護生在最後一哩臨床選習學習困擾與護理專業承諾之研究
| 論文名稱(中/英文) | 研究生 | 指導教授 |
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護生在最後一哩臨床選習學習困擾與護理專業承諾之研究 Professional Commitment in Nursing for Nursing Students |
王淑真 | 高毓秀博士 |
| [ 摘要 ] | ||
| 本研究目的主要是了解護生對最後一哩臨床選習學習困擾的現況，並探討不同個人背景因素在最後一哩臨床選習學習困擾的差異情形，及護理專業承諾與最後一哩臨床選習學習困擾的相關情形。以北部某大學護理系完成最後一哩臨床選習課程之四技四年級與二技二年級護生為研究對象。採橫斷性問卷調查方式收集資料，研究工具包括三部分：「個人背景資料」、「護理專業承諾量表」及「最後一哩臨床選習學習困擾之量表」。以次數分布、百分率、平均值、標準差、獨立樣本t-test、One-Way ANOVA 、Scheffe | ||
| [ Abstract ] | ||
| The purpose of this study is to understand the nursing students on the last mile of Practicum for Obtaining Nursing Employment in the current situation and to explore different personal background factors in the last mile of clinical practice learning difficulties difference situation, and nursing professional commitment and last mile Practicum for Obtaining Nursing Employment learning difficulties relevant circumstances. Take National Taipei University, Department of Nursing Care Health Four-Year Technology fourth grade and two-Year Technology second-year nursing students having completed the last mile Practicum for Obtaining Nursing Employment course for the study. For a cross - sectional survey to collect data, research tools include three parts: the "personal background factors", "care professional commitment scale" and "last mile Practicum for Obtaining Nursing Employment learning difficulties scale." Analyzed by frequency, percentage, mean, standard deviation, t-test, One-Way ANOVA, Scheffe's post hoc comparisons and Pearsons Correlation other statistical methods for data analysis, the results showed that: (1) nursing students as a whole last mile of Practicum for Obtaining Nursing Employment learning difficulties (Likert 5-point scale) between "Normal" to "disagree" with an average close to the low value compared to (M = 2.58, SD = 1.01), shows nursing students in last mile of clinical practica learning difficulties in low level; (2) the overall care of nursing students professional commitment(Likert 4-point scale) between "OK" to "uncertain", with an average close to the high value (M = 2.94, SD = 0.74); (3) Overall nursing students in last mile of Practicum for Obtaining Nursing Employment plagued with older nursing students in their learning problems higher; preceptorship hospital level as the "Regional Teaching Hospital & Regional Hospital" higher than the "Medical Center" in nursing student; Also in the" clinical practice unit level learning plagued" is by" two-Year Technology "than" Four-Year Technology "of nursing students & "no work "than" a work "of nursing students; in the" personal level learning problems" perceived health" bad & very bad "than" very good "nursing students. (4 ) Overall care professional commitment to "their own interests" and "job easier" than those "family's expectations" and "distributed by scores" of nursing students; school system as " Two-Year Undergraduate School " of nursing students higher than the " Four-Year Undergraduate School " in nursing students; families cope "None cope" and "partial cope" those above "Full cope" nursing students; perceived health as "very good" by the "good" than "bad & very bad" for nursing students ; academic performance in "85 points" higher than the "80-84.9 points" and "79.9 points or less," the nursing students; Practicum performance in "85 points" higher than the "80-84.9 points" of nursing students; preceptorship Hospital level as the "Medical Center" higher than the "regional Teaching Hospital & regional Hospital" in nursing students; preceptorship unit divisions as "medicine" "Surgery & operating room," "emergency & critical units" higher "respiratory care ward, long-term care wards, gynecologic cancer, rehabilitation, psychiatry, "nursing students, and its overall commitment to the nursing profession a higher degree than the positive . (5) As well as the overall level of Last Mile Practicum for Obtaining Nursing Employme learning difficulties, as well as the dimensions of the overall commitment to the nursing profession were highly significant negative correlation, that Last Mile Practicum for Obtaining Nursing Employme learning difficulties by its commitment to lower the degree of nursing; nursing profession The higher the degree of commitment by their Last Mile Practicum for Obtaining Nursing Employme learning difficulties is lower. Recommendation: nursing faculty teaching in the school care about students' professional commitment to the process of formation, and timely to encourage and motivate students, to enable students to improve care professional commitment; while preceptorship units should choose a professional and caring nurses ability to act as role models clinical nursing teachers, to promote retention of nursing students and create a win-win situation, and the school can arrange for the last mile before clinical preceptorship operating practice relevant skills, communication skills, reasoning, decision making test (eg OSCE), in order to increase students' clinical election last mile learning clinical situation facing the coping capacity and enhance professional competence of nursing students on their own self-confidence and reduce the gap between theory and practice. |
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