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題名:某護專五年制護生臨床選習制度成效之探討
書刊名:醫護科技學刊
作者:石惠美陳敏麗廖張京棣
作者(外文):Shih, Whei-meiChen, Min-liLiao, Jenny
出版日期:2000
卷期:2:1
頁次:頁34-55
主題關鍵詞:臨床選習臨床指導教師制度護理專業能力Clinical practicePreceptorshipNursing competency
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(5) 博士論文(3) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:50
  • 點閱點閱:105
     本研究目的在探討臨床選習制度對護生護理專業能力成長之成效,及護生留任原臨床選習單位之成效。研究對象為某護堙專科學校五專五年級全體學生共238位。研究設計採用三角交叉法(Triangulation)結合量與質之研究。 第一階段資料收集以徐曼瑩副教授、鍾聿琳教授等,民國82年所設計之護理專業能力之問卷,所得資料以SAS/PC電腦軟體進行百分比、平均數、標準差、t-檢驗及薛費氏事後檢定等方法處理。結果顯示(1)護生選習後其護理專業能力比選習前高。(2)護生選習後之照顧、溝通、自我及專業成長、管理、教學等能力有顯著進步。第二階段採半結構訪談方式訪談15位護生、15位臨床指導教師、及11位護理長後將其內容加以整理、分類、分析。 結果顯示臨床指導教師之感受為(1)刺激自我成長;(2)壓力大;(3)使命感。護理長對留任原單位護生之評價為(1)人事物不須重新適應;(2)比外校畢業生帶起來輕鬆;(3)選習生自我要求高;(4)臨床選習可做為學校生活到臨床之橋樑。至於單位護理人員對護生之評價為(1)互動良好;(2)認同度高。本研究結果肯定護生在臨床選習制度後回到原選習單位之正面意義,可提供護理教育及業界之參考。
     The purposes of this study were to explore the effects of preceptorship toward nursing competency on nursing students and the effects of nursing students returning to the previous nursing practice unit. A total number of 238 nursing students from fifth grade of junior nursing college were collected as samples. A triangulation method using quantity and quality was used in this study. On the first period, a structured questionnaire was designed to collect nursing competency of nursing students. Data were analyzed by SAS/PC software package for percentage, mean, standard deviation, t-test, and Scheffe' method. The results showed that (1) after preceptorship, nursing competency was higher than before; (2) there were significant improvement on the abilities of nursing care, communication, self and professional improvement, management, and teaching. On the second period, a semi-structured interviews method for 15 nursing students returning to the previous nursing practice unit, 15 preceptors, and 11 head nurses were used to collect data and were tape-recorded and transcribed ad process recordings. Content analysis revealed as follows: Preceptors reflected that (1) preceptorship could stimulate self improvement, (2) the pressure of being a preceptor was great, (3) the self responsibility was great. The evaluation of head nurses toward nursing students were (1) these students did not need to adapt the environment and co-workers again, (2) it was easier to train these students than those new graduates who were not trained here, (3) these students' self discipline was higher than those new graduates who were not trained here, (4) preceptorship was a bridge for student from school life to clinical practice. The evaluation of staff on the unit toward these students were (1) interpersonal relationship on the unit was good, (2) unit-identification is high. The results of this research had positive influence on nursing student returning to previous practice unit after preceptorship.
期刊論文
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2.林麗英(19881000)。護理人員的護理技能、溝通技巧與行政能力之探討。榮總護理,5(3),283-288。new window  延伸查詢new window
3.陳梅麗、蔡欣玲、余先敏、蔡宜蒨、周凌瀛(19960300)。醫學中心護理人員離職意願相關因素探討。榮總護理,13(1),60-69。new window  延伸查詢new window
4.林麗英(1988)。護理的現況與未來趨勢。榮總護理,5(3),299-303。  延伸查詢new window
5.Brown, S. T.(1981)。Faculty and student perceptions of effective clinical teachers。Journal of nursing education,20(9),4-15。  new window
6.Clayton, G.、Broome, M.、Ellis, L.(1989)。Relationship between a preceptorship experience and role socialization of graduate nurses。Journal of nursing education,28,72-75。  new window
7.Cantwell, E. R.、Kahn, M. H.、McLaughlin, E. F.(1989)。Survey of current hospital preceptorship programsin the greater Philadelphia area。Journal of nursing staff development,5,225-230。  new window
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11.Cowman, S.(1993)。Triangulation: A means of reconciliation in nursing research。Journal of advanced nursing,18(5),788-792。  new window
12.Dobbs, K. K.(1988)。The senior preceptorship as a method for anticipatory so­ cialization of baccalaureate nursing students。Journal of nursing education,27(4),167-171。  new window
13.Davis, L.、Barham, P.(1989)。Get the most from your preceptorship program。Nursing outlook,37,167-171。  new window
14.Friesen, L.、Conahan, B.(1980)。A clinical preceptor program: strategy for new graduate orientation。Journal of Nursing Administration,10(4),18-23。  new window
15.Giger, J. N.、Davidhizar, R. E.(1990)。Conceptual and theoretical approaches to patient care: associate versus baccalaureate degree prepared nurses。Journal of Advanced Nursing,15,1009-1015。  new window
16.Itano, J. K.、Warren, J. J.、Ishida, D. N.(1987)。A comparison of role conceptions and role deprivation of baccalaureate students in nursing participating in a preceptorship or a traditional clinical program。Journal of Nursing Education,26(2),69-73。  new window
17.Jairath, N.(1991)。The effect of preceptorship upon diploma program nursing students' transition to the professional nursing role。Journal of nursing education,30(6),251-255。  new window
18.Laschinger, J. S.、MacMaster, E.(1992)。Effect of prepraduate preceptorship experience on development of adaptive competencies of baccalaureate nursing student。Journal of nursing education,31(6),258-264。  new window
19.Lynn, M. R.、McCain, N. L.、Boss, B. J.(1989)。Socialization of R.N. to B.S.N.。Journal of nursings scholarship,21(4),232-237。  new window
20.Myrick, I.、Awrey, J.(1988)。The effect of preceptorship on the clinical competency of baccalaueate nurses: a pilot study。The Canadian journal of nursing research,20(3),29-43。  new window
21.Oermann, M. H.(1996)。A study of preceptor roles in clinical teaching。Nursing Connections,9(4),57-64。  new window
22.Robert, S. L.(1987)。A framework for coping with stress and its application in patient care。Nursing Forum,23(3),101-107。  new window
23.Ridley, J.(1995)。The effect of a senior preceptorship on the adaptive competencies of community college nursing students。Journal of advanced nursing,22,58-65。  new window
24.Royle, J.、Crook, D. L.(1985)。Strategies for joint apointment。International nursing review,32(6),185-188。  new window
25.Scheetz, L. J.(1989)。Baccalaureate nursing student preceptorship programs and the development of clinical competence。Journal of nursing education,28(1),29-35。  new window
26.Shamian, J.、Inhaber, R.(1985)。The concept and Practice of Preceptorship in contemporary Nursing: A review of Pertinent Literature。International Journal of Nursing Studies,22(2),79-88。  new window
27.Yonge, O.、Trojan, L.(1992)。The nursing performance of preceptored andnonpreceptored baccalureate nursing student。The Canadian journal of nurisng research,24(4),61-75。  new window
28.尹裕君、安妮(19911200)。護理人員離職原因與工作滿意度相關性之探討。榮總護理,8(4),428-436。new window  延伸查詢new window
29.呂桂雲(19940600)。整合護理教育與臨床護理的模式--談合聘制度。護理雜誌,41(2),46-51。new window  延伸查詢new window
30.梁淑娟(19960400)。壓力、人格特質與健康交互作用之影響。諮商與輔導,124,25-27。  延伸查詢new window
31.于漱、馬鳳歧(19930300)。不同學制應屆畢業護生護理能力之比較與相關因素分析之研究。護理研究,1(1),35-49。new window  延伸查詢new window
32.王秀春、林月玲、李碧霞(19970600)。臺北市某市立醫院護理人員離職原因之探討。護理新象,7(2)=46,85-100。  延伸查詢new window
33.Jick, Todd D.(1979)。Mixing Qualitative and Quantitative Methods: Triangulation in Action。Administrative Science Quarterly,24(4),602-611。  new window
34.唐福瑩(19940600)。護理人員如何協助臨床教學。護理雜誌,41(2),38-41。new window  延伸查詢new window
35.李皎正(19910300)。從護生臨床實習效果談護理臨床教學。護理雜誌,38(1),47-55。new window  延伸查詢new window
研究報告
1.徐曼瑩、林綺雲、劉美慧、周幸生、陳美滿(1993)。護理教師對五年後技職教育體系中各層級學程畢業生護理能力的認同度及相關因素。國立台北護理學院醫護類課程發展中心護理組。  延伸查詢new window
2.鍾聿琳、白淑碧、郭素珍、林綺雲、陳美滿(1993)。台灣護理界對護理技職教育各層級畢業生專業能力之意見。國立台北護理學院醫護類課程發展中心護理組。  延伸查詢new window
圖書
1.行政院衛生署(1992)。行政院衛生署獎勵地區及區域醫院護理人員留任措施執行--一年檢討報吿。台北:行政院衛生署。  延伸查詢new window
2.Carpenito, L. J.、Duespohl, T. A.(1985)。A guide for effective clinical institution。Rockville, Maryland:An Aspen publication。  new window
3.Quinn, F. M.(1988)。The principles & practice of nurse education。London:Chapman & Hall。  new window
4.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
 
 
 
 
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