五年制護理學生臨床實習學習困擾與學習態度之調查探究

論文名稱(中/英文)	研究生	指導教授
五年制護理學生臨床實習學習困擾與學習態度之調查探究 The Study on Learning Difficulties and Learning Attitudes of Clinical Practice for Nursing Students in 5-year Junior Colleges	王曉萍	高毓秀博士
[ 摘要 ]
本研究旨在探討五年制護專學生臨床實習學習困擾與學習態度之現況，個人背景因素對臨床實習學習困擾與學習態度的影響及兩者之間的關係。本研究採分層集束抽樣法，以台灣地區五年制護理科學生為研究對象。採自擬研究工具包括三部份：個人背景資料、臨床實習學習困擾量表和臨床實習學習態度量表，預試有效樣本170人，回收率100％，研究工具再以專家內容效度、項目及信度分析，預試「臨床實習學習困擾」問卷Cronbach’s α為.93，「臨床實習學習態度」問卷Cronbach’s α為.93；正式施測樣本735人，回收率97.9％，扣除無效問卷後，共得有效問卷695份。回收問卷以描述性統計、 one-way ANOVA 、 Scheffe’s事後比較及Pearson’s Correlation等統計方法進行資料分析。五專護生臨床實習學習困擾與臨床實習學習態度皆屬於中上程度。不同個人背景因素之學校校制、入學管道與整體臨床實習學習困擾未達顯著水準，課室成績、實習成績與整體臨床實習學習困擾達顯著水準。不同個人背景因素之入學管道與整體臨床實習學習態度未達顯著水準，學校校制、課室成績、實習成績與整體臨床實習學習態度達顯著水準。整體臨床實習學習困擾與整體臨床實習學習態度之間呈負相關。大體上而言，臨床實習學習困擾與臨床實習學習態度各向度間呈顯著負相關，除了臨床實習學習困擾「學校層面」向度與臨床實習學習態度「同儕」向度未達顯著相關。
[ Abstract ]
The purposes of this study are to explore students’ learning difficulties and attitudes towards clinical practice for the students of Five-Year Junior Colleges of Nursing, and to understand the background variables that affect students’ learning difficulties and attitudes toward clinical practice. We also explore the relationship between learning difficulties and learning attitudes. By using stratified cluster sampling method, we sample 735 students from Five-Year Junior Colleges of Nursing in Taiwan area. The questionnaire includes three parts: Students’ background variables, table of learning difficulties towards clinical practice and table of learning attitudes towards clinical practice. The pilot study consisted of 170 questionnaires, of 100% were returned. These questionnaires were analyzed using expert content validity, item analysis and reliability estimation, which produced a Cronbach’s α of 0.93. Usable responses from the main study sample were 695(97.9%). The collected data are analyzed using frequency-distribution, percentage, mean, standard deviation, One-Way ANOVA, Scheffe’s post-comparison and Pearson’s Correlation analysis. The result of this survey found that the rate of learning difficulties and learning attitudes of nursing students toward clinical practice is in mid-high range. The factors of personal background variables that do not affect students’ learning difficulties toward clinical practice are school system and entrance channel. The factors of personal background variables that affect students’ learning difficulties toward clinical practice are term grade, clinical practice grade are significant. The factor of personal background variables that does not affect students’ learning attitudes toward clinical practice is entrance channel. The factors of personal background variables that affect students’ learning attitudes toward clinical practice are school system, term grade, grade of clinical practice. Relationship between learning difficulties and learning attitudes toward clinical practice is negatively significant. In general, students’ learning difficulties are significantly negatively correlated with learning attitudes. But the school factor of learning difficulties is not correlated with peer generation factor of learning attitudes.