探討護理人員對能力進階N3個案報告之知識、態度、行為及其影響因素

The Exploration of Nurses' Knowledge, Attitude, Behavior and Their InfluencingFactors on N3 Case Report of the Clinical Ladder Program

本研究以嘉南地區通過N3個案報告之239位護理人員為對象，探討其對N3個案報告之知識、態度、行為及其影響因素。採橫斷式調查，91年7月至10月間於13所醫院進行資料收集，結果顯示：1.個案報告知識單題平均得分為0.69分，顯示認知程度在中等以上。2.個案報告整體態度屬正向偏稍微同意(M=3.81)。3.個案報告行為平均得分為3.64分，執行頻率介於「約半如此」與「經常如此」之間。4.對護理的興趣、尋求資源-參考文獻與參加寫作研習班，三因素可解釋「N3個案報告」知識13.4%之變異量。5.自認個案報告通過困難度、對護理的興趣、尋求資源-護理長與知識四因素可解釋「N3個案報告」態度36.1%之變異量。6.對護理的興趣、參加學會個案發表會與態度三因素可解釋「N3個案報告」行為23.7%之變異量。本研究資料期望能提供醫院進階教育課程規劃之參考。The purposes of this study were to explore nurses' knowledge, attitude, behavior and their influencing factors on N3 case report accreditation of the clinical ladder program. Two hundred and thirty-nine nurses in southern Taiwan who passed the accreditation of N3 case report were recruited. We adopted a cross-sectional survey to collect data in 13 hospitals from July to October in 2002. The results indicated that: 1.The average score for subjects' knowledge of case report was above moderate level (M= .69). 2.The subjects' attitude regarding case report is positive (M=3.81). 3.The nurses' behavior about case report ranged between 'sometimes' and 'usually' (M=3.64). 4.The interest in nursing, the review of literature and participation in the writing program explained 13.4% of the total variance in knowledge. 5.The self-rated difficulty of passing the accreditation of N3 case report, the interest in nursing, the guidance from head nurse and knowledge explained 36.1% of the total variance in attitude. 6.The interest in nursing, participation in the TNA (Taiwan Nurses Association) case report workshop and attitude explained 23.7% of the total variance in behavior. We anticipate the findings of this study can provide reference for hospital clinical ladder program planning.