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從護理臨床教師與新進人員觀點探討護理臨床教師教育訓練之需求評估

論文名稱(中/英文) 研究生 指導教授
從護理臨床教師與新進人員觀點探討護理臨床教師教育訓練之需求評估
Assessing Nurse Preceptors’ Training Needs from the Preceptors and Preceptees Point of View
蔡玉梅 李皎正教授
[  摘要  ]
護理臨床教師是幫助護理新進人員適應臨床工作及提升護理能力之關鍵人物,因此國內各教學醫院大多依據醫策會規定之課程設計、教學技巧、評估技巧、
回饋、教材製作、跨領域團隊合作照護教學六項主題,開設護理臨床教師訓練課程(醫策會,2012),以培育護理臨床教師;然而李、高(2012)研究指出,護理臨床教師期待能有輔導角色需求及人際經營需求此兩向度,卻是醫院所欠缺的,故分別從護理臨床教師與新進護理人員的角度瞭解其「教學」與「學習」之經驗,進而了解護理臨床教師教育訓練的需求內涵。研究目的有三,一、瞭解護理臨床教師的教學經驗;二、瞭解新進護理人員的學習經驗;三、界定護理臨床教師教育訓練需求之內涵。本研究採質性研究設計,以焦點團體訪談法分別訪談護理臨床教師 3 次,分別為 7 位、4 位、4 位,共 15 位護理臨床教師及護理新進人員訪談 2 次,分別為 9 位、5 位,共 14 位新進護理人員,再以內容分析法進行資料分析,研究結果包括:一、護理臨床教師的教學經驗,共有五項主題分別為 1.「營造溫馨關懷的學習氛圍」;2.「展現願意投入教學的熱忱」;3.「運用多元合宜的教學技巧」;4. 「承受教學的壓力與挫折」;5.「不具備輔導新人的技巧」;二、新進護理人員的學習經驗,共有三項主題,分別為 1.「忍受迢迢學習歷程的考驗」;2. 「感覺”老人欺負新人”的無奈」;3. 「期盼溫馨關懷的學習氛圍」;三、護理臨床教師教育訓練需求共有五項主題,包括 1.「營造溫馨關懷的學習氛圍」;2.「展現教學的熱忱」;3.「多元的教學技巧」;4.「輔導新人的技巧」;5.「抒緩教學的壓力與挫折」。結論:護理臨床教師教育訓練五項主題,較醫策會規範之臨床教師培育課程內容涵蓋更廣泛,期盼本研究結果可提供醫院規劃護理臨床教師教育訓練課程之參考。
[ Abstract ]

Preceptor is a very important role in helping new nursing staff to adapt the medical environment and help them to enhance the nursing ability. The training program of preceptor of most medical center in Taiwan is base on Hospital Accreditation, it include course design, teaching skills, assessment skills, feedback, teaching material and Interdisciplinary teamwork. Research indicates preceptors expect to have the skills of counseling and relationships operating, those are lacking in these program. Therefore, we try to find out the “teaching” and “learning” experiences from preceptors and new nursing staff’s point of view, in order to understand the needs of preceptor training program. The purposes of this study are (1) To understand the teaching experiences of preceptors. (2) To understand the learning experiences of new nursing staff. (3) To identify the needs of preceptor training program. The qualitative study design was used to explore the study purposes of 14 preceptors and 15 nursing staff through five times focus group and semi-structured interviews. Transcripts were analyzed using the method of constant comparison. The study results were as followed, (1) There were 5 themes of the teaching experiences of preceptors were identified: the first theme was “Create a warm and caring learning environment”, the second theme was “Show out enthusiasm for 
teaching willing”, the third theme was “Use multiple and appropriate teaching techniques”, the fourth theme was “Withstand the pressure and frustration of teaching”, the fifth theme was “Lack of counseling skills of new nursing staff”. (2) The learning experiences of new nursing staff are “ Endure the test of the learning process”, “Feel helpless of 「Nurses eat their young」”, ” Look forward to a warm 
caring atmosphere for learning”. (3) The themes of the needs of preceptor training program are “Create a warm and caring learning environment”, “Show out the passion of teaching”, “Diverse teaching skills”, “Counseling skills of new nursing staff”, “Relieve the pressure and frustration of teaching”. Conclusion: The five themes of the contain of preceptor training program are more extensive than Hospital Accreditation, we are looking forward to this results of this study may provide some references to hospital for planning preceptor training program.