急診護理人員學習實務知識的經驗：一個現象學的研究
| 論文名稱(中/英文) | 研究生 | 指導教授 | |||
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急診護理人員學習實務知識的經驗：一個現象學的研究 phenomenological study |
朱 雯 | 許麗齡博士 | |||
| [ 摘要 ] | |||||
| 採用現象學研究法，以深入訪談的方式及依Moustakas(1994) 資料分析之步驟進行分析，在研究過程中，於2007年訪談了十位具急診三年以上年資之護理人員，共收集了十三份文本。 發現：經由資料分析後，發現急診護理人員實務知識的學習歷程中共有四個主題及四項實務知識內涵。四個主題之學習歷程分別是：(一)理所當然的學徒制；(二)刺激－反應學習模式；(三)符合工作要求的學習以及(四)自我反思的學習。依學習歷程急診護理人員學習到的實務知識內涵依序為急診基本處置流程及常規、疾病及藥物機轉、最新的急診知識技能及護理概念。 |
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| [ Abstract ] | |||||
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This paper aims to know the experience and process of emergency nursing professionals in acquiring practical knowledge and the content of the practical knowledge they acquired by using phenomenological research and in-depth interview, as well as adopting the steps suggested by Moustakas (1994) in data analysis. The author conducted in-depth interviews with ten nursing professionals with more than three years of practical experience and collected thirteen samples. Data analysis reveals that there are four themes and ten sub- themes, which are further divided into twenty-two sub- themes items, as well as four major areas of content of practical knowledge involved in the learning process for emergency nursing professionals. The four subjects involved in the learning process are as follows: (1) Natural Apprenticeship which includes the sub- themes of learning to view work as top priority and focus on the illness, as well as displaying reactions of uncertainty, (2) Stimulation-Response Learning Model, with the sub- themes being passive literature search, learning from other people’s behavior patterns, and accumulating experience from practices, (3) Work Requirement-Oriented Learning, with the sub- themes being development of professional expertise through courses and self-monitoring learning, and (4) Self-Reflection Learning, including the sub- themes of learning by comparison and self-reflection. The content of practical knowledge acquired by emergency nursing professionals in the learning process covers basic emergency treatment procedure and routines (including getting to know the environment, ward routines, operating procedure, basic emergency skills, and managment of symptoms), mechanism of diseases and medicine (including pathological mechanism, mechanism of medicine, and the patient’s reactions), the latest emergency treatment know-how (including new-type diseases, updated emergency treatment regulations, and discussions on medical treatment), and nursing concepts (including attitude toward nursing and continuity in nursing care). |
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