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新進護理人員到職訓練需求評估

論文名稱(中/英文) 研究生 指導教授
新進護理人員到職訓練需求評估
A Study of Needs Assessment for New Nurses Reported for Duty training
鍾玉梅 高毓秀博士
[  摘要  ]
本研究旨在了解新進護理人員到職訓練的需求,探討不同個人背景變項,對新進護理人員到職訓練課程內容與授課方式需求的情形。本研究以一家醫學中心,北淡兩院區到職兩年內且滿20歲的新進護理人員為對象,進行問卷調查,回收有效問卷為 215 份,回收率達 66%。研究工具為「新進護理人員到職訓練需求評估量表」,以次數分配、百分率、平均數及標準差進行描述性統計,以獨立樣本 t 檢定及單因子變異數分析(one-way ANOVA)統計方法進行推論性統計。研究結果發現:
一、新進護理人員到職訓練課程內容需求,呈現需要的程度。
二、就課程內容需求九個向度而言,得分最高為「心理衛生」,其次依序是「醫院及護理部相關制度與法規」、「儀器操作及維護」、「感染管制」、「安全規範」、「溝通」、「檢查安排與傳送」、「護理技術介紹」、「單位介紹」。
三、課程內容需求得分前10項由高而低依序為醫院簡介、護理部簡介、電子耳溫槍操作及維護、電子血壓計操作及維護、情緒管理、壓力調適、血糖機操作及維護、勞工安全介紹、醫院緊急災害應變措施及消防安全、醫療廢棄物處理規範。
四、新進護理人員到職訓練整體課程內容授課方式希望授課方式需求最多的是「臨床實作(含實際演練)」,第二希望的授課方式為「面對面課室教學」,再來是「數位自我學習系統」,最後才是「課室多媒體教學(無講師)」。
五、「臨床實作(含實際演練)」的授課方式在38項課程內容中有21項希望以「臨床實作(含實際演練)」授課方式為主,其中以護理技術介紹(9/9項)、儀器操作及維護(8/8項)、檢查安排與傳送(2/2項)三面向的課程內容,以及安全規範(醫院緊急災害應變措施及消防安全)、單位介紹(接新病人),新進護理人員希望授課方式,以「臨床實作(含實際演練)」為主。
六、希望以「面對面課室教學」的內容包括醫院及護理部相關制度與法規(人事相關規定、資訊介紹及操作、護理人員教育訓練計劃及專業能力進階制說明)、感染管制(院內感染管制相關規定、隔離措施及防護標準介紹)、單位介紹(病房簡介、護理記錄書寫方式介紹、單位常見藥物介紹、病房常見疾病處置)、溝通(醫護病溝通技巧、新醫療團隊交班模式及重點原則)、心理衛生(情緒管理、壓力調適)。
七、希望以「數位自我學習系統」的內容包括醫院及護理部相關制度與法規(醫院簡介、護理部簡介)、安全規範(醫療廢棄物處理規範、勞工安全介紹、針扎預防與處置、醫院病人安全照護規範)。
八、希望以「課室多媒體教學(無講師)」的內容包括安全規範(醫療廢棄物處理規範、針扎預防與處置、病人安全照護政策及不良事件防範與通報流程)、感染管制(傳染病防治及防護標準)課程內容。
九、不同院區的新進護理人員對到職訓練課程內容需求有顯著差異。院區的分布在到職訓練課程內容九個面向的比較上並無顯著的差異,但是就每題課程內容中在溝通的部份台北院區平均數3.24(t值2.34)、淡水院區2.89(t值2.43),p<0.05有顯著的差異
[ Abstract ]

This study aims to describe the nurses reported for duty training needs and to explore the different personal background variables, the training needs impact of new nurses reported for duty training in the course content and form of education. In this study, a medical center is divided into two area hospital(main and Branch), the north in Taiwan,within two years and have reached the age of 20 for new nurses as object. The method employed by this study is distributing questionnaires.
A total of questionnaires were mailed out , of which 215 were completed and considered as valid questionnaires.The return rate for the completed questionnaires was 66%. Research tools as "New training needs of nursing staff reported for duty assessment scale". Date collected through questionnaires was analyzed by descriptive Statistics frequency distribution, percentage, average and standard deviation descriptive statistics, independent samples t test and one-way analysis of variance (one-way ANOVA) statistics inferential statistical methods..
The results of the research are as follow:
1. New nurses reported for duty training course content needs, showing the extent needed.
2. Curriculum Content dimension to nine, the highest score for the "mental health" is in turn followed by "hospitals and nursing systems and related laws and regulations", "instrument operation and maintenance", 

"infection control", "Safety rules" , "communication", "inspection arrangements and delivery", "nursing techniques(skill) introduction", "departmemts of introduction."
3. Curriculum Content for each question before scoring 10 from high and low order, is "Introduction to the hospital, nursing Introduction", "electronic ear thermometer Operation and Maintenance", "Operation and maintenance of electronic sphygmomanometer," "mood management", " stress and Coping, "" blood sugar machine operation and maintenance, "" labor safety Introduction "," hospital emergency disaster contingency measures and fire safety "," medical waste handling practices. "
4. New nurses reported for duty the overall training curriculum teaching methods the form of education most hope demand is "clinical implementation (including practical exercises) ",a second desired teaching methods as "face to face classroom teaching", is coming "digital self-learning system ",finally is " Classroom multimedia (no instructor). "
5. "Clinical implementation (including practical exercises)" teaching methods are 21 wishes to "clinical implementation (including practical exercises)" teaching methods in 38 main course content, which Introduction nursing techniques (item 9/9) , equipment operation and maintenance (item 8/8), inspection arrangements and delivery (2/2 items) for the three course content, as well as Safety rules (hospital emergency disaster contingency measures and fire safety), Introduction units of (take new patients), New teaching methods nurses hope to "clinical implementation (including practical exercises)" based.
6. Hope to "face to face classroom teaching" content includes hospitals and nursing related systems and Regulation (staff-related provisions, information Introduction and operation of nurses education and training programs and professional capacity advanced system description), 

infection control (nosocomial infection control regulations , quarantine measures and protection standards Introduction), the Organisers (ward profiles, nursing records writing style Introduction, units of common drugs introduced ward common diseases disposal), communication (medical disease communication skills, new medical team shift mode and key principle), psychological health (emotional management, stress adaptation).
7. Hope to "digital self-learning system" content includes hospitals and nursing related systems and Regulation (hospital profiles, nursing Introduction), Safety rules (medical waste treatment regulations, labor safety Introduction, pinned prevention and disposal of hospital patient safety care specification).
8. Hope to "multimedia classroom teaching (no instructor)" content, including Safety rules (medical waste treatment regulations, prevention and needle disposal, patient safety and care policies to prevent adverse events and notification process), infection control (Communicable Disease Control and Prevention standard) course content.
9. New nurses in different hospital areas have significant differences reported for duty training course content needs. There is no significant difference in the distribution of school district reported for duty in the comparative nine-oriented training course content, the course content but on each question in the communication part of the Taipei Hospital District average 3.24 (t value 2.34), freshwater School District 2.89 (t = 2.43), p <0.05 there are significant differences.