高山旅遊醫療護理人員繼續教育設計與驗證

The design and verification of the continuing education courses for the nurses in the mountain rescue

高山救護工作，首先要做到「自保有餘、才能救人」。而繼續教育一直是用來提升護理專業水準的重要方法，陳群英（1991）指出：要使在職教育達到效果，最重要的是要合乎護理人員的需要，因此正確評估護理人員對在職教育的需求是首要事項。本研究目的在探討高山旅遊醫療護理人員的繼續教育之課程設計，透過資料之蒐集並諮詢專家群意見與實地執行規劃之課程並評值結果。本研究首先調查171位曾經參與過玉山醫療隊成員，以其實務經驗分享對此類繼續教育的建議，再收集參與三個階段的學員之前後測問卷，了解課程的設計與規劃是否符合需求。資料分析結果發現：參與玉山醫療隊的實習學員，一致認為透過三個階段的教育訓練是有助於高山醫療的業務執行，但在其過程中學員的行程及任務，確實會因為體力或是身體狀況而受影響，故得以證實護理人員的繼續教育應該擴展至野外求生及救護的技能。雖然山野求生體能訓練的課程內容需求有高於課室教育的課程內容需求，但第一階段課堂教育的整體滿意度達4.78（1-5尺度）。本研究結果顯示，三個階段的繼續教育訓練課程設計，能符合高山旅遊醫療護理人員繼續教育的需求，藉此研究也了解到各階段課程設計的重點。

Mountain rescue work is primary to save myself first, then to help others. Especially, it is important way by continuing education to evaluate the standard of the professional nursing. Chen (1991) orgued what to achieve the education effect of the continuing education is to meet the nurses’ need. Thus, it is essential to properly assess the nurses training. There is lack of those who are medical care personnel have received the special training. The objective of this study is to explore and plan the educational model of the mountain medicine for the nurses. First, we collected the data from which to distribute the questionnaires to those who have joined the mountain rescue workers. Second, we have consulted the related experts’ opinions. Finally, by the result of the survey, we plan the program training needs assessment and analyze what in accordance with the survey. The findings is that it is helpful for those who have joined the mountain rescue work through the three steps education. However, during the execution of the mission, they are influenced by either physical strength or physical condition. The evidence is that the nursing continuing education should expand the dimension from the indoor curriculum to the outdoor courses, for instance the open country seeks livehood. Although the content of the programs is more difficult than the indoor programs, the total mean of the satisfaction is reached 4.78. The evidence shows that the three steps of the continuing education is well-designed model to set up the benchmark for the Mountain rescue work.