運用客觀結構式臨床測驗，於加護病房新進護理人員臨床技能──表現評估:前驅研究

Application the Objective Structured Clinical Examination on New Nurses’Clinical Skills in the Intensive Care Unit: A Pilot Study

研究問題與目的:加護病房病人疾病嚴重度高，護理人員需具備充足的臨床知識與技能，以應付複雜度高且具挑戰性的加護病房工作。本研究目的為運用客觀結構式臨床測驗於加護病房新進護理人員臨床技能之評估，使其在照護病人前，可在模擬且安全的情境下學習，協助新進護理人員順利銜接臨床照護。研究方法:採前驅研究，於2019年5月至7月針對4位加護病房新進護理人員，在其接受訓練之前後，依據臨床常見技術進行OSCE教學測驗，內容包含一項知識層面、六項技術技能。資料以描述性統計進行分析。研究結果:4位加護病房新進護理人員於訓練後的測驗結果顯示知識層面分數由平均80分提升至100分、六項技術平均得分由90.2分提升至93.6分。透過客觀結構式臨床測驗，四名加護病房新進護理人員學習表現有顯著提升，以階段性時間的技術測驗及回饋，可讓新進護理人員更快了解臨床技能及可能遇見之情境。建議:研究結果可作為未來各單位新進護理人員教學發展與推動OSCE之參考，並建議可依臨床護理技術之難易度進行教育時程規劃。

"Objective: Patients in the intensive care unit have a high degree of disease severity, nurses need to have sufficient clinical knowledge and skill to cope with the complex and challenging work in the intensive care unit. The purpose of this study is to apply the Objective Structured Clinical Examination (OSCE) to improve the clinical skill of new nurses in intensive care unit, provide safe learning environment in simulation to the new nurses before taking care of patients, and assist new nurses to smoothly connect to clinical care.Methods: We implemented a prospective study, which 4 new nursing staff from intensive care units were involved from May to July in 2019. OSCE which contained dimensions of knowledge and nursing 6 techniques was executed before and after intensive care training. Descriptive statistics was applied to data analysis.Results: Both of the mean scores of knowledge and nursing techniques were increased from after the OSCE re-examination. Through OSCE, the learning performance of the four new nurses in the intensive care unit has been significantly improved.Recommendations: The study results provide a reference for the teaching development for new nursing staff training and the promotion of OSCE in the future. We recommended that the education schedule can be planned according to the difficulty of clinical nursing techniques."