本研究目的是探討骨科護理在職教育對護理人員的知識程度、骨科護理知識與技能 幫助的影響，做為日後在職教育課程設計之參考。本研究採用調查法，運用「骨科護理知識 量表」評估護理人員在課程前、後，及一個月後知識程度的變化；並以「在職教育幫助程度 評量表」，收集27位護理人員對骨科護理在職教育課程的看法。本研究結果發現；不論在課 程立即結束及一個月後，護理人員的骨科護理知識均有顯著的增進，尤其以「石膏與牽引護 理」、「外固定器使用與鋼針護理」兩個單元的知識程度增進較多。對獲得獲理知識與應用技 能的幫助方面，均以「外固定器使用與鋼針護理」、「關節運動器與加壓冰敷器之簡介」的課 程，對護理人員的幫助最顯著。整體而言，骨科護理在職教育對護理人員的骨科護理專業知 識與技能均有正向的助益，但由於護理人員的個人經驗不同，骨科護理在職教育課程對護理 人員影響也有所差異，因此日後的護理在職教育，應設計不同層級的課程，以符合同仁的實 際需要，促使臨床護理在職教育達到最佳的效益。

　　　　　The purposes of this study were to evaluate the effects of orthopedic nursing continuing education program on nurses orthopedic nursing knowledge, and to investigate the level of nursing competence of continuing education program. Survey research design was conducted. Twenty-seven nurses were complete participated this program in a medical center. Instruments included an orthopedic nursing knowledge test and CE help questionnaire. The knowledge test was use to measure nurses knowledge of orthopedic nursing and administer prior to the class, immediately following the class and one month after program. The CE help questionnaire was use to investigate the efficacy of program on changing nurses orthopedic-related knowledge and skill. The results showed: (1) the knowledge of orthopedic nursing increases in immediately following the class and one month after program; (2) the knowledge of cast & traction care, and external fixator & pin care were significantly increased; (3) external fixator & pin care, and introduction of CPM & cryotherapy had more positive efficacy of nurses knowledge and skills. Through this study, the nurse administrator more comprehensively understands the effects of continuing education program. Furthermore, the result of this study will provide nurse administrator to plan adequately program to fit nurses needs in clinical setting.