情境模擬溝通教學對護理人員學習成效之研究－以心肌梗塞病人照護指導為例
| 論文名稱(中/英文) | 研究生 | 指導教授 |
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情境模擬溝通教學對護理人員學習成效之研究－以心肌梗塞病人照護指導為例 Example of Health Teaching of Mycardial Infarction Patients |
黃雅萱 | 許麗齡博士 |
| [ 摘要 ] | ||
| 本研究旨在探討情境模擬溝通教學課程介入後，護理人員之溝通能力、溝通自我效能、心肌梗塞認知測驗、標準化病人測驗與學習滿意度之成效探討。研究方法採實驗性研究設計(Experimental design)，包含控制組與實驗組前後測；研究對象為台北市某區域醫院N0~N2內科護理人員，共122人；實驗組59人接受情境模擬溝通教學課程，控制組63人採傳統課室案例討論教學介入；教學課程介入前後，兩組皆接受前後測。以SPSS17.0電腦統計套裝軟體進行資料分析，包括描述性統計分析以次數分配、百分比、平均數與標準差進行研究對象個人背景資料、是否接受過溝通相關課程及分布情形等。以t Tests、ANCOVA、Mann-Whitney U test等統計方法，呈現推論統計分析。研究結果顯示：(一) 溝通教學介入後，控制組與實驗組於溝通能力查檢表及溝通自我效能評量表前後測得分有顯著差異。(二) 溝通教學介入後，實驗組於溝通能力查檢表及溝通自我效能評量表得分顯著高於控制組。(三) 控制組與實驗組於心肌梗塞評量表前後測得分達統計上顯著差異，顯示教育介入後，研究對象對於心肌梗塞認知程度均有持續進步之變化。(四) 溝通教學介入後，控制組與實驗組於學習滿意度得分有顯著差異，且實驗組高於控制組。本研究結果建議：未來可依護理人員不同層級及工作屬性，拍攝各種護病溝通情境教學影片，以探討其溝通能力與溝通自我效能之變化；亦可再介入其他教學方式，例如：自學手冊、多媒體教學光碟、行動學習等，以提昇護理人員心肌梗塞認知之學習成效。 | ||
| [ Abstract ] | ||
| The research is aimed to evaluate nursing care abilities following clinical scenario-based simulation education (SE) for communication. Evaluated abilities include capability and self-efficacy of nurse-patient communication, knowledge of myocardial infarction, test results by standard patient (SP)-based scenario after SE, and satisfaction investigation for the SE. Research was performed following the principle of experimental design for education intervention. Inclusion populations were 122 nurses of medicine (clinical qualified level N0 to N2 for nursing) in a municipal hospital of Taipei. Under group randomization, 59 nurses received clinical scenario-based SE for communication (intervention group, IG), and 63 nurses underwent traditional class-based education for communication (control group, CG). Both groups received a pre-test and a post-test after education.Results of demographics(including past communication training experiences), knowledge after teaching, communication capabilities and self-efficacy were analyzed with descriptive statistics (frequency distribution, percentage, mean, and standard deviation), t Tests, ANCOVA, and Mann-Whitney U test by SPSS17.0 software. Results revealed that(1) there were significant increases in capability and self-efficacy of communication in both groups, (2) the IG showed more increases in capability and self-efficacy of communication than the CG, (3)there were significant increases in knowledge of myocardial infarction in both groups, suggesting steady increase in knowledge of myocardial infarction after education in both groups, and (4) there were significant increases in satisfaction for communication education in both groups, with the IG showing more increases than the CG. The research results also indicate that communication skills training videos showing various scenarios of patients communicating with nurses of different fields and varying experience levels may be produced for nurses to think about the differences in communication skills and communication self-efficacy. Other types of education intervention such as self-learning manual, multimedia CD-ROM, or mobile-learning may be applied to facilitate myocardial infarction knowledge development for nurses. | ||