專科護理師參與培訓課程之學習經驗
| 論文名稱(中/英文) | 研究生 | 指導教授 |
| 專科護理師參與培訓課程之學習經驗 The Learning Experiences of Participating in Training program among Nurse Practitioners |
韓惠君 | 許麗齡博士 |
| [ 摘要 ] | ||
| 本研究旨在探討專科護理師參與培訓課程之學習經驗，目的在了解專科護理師參與培訓課程之收穫、困難、成長、與感受；期待藉由本研究結果能提升我國專科護理師教育發展之品質。本研究為質性研究設計，以半結構式訪談指引為研究工具，透過與十位專科護理師面對面的深度訪談，進行資料收集，並以內容分析法做資料分析，歸納出七個主題，得知專科護理師參與培訓課程之學習經驗為：(一)職場與個人需求兼顧、(二)專業及思考能力提升、(三)內外在自信心的建立、(四)臨床實習角色展現、(五)多重角色負荷之衝擊、(六)學習成效因素考量(七)角色定位與行為展現。專科護理師藉由培訓課程，深化其專業素養及思考能力，並幫助建立自信；而在學習期間因角色負荷及受教學因素的影響，造成學習成效不一，但終能突破並刺激自我反思，引發繼續學習之動機，也期待專科護理師甄審制度能「教考一致」。根據研究結果，建議專科護理師培訓課程之相關產、官、學界，確立目前專科護理師培訓課程之目標、內容、及甄審方向的一致性，並發揮監督之功能，也需積極栽培真正對專科護理師角色素養有深度了解之師資，設計以學習者為中心之課程，才能適才適教，培育專科護理師人才。 | ||
| [ Abstract ] | ||
| This study attempts to explore the learning experiences of nurse practitioners (NP) enrolled in NP training programs with the intent of evaluating learning difficulties, emotions, development, and self-gain among these participants. The purpose of this study is to enhance the quality of education provided to nurse practitioners in training. In this qualitative study, semi-structured, in-depth interviews were conducted with ten nurse practitioners to collect data on their learning experiences during training. Data analyzed via content analysis deduced seven themes from their learning experiences including： (1) improvements in professional and personal performance (2) enhancement of professional decision-making (3) building-up of self-confidence, (4) fulfillment of clinical service during internship, (5) balance of professional and personal roles, (6) evaluation of training effectiveness, and (7) professional roles, expectations, and actual performance. Through training programs, nurse practitioners can deepen professional knowledge, refine thinking ability, and build up self-confidence. Although their different roles and different interpretations of instructions in clinical situations resulted in differences in training outcome, most participants were able to remain highly motivated and learn by thinking critically throughout training. An inconsistency was detected between the set of competencies nurse practitioners were supposed to develop in training, and the set of competencies being tested in the final assessment. The government, higher education institutions, and the medical circle should work together to develop universal standards for NP training and assessments and properly supervise administration of NP training. In addition, NP training should be conducted through a learner-oriented approach by preceptors who truly understand expectations regarding the nurse practitioner role to bring about optimal results. | ||