學士層級護理畢業生被期待具備精神科急性病房的執業能力
Practicing Competencies of Psychiatric In-Patient Acute Ward Excepted for

Graduates of Bachelor's Nursing Programs

本研究在探討精神科急性住院病房期待學士層級護理畢業生具備之執業能力。採用修正的德懷術進行問卷調查，十九位精神科護理專家（十位臨床護理人員和九位技職教育護理系教師）參與本研究三個回合的問卷調查活動。結果包括兩方面：（一）精神科急性住院病房最常見的護理情境，（二）學士層級護理畢業生被期待具備急性住院病房的執業能力。精神科急性住院病房的常見護理情境有20類121項，121項常見護理情境中收斂者96項（79.3%），尚待檢核收斂之項目25項。學士層級護理畢業生被期待具備前述護理情境的執業能力有20類265項。265項執業能力中收斂者220項（83.0%），尚待檢核收斂之項目45 項。達收斂之220項執業能力中，被期待畢業時即具備者165項（19類），執業時再加強者55項（17類）。本研究進一步請19位專家採用７-point scale（7表示最常見或最重要，１表示最不常見或最不重要）分別對已達收斂之護理情境的常見性和重要性、和執業能力的重要性提供意見。其中常見性分成最常見（得分６以上）、常見（得分６以下至３以上）、和最不常見（得分３以下）；重要性分成最重要（得分６以上）、重要（得分６以下至３以上）、和最不重要（得分３以下）。資料分析結果顯示：（一）已達收斂程度的護理情境中，最常見（得分６以上）與最重要者有17類44項，常見與最重要者有12類31項，不常見與最重要者有3類3項；（二）已達收斂的執業能力中，220項均為最重要。本研究針對德懷研究方法和研究結果分別提出討論，亦對未來研究提出建議。

The study was to explore the practicing competencies of psychiatric in-patient ward (PIPW) expected for graduates of nursing bachelor programs with the questionnaire of modified Delphi technique. Nineteen psychiatric nursing experts (nine clinical nurse practitioners and ten Nurse faculties of bachelor’s nursing (BSN) programs in technical and occupational educational system) participated in activities of 3-round questionnaires. The results included the situations frequently occurred in PIAW and expected practicing competencies of PIPW for graduates of BSN programs. The former includes 20 categories and 96 items; the latter includes 20 categories and 265 items. Of 265 practicing competencies, 220 items got consensus(83.0%). Of 220 items, 165 items (9 categories) were expected to have for BSN graduates and 55 items (17 categories) were expected to be strengthened while BSN graduates working in PIPW . In addition, a 7-point scale was used to check the opinions among 19 experts in terms of the degree of the frequent occurrence and the importance of the nursing situations identified, and the degree of the importance of expected practicing competencies for BSN graduates (7: the most frequently occurred, the most important; 1:the lest occurred, the lest important) . The situations frequently occurred were grouped into three: the most frequently occurred (scores of 6 and above), the frequently occurred (scores between3 and 6), and the lest frequently occurred (scores of 3 and under ). The importance of practicing competencies was also grouped into three: the most important (scores of 6 and above), the important (scores between 3 and6), and the lest important (scores of 3 and under). Analyzed data showed that (1) there are 44 situations (17 categories) occurred the most frequently, 31items (12 categories) occurred frequently and 3 items (3 categories) occurred the lest frequently, and (2) All of 220 practicing competencies expected were the most important. This study discussed the Delphi techniques used and the results found, and further proposed suggestions for further researchers.