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題名：融入批判思考策略與工具之網路學習環境對護生臨床實習之影響
書刊名：科學教育學刊
作者：賴錦緣 引用關係／陳勝美 引用關係
作者(外文)：Lai, Chin-yuan／Chen, Sheng-mei
出版日期：2013
卷期：21:2
頁次：頁163-188
主題關鍵詞：批判思考；網路學習；臨床實習；護理教育；Critical thinking；Web-Based learning；Clinical practicum；Nursing education
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(2) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:8
  • 點閱點閱:67
本研究旨在建構一個融入護理批判思考策略的web-based網路學習環境，來輔助學生在臨床護理的實習。研究主要以Tanner的臨床判斷模式為架構，結合網路教學的特性，發展出培養護生臨床批判思考的網路教學模式，並探討其對學生批判思考和護理能力成長之影響。研究參與者為8位修習99學年度某一梯次「精神科護理實習」課程之二專二年級學生，實習指導教師是一位從事護理臨床與教學工作超過25年之資深教師，實驗情境為中部某精神科醫院。研究蒐集量化與質化的資料，透過前、後測瞭解學生批判思考和護理能力之成長。研究結果發現：一、學生經過三週的實習後，其批判思考分數和護理能力分數皆顯著進步；二、整體來說，不管是批判思考分數，或是護理能力分數，教師評和學生自評分數之一致性皆達到顯著水準；三、從學生瀏覽系統各項功能的次數分析，發現本研究所開發的系統可提供學生有系統地建立專業e-portfolio (數位化學習歷程檔案)；學生也大致認為使用系統對其臨床實習是有幫助的。可見結合護理批判思考策略和工具的網路教學模式對護生批判思考能力的培養是有效的。後續研究可以針對學生的其他瀏覽行為進行分析，以提供適性的網路教學。
The purpose of this study is to explore the effects of the web-based learning environment with critical thinking strategies and tools on students’ learning in nursing clinical practicum. Based on Tanner’s clinical judgment model, we developed critical thinking activities for a threeweek nursing clinical practicum session. The participants are eight female students enrolled in a psychiatric nursing practice course in 2010 from a two-year nursing college. The instructor is a senior lecturer who has worked in nursing teaching and practice for more than 25 years. The clinical practicum setting in the study was a private middle-size mental hospital located in central Taiwan. The analysis from quantitative and qualitative data showed that students’ critical thinking and nursing competence improved significantly. As to the overall assessment scores of critical thinking and nursing competence, the agreement between instructor and student self-assessment was significant. The analysis of frequency of visits on each functions appeared that the web-based learning environment provided students with professional e-portfolios to allow them to construct their learning systematically. Furthermore, students admitted that using the system is helpful to their clinical practicum. The results showed that the web-based learning environment with clinical reasoning strategies and tools is effective for the development of critical thinking among nursing students. Future research may explore students’ other browsing behaviors to provide adaptive web-based learning.
期刊論文
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20.Kuiper, R.(2002)。Enhancing metacognition through the reflective use of self-regulated learning strategies。Journal of Continuing Education in Nursing，33(2)，78-87。  new window
21.Landers, M. G.(2000)。The theory-practice gap in nursing: The role of the nurse teacher。Journal of Advanced Nursing，32(6)，1550-1556。  new window
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33.Courtney, M.、Simpson, E.(2002)。Critical Thinking in Nursing Education: Literature Review。International Journal of Nursing Practice，8(2)，89-98。  new window
34.Orsmond, P.、Merry, S.、Reiling, K.(2000)。The Use of Student Derived Marking Criteria in Peer and Self-assessment。Assessment and Evaluation in Higher Education，25(1)，23-38。  new window
35.Yang, Y. T. C(2008)。A catalyst for teaching critical thinking in a large university class in Taiwan: Asynchronous online discussions with the facilitation of teaching assistants。Educational Technology Research and Development，56(3)，241-264。  new window
36.蘇惠明、黃瑞美(20001200)。應用於臨床推理的批判思考策略。護理雜誌，47(6)，65-70。new window  延伸查詢new window
37.林秋芬、盧美秀、康偉玲(2004)。護理能力標準：國際版與台灣版之比較。新臺北護理期刊，6(2)，11-22。  延伸查詢new window
38.Aduddell, Kathie A.、Dorman, Genie E.(2010)。The Development of the Next Generation of Nurse Leaders。The Journal of Nursing Education，49(3)，168-171。  new window
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會議論文
1.金繼春(2009)。護理核心素養融入課程設計與評值。護理教育的發展與趨勢研討會。高雄縣：義守大學。  延伸查詢new window
2.Alexander, M. F.、Runciman, P. J.(2003)。ICN framework of competencies for the generalist nurses。International Council of Nurses conference。Geneva, Switzerland。  new window
3.Li, K. M.(2009)。The effect of a pedagogy model integrated with weblogs on critical thinking skills of students。the 17th International conference on computers in education。Hong Kong。  new window
研究報告
1.Gubrud-Howe, P. M.(2008)。Development of clinical judgment in nursing students: A learning framework to use in designing and implementing simulated learning experiences。Porland, OR：Portland State University。  new window
圖書
1.Alfaro-LeFevre, R.(1999)。Critical thinking in nursing: A practical approach。Philadelphia：Saunders。  new window
2.American Association of Colleges of Nursing(1998)。The essentials of baccalaureate education for professional education。Washington, DC：Author。  new window
3.Facione, N. C.、Facione, P. A.(1994)。Holistic critical thinking scoring rubric。Millbrae, CA：The California Academic Press。  new window
4.Facione, P. A.(1990)。Critical thinking: A statement of expert consensus for purpose of educational assessment and instruction. Research findings and recommendations。Newerk, DE：American Philosophical Association。  new window
5.National League for Nursing Accrediting Commission(1997)。Interpretive guidelines for standards and criteria for baccalaureate and higher degree programs。New York：Author。  new window
6.Thompson, C.、Dowding, D.(2002)。Clinical decision making and judgement in nursing。Sydney, AU：Elsevier Churchill Livingstone。  new window
7.Ellis, J. R.、Hartley, C. L.(1995)。Maintaining competence through staff education. Managing and coordinating nursing care。New York：Lippincott。  new window
8.Paul, Richard W.(1995)。Critical Thinking: How to Prepare Students for a Rapidly Changing World。Santa Rosa, CA：Foundation for Critical Thinking。  new window
其他
1.臺灣護理教育評鑑委員會(2010)。評鑑準則，http://www.heeact.edu.tw/lp.asp?ctNode=352&CtUnit=118&BaseDSD=7&mp=5， 2012/05/24。  new window
 
 
 
 
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