-life.

被引用紀錄


洪麗琴(2008)。緩和療護方案(Palliative Care Program)介入對護理人員知識、態度與照護品質之成效〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834%2fCSMU.2008.00081
顧艶秋、林麗英、蔣秀容、陳惠鈴、高紀雅(2018)。全人照護結合安寧療護之教育訓練對提升全人照護之成效高雄護理雜誌35(3),12-24。https://doi.org/10.6692%2fKJN.201812_35(3).0002
顧艶秋、林麗英、蔣秀容、王珮珩、高紀雅(2017)。實習護生接受安寧療護教育課程之成效安寧療護雜誌22(3),273-287。https://doi.org/10.6537%2fTJHPC.201711_22(3).002
林淑娟(2014)。護理人員安寧療護知識、態度與行為需求量表的發展〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343%2fISU.2014.00173
柯莉珊(2005)。教育介入對改變護理人員提供癌末病患人工營養與水分的知識、態度與行為意向成效之研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2005.00890

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