羅惠敏老師的歷程檔案

期刊名稱	健康科技期刊
資料日期	2014-12-01
附件	反思.pdf

[摘要] :
傳統的評量方式無法全面了解學生的護理核心能力，提升學生護理能力，由護理能力的鑑定之改革，是護理臨床教育的重大責任。目的：本研究旨在發展反思教學課程對護理科學生溝通能力、關懷能力與批判性思考能力成效探討。方法：採兩組前、後測研究法，分51名為實驗組、53名為對照組，為避免兩組學生訊息污染影響到研究結果，兩組課程結構、小考、作業完全相同，只有研究者可操控之實驗組以反思教學法介入；對照組則以傳統教師授課方式進行。研究工具包括羅惠敏（2011）之護理科學生核心能力量表用以測驗關懷、溝通與批判性思考能力及深度訪談。結果：研究結果顯示（1）實驗組在溝通能力、關懷能力與批判性思考能力都有顯著增加，且與對照組呈現顯著差異；（2）影響學生最多的反思方式依序為反思日誌、課堂討論及書籍研讀。結論／臨床運用：根據此研究結果可提供護理科系教師增進學生護理核心能力課程設計之參考。

[英文摘要] :
Background: The reformation in assessing the student core nursing competency with regard to the enhancement of student competency in nursing practice has played an important role in clinical nursing education. Purpose: This study aims to explore the development of a reflective program in nursing courses, with the aim to enhance the efficacy of student competency in communication, caring, and critical thinking. Methods: A cross-sectional research design using repeated measurements is employed, with a total number of subjects of 104 people, 51 in the experimental group, and 53 the control group. In avoiding the mutual confounding of the results of the two groups of students,, the two course structure, quizzes and assignments are identical. Only the experimental group is manipulated by the researcher with the introduction of the reflective pedagogical program; the control group is given the traditional pedagogy. Research tools include Lo Huimin's (2011) Nursing Student Core Competency Scale to assess caring, communication and reflection competency, in addition to in-depth interviews. Results: The results were as follows: (1) the communication, caring and reflective competency in the experimental group has increased significantly, and showed a significant difference from the control group; (2) the methods that influenced the reflective abilities in students are in the order of reflection logs, classroom discussions and study of book materials. Conclusion/Clinical application: The results of this study may provide referential guidance in curriculum design for nursing faculty members to enhance student core competency in nursing.

[參考文獻] :
1.Dewey, J.(1933).How we think: A restatement of the relation of reflective thinking to the educative process. Boston: D.C. Heath
2.教育部統計處(2010 年4 月10 日)。教育統計資料- 各校基本資料庫檔案- 大專校院科系別概況。http://www.edu.tw/statistics/content.aspx?site_content_sn=8930。【The Mi n i stry of Education and Statistics Department (April 10, 2010) Educational Statistics - Basic database file schools -colleges majors do not profile http: //www.edu.tw/s tatistics/content.aspx site_content_sn =?8930. References 2010/4/10.】
3.Arja, S.,Helena, L.K.,Jouko, K.(2008).Factors related to the nursing student patient relationship: the students' perspective.Nurse Education Today,28,539-549.
4.Craft, M.(2005).Reflective writing and nursing education.Journal of Nursing Education,44(2),53-57.
5.Floud, R.(2006).The bologna process: Transforming European higher education.Change,38(4),8-15.
6.Forneris, S. G.,Peden-McAlpine, C.(2007).Evaluation of a reflective learning intervention to improve critical thinking in novice nurses.Journal of Advanced Nursing,57(4),410-421.
7.Godson, N.R.,Wilson, A.,Goodman, M.(2007).Clinical education: evaluating student nurse learning in the clinical skills laboratory.British Journal of Nursing,16(5),942-945.
8.Hawkins, J.、蔡小婷譯(2009)。美國高等教育認可：學生學習成果的挑戰。評鑑，19，26-31。
9.Idczak, S.(2007).I am a nurse: nursing students learn the art and science of nursing.Nursing Education Perspectives,28(2),66-71.
10.Lloyd, H.,Craig, S.(2007).A guide to taking a patient's history.Nursing Standard,22(13),42-48.
11.Lundberg, K.(2008).Promoting self-confidence in clinical nursing students.Nurse Educator,33(2),86-89.
12.Parsons, A.,White, J.(2008).Learning from reflection on intramuscular injections.Nursing Standard,22(17),35-40.
13.Pickett, J.(2009).Critical thinking a necessary factor in nursing workload.American Journal of Critical Care,18(2),100-102.
14.Ruland, J.P.,Ahern, N.R.(2007).Transforming student perspectives through reflective writing.Nurse Educator,32(2),81-88.
15.Wangensteen, S.,Johansson, I.S.,Björkström, M.E.,Nordström, G.(2010).Critical thinking dispositions among newly graduated nurses.Journal of Advanced Nursing,66(10),2170-2181.
16.Wilkinson, S.,Perry,R.,Blanchard, K.,Linsell, L.(2008).Effectiveness of a three-day communication skills course in changing nurses' communication skills with cancer/palliative care patients: A randomised controlled trial.Palliative Medicine,22(4),365-375.
17.台灣護理教育評鑑委員會(2010)。大學護理學系「自我評鑑手冊」。台北市=Taipei, Taiwan:作者=Author。
18.李佳瑜、王維芳、張瑩如(2011)。實證護理培訓課程對護理人員認知、態度及行為成效之探討。新台北護理期刊，13，21-33。
19.高志薇、蕭淑貞、蔣欣欣、李錦虹(2008)。護理系研究生對問題導向學習之經驗歷程。實證護理，4(1)，51-60。
20.張美珍、周汎澔、林真瑜、呂居學、郭詩憲(2011)。臨床護理人員批判性思考能力之初探－以南部某醫學中心為例。護理暨健康照護研究，7(1)，73-83。
21.張碧芬、余玉眉、陳淑月(2007)。好的護理─護理人員的觀點。護理雜誌，54(4)，26-34。
22.陳麗真(2011)。台北市=Taipei，國立台北大學公共行政暨政策學系=Public Administration and Policy Department, National Taipei University。
23.黃玉幸(2009)。行動導向／問題解決導向通識課程之教學省思—以（心理學： 理念與應用） 的教學為例。高雄文化及通識教學學術研討會會議手冊，:
24.溫明麗(2012)。批判性思考與教學─對話解放與重建。台灣教育，675，2-8。