| 中文摘要 |
培育具有「臨床實務能力」的護理人員是護理教育最重要的一環。案例教學法被視為解決理論與實務間落差的有效方法。如果在課室中，將臨床病人搬移到課堂來講授及討論，讓同學在真實的臨床情境案例中，從病人一入院到出院的整個過程，病人所經歷的事件，一幕一幕的教導學生如何統合過去所學的護理專業知識，運用批判性思考做出合宜的判斷進而選擇正確的護理決策，達到最終的解決病人的問題及執行正確之護理技能。本校四技護理系之「統合護理技能實作」課程，是學生在「最後一哩」之臨床選習前所開立的課程。課程設計內容希望整合各科學習經驗、強化各科實作能力及接軌臨床實務。因此，筆者選擇「臨床情境案例教學」做為本課程的教學策略，期望能將執行結果作教學經驗的交流。結果顯示：學生對「臨床情境案例教學」的量性評量之平均分數4.83（最高分5分），可見學生很認同及接受「臨床情境案例教學」之教學策略，也提高學習的滿意度；另外從學生的質性評量，也顯示「臨床情境案例教學」可以增加學生的學習興趣、批判性思考、問題解決能力。
cultivation of “clinical competence” in nursing staff is the most important part of nursing education. Case method is an effective method for solving the gap between theory and practice. When clinical patients are moved to the classroom for instruction and discussion, students can observe entire real clinical situation cases, from patients admission to discharged. In this case, the patients' incidents teach students how to integrate past nursing care knowledge, use critical thinking to make appropriate judgments, and then choose the right nursing decisions to achieve the ultimate solution to the patients' problems and implement correct nursing skills. The “Comprehensive Nursing and Skill Performance” curriculum is our school four-year technology college nursing department opens curriculum before “lastmile curriculum.” The curriculum design content aims to integrate each subject study experiences and to strengthen each subject's practical ability and clinical practice. Therefore, author chose “clinical-scenario case method” as the teaching strategy of this curriculum and expect to communicate the result of teaching experience. Results show that the average score of students on the “clinical-scenario case method” was 4.83 (up to 5 points), indicating that students agree with and accept the teaching strategy of the “clinicalscenario case method.” The findings improve the learning satisfaction of students and show that the method may increase students' interest in learning, critical thinking, and problem solving ability. |
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