內外科病房慢性傷口照護模組化課程與教學設計之研究
| 論文名稱(中/英文) | 研究生 | 指導教授 |
| 內外科病房慢性傷口照護模組化課程與教學設計之研究 The Study on Design of Modular Curriculum and Instruction for Nurses in Caring for Patients with Chronic Wounds |
黃文薰 | 徐曼瑩博士 |
| [ 摘要 ] | ||
| 慢性傷口照護是護理人員的重要護理任務之一，要能掌握慢性傷口照護的重點，才能有效促進傷口癒合。為了有效提升慢性傷口的照護成效，護理人員的慢性傷口照護情境掌握能力就必須提升。因此本研究目的在（一）標準化病房護理人員的慢性傷口照護任務執行流程，和（二）設計模組化慢性傷口照護課程與教學。本研究以一般內外科病房為研究情境，以質性研究方法收集資料，分三階段十一個步驟進行。首先採文獻查證與訪談法建構護理人員執行慢性傷口照護流程之重要步驟，再確認執行各步驟所需的能力與訓練需求。其次透過臨床資深護理人員組成的研究團隊討論並確認模組化課程與教學，最後以焦點團體訪談與評值表分別檢核與修正慢性傷口照護模組課程與教材的品質，修正後的結果據以設計一份學習手冊。研究結果包括：（一）慢性傷口照護任務的執行流程；（二）慢性傷口照護任務執行能力；（三）慢性傷口照護任務模組化課程（四）慢性傷口照護任務模組化教學設計樹狀結構，以及（五）慢性傷口照護任務模組課程學習手冊。此研究結果可以做為臨床與學校教育和訓練護理人員的慢性傷口照護能力。 | ||
| [ Abstract ] | ||
| Taking care of chronic wounds is one of the most important nursing tasks for nurses in medical-surgical wards. Nurses must understand how to facilitate the effective healing of chronic wounds. Accordingly, this study firstly considers standardizing the procedures for nursing patients with chronic wounds in wards, and secondly develops modular curriculum for instructing nurses in helping to heal chronic wounds. Data were collected from medical-surgical wards using a three-stage qualitative research method with 11 steps. In the beginning, important procedures to be followed by nurses in caring for chronic wounds are established from a literature review and in-depth interviews. The abilities and training required by nurses to perform each related task are thus determined. A research team of experienced clinical nurses discusses the modular curriculum and instruction methods, approving of them . Finally, the quality of the modular curriculum and the instruction materials for nursing chronic wounds is evaluated and modified by means of focus group interview and an evaluation chart. A student manual then designed consistent with the results. It includes (1) the procedure for nursing chronic wounds; (2) the abilities nurses must have to be able to nurse people with chronic wounds in medical-surgical wards; (3) the modular curriculum for nursing chronic wounds in medical-surgical wards; (4) the tree structure of modular instruction for nursing chronic wounds; and (5) a student manual associated with the modular curriculum . The study results may provide a reference for training nurses in clinical education institutions and in schools . | ||