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高級心臟救命術訓練課程成效評估之探討

論文名稱(中/英文) 研究生 指導教授
高級心臟救命術訓練課程成效評估之探討
A Study on Self-Assessment for Effectiveness of Advanced CardiovascularLife Support (ACLS) Training Program		 陳玟霖 高毓秀博士
[  摘要  ]
本研究旨在了解護理人員在高級心臟救命術訓練後自我評估學習成效，並探討不同個人背景變項對高級心臟救命術訓練成效的差異情形。本研究以台北某醫學中心的護理人員為研究對象，進行問卷調查，回收有效問卷333份，回收率達97.3％。研究工具包括個人背景資料、課程滿意度量表、個人專業能力增進量表、急救自我效能量表及實際工作應用成效量表。重要研究結果如下:
一、 課程訓練成效得分高至低依序為「個人專業能力增進」、「課程滿意度」、「實際工作應用成效」、「急救自我效能」。
二、 不同個人相關因素變項僅在工作科別、職位、半年內實際參與急救次數等有顯著差異。亦即加護病房單位護理人員的急救自我效能及實際工作應用成效分別優於開刀房與洗腎單位；而主管職位的個人專業能力增進及急救自我效能均優於一般護理人員；半年內實際參與急救次數3-5次者的急救自我效能優於0次者。
三、 研究對象在高級心臟救命術訓練成效自我評估對「課程滿意度」、「個人專業能力增進」、「急救自我效能」與「實際工作應用成效」兩兩間有顯著相關。
本研究結果，可做為未來改進高級心臟救命術訓練課程之參考。
[ Abstract ]
This study aimed to evaluate the effect of advanced cardiac life support (ACLS) training course on clinical learning efficacy by using a self-assessment way.Furthermore, the variance in personal characteristics and its impact of ACLS training course was analyzed. We recruited 333 nursing staff in a medical center to complete the questionnaire named "Self-Assessment for Training Efficacy of ACLS training course" with a return rate 97.3%. Investigation tools included as follows: personal characteristics, class satisfaction scale, enhancement of individual professional ability scale, ACLS self-capability scale and practical working efficiency scale. The results are listed as follows:
1. For each parameter of training efficacy, scores by rank were as follows: enhancement of individual professional ability, class satisfaction, impact on practical working efficiency and ACLS self-capability.
2. Among variances of personal characteristics, working department, position and times for practicing ACLS within recent 6 months had significant difference. Scores of ACLS self-capability and practical working efficiency in emergency/intensive care nursing workers were higher than those in operation room and hemodialysis unit. Scores of enhancement of individual professional ability and ACLS self-capability in head position were higher than general nursing staff. Recruited subjectsexperienced 3-5 times of ACLS practice within recent 6 months had higher score of ACLS self-capability than those without ALCS experience.
3. As for self-assessment for training efficacy of ACLS course by enrolled subjects, there are significant intergroup difference between class satisfaction, enhancement of individual professional ability, ACLS self-capability and practical working efficiency.