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題名：An Investigation on the Nursing Competence of Southern Taiwan Nurses who have Passed N3 Case Report Accreditation
書刊名：The Journal of Nursing Research
作者：林明珍／陳清惠 引用關係
作者(外文)：Lin, Ming-chen／Chen, Ching-huey
出版日期：2004
卷期：12:3
頁次：頁203-212
主題關鍵詞：個案報告；護理人員；護理能力；能力進階；Case report；Nursing competence；Clinical ladder；Nurse
原始連結：連回原系統網址new window
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　　　　　本研究以嘉南地區通過N3 (clinical nurse level III) 個案報告之239位護理人員為對象，目的在探討撰寫個案報告前後能力之改進及其影響因素。採橫斷式研究調查，91年7月至10月間於13所醫院進行資料收集，結果顯示：(1)通過N3個案報告之護理人員自評具有相當好之整體護理能力 (5.57 ( 0.74)，與其護理主管之客觀評量無顯著差異 (5.57 ( 0.74 vs 5.55 ( 0.89; t = 0.162, p = .871)。(2)護理人員自評撰寫N3個案報告前後護理能力有中等以上的改進程度，與其護理主管及同事之客觀評量無顯著差異 (4.89 ( 1.35 vs 4.84 ( 1.57 vs 4.84 ( 1.26; F = 0.096, p = .909)，呈現出撰寫報告的正面意義。(3)護理人員撰寫N3個案報告前後能力改進之預測因子為：「對撰寫N3個案報告之態度」、「撰寫N3個案報告之困難度」及「撰寫N3個案報告之準備行為」，三個因素共可解釋護理能力改進之26.2%的變異量。由本研究結果建議N3進階教育應包含輔導降低報告撰寫困難、督促加強個案報告撰寫各項行為，以有效促進其能力改善程度。
　　　　　The purpose of this study was to examine factors affecting the development of nursing competence in the writing of N3 (clinical nurse level III) case reports. A cross-sectional survey was conducted in 13 hospitals in southern Taiwan from July to October, 2002. The subjects included 239 nurses who had passed N3 case report accreditation. The results show that (1) nurses rated their current competence at a fairly good level (5.57 ( 0.74). There was no significant difference between nurses' subjective self-evaluation and supervisors' objective evaluation (5.57 (�n0.74 vs 5.55 ( 0.89; t = 0.162, p = .871). (2) The nurses' self-rating, supervisors', and colleagues' evaluation all indicated moderate progress in nursing competence after writing N3 case reports. The progress scores rated by nurses themselves, supervisors and colleagues were not significantly different (4.89 ( 1.35 vs. 4.84 ( 1.57 vs. 4.84 ( 1.26; F = 0.096, p = .909). This finding reveals that writing N3 case reports has a positive effect on nursing competence. (3) The results also indicate that 'Attitude toward N3 case report', 'Writing difficulty', 'Preparation for writing case report' were the three predicting factors of progress in nursing competence, which accounted for 26.2% of the total variance. Therefore we recommend that N3 advancement education should include guidance in alleviating writing difficulty and emphasis on implementing various types of preparation for writing case reports, as effective ways to improve nursing competence.
期刊論文
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3.McMullan, M.,、Endacott, R.,、Gray, M. A.,、Jasper, M.,、Miller, C.M. L.,、Scholes, J., et al.(2003)。Portfolios and assessment of competence: A review of the literature。Journal of Advanced Nursing，41(3)，283-294。  new window
4.陳小蓮、盧美秀、陳品玲(20010200)。臨床護理輔導員制度對新進護理人員輔導成效之探討。新臺北護理期刊，3(1)，35-44。  延伸查詢new window
5.Buchan, J.(1999)。Evaluating the benefits of a clinical ladder for nursing staff: An international review。International Journal of Nursing Studies，36(2)，137-144。  new window
6.尹裕君、鄒慧韞、張淑容、顧治湄(1999)。醫院基層護理人員臨床專業能力進階制度推展計劃報告。護理雜誌，46(6)，5-8。  延伸查詢new window
7.于漱、顧乃平(19980400)。Nursing Competencies and Their Differences among Different Grade RN Students in an RN-to-BSN Program in Taiwan, ROC。護理研究，6(2)，121-136。new window  new window
8.王曼溪(20000800)。書寫個案報告常見之疏失。護理雜誌，47(4)，59-63。new window  延伸查詢new window
9.汪蘋、洪世欣、謝佑珊、尹祚芊(20030400)。醫學中心基層護理人員臨床專業能力進階制度實施經驗分享。護理雜誌，50(2)，30-36。new window  延伸查詢new window
10.陳菀琪、徐畢卿、葉卿華(20010700)。依護理進階制度理念探討加護病房之在職教育需求。醫護科技學刊，3(3)，267-278。new window  延伸查詢new window
11.Shapiro, M. M.(1998)。A career ladder based on Benner's model an analysis of expected outcomes。The Journal of Nursing Administration，28(3)，13-19。  new window
12.Pettno, P.(1998)。A four-level clinical ladder。Nursing Management，29(7)，52-53。  new window
13.Krugman, M.、Smith, K.、Goode, C. J.(2000)。A clinical advancement program: evaluating 10 years of progressive change。The Journal of Nursing Administration，30(5)，215-225。  new window
14.Haag-Heitman, B.、Kramer, A.(1998)。Creating a clinical practice development model。American Journal of Nursing，98(8)，39-43。  new window
15.Angelucci, D.(2001)。Clinical practice development using novice to expert theory。Journal for Nurses in Staff Development，17(6)，331-332。  new window
16.Beyers, M.(1998)。Ask AONE's experts...about improving clinical ladders。Nursing Management，29(10)，96-97。  new window
17.Buchan, J.(1997)。Magnet hospitals: What's the attraction?。Nursing Standard，12(7)，22-25。  new window
18.呂桂雲、Chen, Y. C.、Wang, M. C.(1998)。護生綜合實習前後護理能力分析。醫學教育，2(2)，180-189。  延伸查詢new window
19.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
20.徐南麗、林碧珠、徐曼瑩、楊克平(20020100)。比較護理進階制度實施前後護理能力及影響因素分析。慈濟護理雜誌，1(1)，76-85。  延伸查詢new window
21.林明珍(19990200)。「個案報告」指導過程與經驗分亨。護理雜誌，46(1)，88-94。new window  延伸查詢new window
22.徐南麗、李茹萍、李芸茹、賴正芬、彭台珠(20030300)。護理人員進階制度實施後主客觀護理能力差異之比較。慈濟護理雜誌，2(1)，53-62。  延伸查詢new window
23.曾珍麗、尹裕君、陳都美(19970300)。護理人員能力進階制度實施成效之探討。榮總護理，14(1)，52-61。new window  延伸查詢new window
24.Bartlett, H. P.、Simonite, V.、Westcott, E.(2000)。A Comparison of the Nursing Competence of Graduates and Diplomats from UK Nursing Programmes。Journal of Clinical Nursing，9(3)，369-381。  new window
25.Bradshaw, A.(2000)。Competence and British nursing: A view from history。Journal of Clinical Nursing，9(3)，321-329。  new window
26.Burbach, V.(1999)。Continuing ed: Assuring nursing competence。Nebraska Nurse，32(4)，6-11。  new window
27.Goodloe, L.、Sampson, R.、Munjas, B.、Whitworth, T.、Lantz, C.、Tangley, E.、Miller, W.(1996)。Clinical ladder to professional advancement program: an evolutionary process。Journal of Nursing Administration，26(6)，58-64。  new window
28.Lee, Y. Y.(2003)。N3個案報告的撰寫。榮總護理，20(3)，316-321。  延伸查詢new window
29.Lin, Y. C.、張媚、Tsai, L. Y.、Hwang, S. L.(2001)。某護理學系畢業生專業能力之追蹤。醫學教育，5(4)，32-41。new window  延伸查詢new window
30.Meretoja, R.、Leino-Kilpi, H.(2001)。Instruments for evaluating nurse competence。Journal of Nursing Administration，31(7/ 8)，346-352。  new window
31.Murray, M.(1993)。Where are career ladder going in the 90s?。Nursing Management，24(6)，46-48。  new window
32.Schmidt, L. A.、Nelson, D.、Godfrey, L.(2003)。A clinical ladder program based on Carper's fundamental patterns of knowing in nursing。The Journal of Nursing Administration，33(3)，146-152。  new window
33.石惠美、Chen, M. L.、廖張京棣(2000)。某護專五年制護生臨床選習制度成效之探討。醫護科技學刊，2(1)，34-55。new window  延伸查詢new window
34.Watson, R.、Stimpson, A.、Topping, A.、Porock, D.(2002)。Clinical competence assessment in nursing: A systematic review of the literature。Journal of Advanced Nursing，39(5)，421-431。  new window
學位論文
1.凌建玲(2002)。護理『專業能力進階制度』對護理人員之影響(碩士論文)。國立中山大學，高雄。  延伸查詢new window
圖書
1.Lin, M. C.(2001)。護理報告之撰寫與應用。護理報告之撰寫與應用。臺北。  延伸查詢new window
2.臺灣護理學會(2004)。醫院基層護理人員臨床專業能力進階制度。醫院基層護理人員臨床專業能力進階制度。沒有紀錄。  延伸查詢new window
3.Wilkinson, J. M.(1996)。Nursing process: A critical thinking approach。Nursing process: A critical thinking approach。New York, NY。  new window
其他
1.EBN Online(2004)。Evidence-based nursing，沒有紀錄。  new window
 
 
 
 
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