內外科病房護理交接班能力模組課程與教學設計之研究

論文名稱(中/英文)	研究生	指導教授
內外科病房護理交接班能力模組課程與教學設計之研究 The Study on Design of Modular-Based Nursing Shift Report Curriculum and Instruction in Medical-Surgical Wards	賴姿伊	徐曼瑩博士
[ 摘要 ]
護理交接班任務的目的在維護病人安全和持續性照護，本質為有效的溝通。交接班能力是護理人員執業必備能力之一，但文獻尚缺乏此能力有關之課程及教學設計，影響護理新進人員執業能力的養成。因此，本研究以有效溝通理論為基礎，以安置護理新人工作最多的內外科病房為研究情境，目的在：（一）建構與標準化內外科病房護理交接班流程，（二）設計護理交接班能力模組課程與教材。為達成此二個研究目的，本研究採用文獻分析、訪談及焦點團體訪談三種方法收集資料，歷經三個階段、十一個步驟，獲得研究結果包括：（一）標準化「護理交接班」執行流程，（二）確認「護理交接班」執行流程需具備的能力，（三）四個護理交接班執業能力模組課程（護理交接班任務先備知能、護理交接班流程、護理交接班的情境覺察與判斷決策、護理交接班的病人安全議題），（四）護理交接班模組課程學習手冊。研究的兩點結論為（一）護理交接班的本質為溝通理，交接班要達到預期的功能，其訓練應包括交班能力、接班能力與資訊交流。（二）藉由完整護理交接班能力模組課程，強化護理人員彼此的溝通技能，學習處事的方法與態度，使交接班能正確無誤，建立病人安全的組織文化。最後，此研究結果可提供臨床機構新人職前訓練或學校培育護生護理交接班執業能力之參考。
[ Abstract ]
The purpose of nursing shift report task is to protect patient safety and continuity of care, essential to effective communication. Ability to practice nursing shift report is one of the necessary practice competency, but the literature still lacks the competency-based curriculum and instruction. Therefore, this study based on the theory of effective communication, the study aims to: (a) Construction and standardization of surgical ward nursing shift change process, (b) design competency of nursing shift repots modular curriculum and teaching materials. To achieve this two studies, the research literature review, clinical interviews and focus group interviews to collect information on three methods, after three stages, 11 steps. Findings of the study include: (a) complete the standardization of the "nursing shift reports," the implementation process, (b) confirm that "nursing shift reports," the implementation process must possess the competency, (c) competency to complete four modules to practice nursing shift reports curriculum ( nursing shift reports task prior knowledge, nursing shift reports process, nursing shift reports situational awareness and determine decision-making, nursing shift reports issues including patient safety), (d) medical and surgical nursing shift reports modular curriculum of study manual. Based on the results and literature review, and make two conclusions ：(a) the nursing shift reports is based on the theory of communication, but also to achieve effective communication requires nursing shift reports the conditions of prior knowledge on the nursing shift report situational understanding and decision-making process competency to determine the nursing shift repors the message for accuracy and completeness.Nursing shift reports can therefore use the correct record of the shift reports and there is a single,as well as effective communication skills,effective time management,and facilitate continuity of care. (B) nursing shift reports by the full competency of modular curriculum , strengthening communication skills between nurses and learn way of doing things with the attitude, the shift reports to correct, to establish the organizational culture of patient safety. Finally, this study offers new pre-clinical training institution or school training competency of nursing students practice nursing shift reports reference.