某醫學中心接受「二年期護理師（護士）訓練」學員主觀護理能力之探討

Nurses' Self-Perception of Nursing Competence after Completing a 2-Year Training Program at a Medical Center

背景：行政院衛生署推動「二年期護理師／護士訓練計畫」，補助並鼓勵醫院能提供計畫性訓練課程，期望藉由計畫性的訓練與多元化的教學、評值，輔導新取得護理師／護士證照者，於二年內能循序漸進適應臨床工作，並具備應有的護理能力。目的了解接受訓練護理師各項主觀的護理能力及其相關因素。方法採橫斷式相關性調查，針對北部某醫學中心接受護理師／護士訓練之人員，以結構式問卷自評臨床、行政、教學與研究三項護理能力。結果總計收案128位，在臨床技能之平均得分3.80 ± .60分、行政技能3.78 ± .67分、教學與研究技能3.21± .88分，護理師的年齡越大、工作年資越久，在行政與教學研究的護理能力越佳，專業進階層級及現階段學習歷程越高，自評三項護理能力越高，且護理能力得分與護理師的學習歷程呈現“V”型態分佈。結論由此研究可瞭解接受訓練之護理師能肯定自我的護理能力，對於自我評價較低分項目如急救應變、品管等，建議未來可加強此部份之訓練，可做為未來規劃訓練課程之參考。

Background: Taiwan's Department of Health (DOH) promotes a standardized 2-year training program to raise the competence of newly certified nurses in the realms of patient care, nursing professionalism and communication skills as well as to ensure professional nurse training program quality.Purpose: This study evaluated training program participants' self-perception of nursing competency.Method: We used a cross-sectional approach and structured questionnaire to evaluate the nursing competency of 128 nurse trainees at a medical center. Questionnaires were filled out independently by participants and thus reflect participant self-assessments of questionnaire items. Descriptive and correlation analyses further explored data. Result: Results showed: mean scores were 3.80 ± .60 for clinical technique; 3.78 ± .67 for administrative skill; and 3.21 ± .88 for educational and research skills. Nursing ability correlated significantly with age, seniority, nursing grade, and courses taken. The relationship between participant total score and program completion ratio formed a ”V”-shaped distribution.Conclusions / Implications for Practice: The DOH training program was has a positive effect on nursing competency in nurse trainees. Results also provide valuable information and suggestions for revising the DOH's nurse training program in the future.