自殺防治關懷訪視員實務經驗之探討

The Study on Practical Experience of Suicide Prevention Case Managers

背景：傳統的評量方式無法全面了解學生的護理核心能力，提升學生護理能力，由護理能力的鑑定之改革，是護理臨床教育的重大責任。目的：本研究旨在發展反思教學課程對護理科學生溝通能力、關懷能力與批判性思考能力成效探討。方法：採兩組前、後測研究法，分51名為實驗組、53名為對照組，為避免兩組學生訊息污染影響到研究結果，兩組課程結構、小考、作業完全相同，只有研究者可操控之實驗組以反思教學法介入；對照組則以傳統教師授課方式進行。研究工具包括羅惠敏（2011）之護理科學生核心能力量表用以測驗關懷、溝通與批判性思考能力及深度訪談。結果：研究結果顯示（1）實驗組在溝通能力、關懷能力與批判性思考能力都有顯著增加，且與對照組呈現顯著差異；（2）影響學生最多的反思方式依序為反思日誌、課堂討論及書籍研讀。結論／臨床運用：根據此研究結果可提供護理科系教師增進學生護理核心能力課程設計之參考。

Background: The reformation in assessing the student core nursing competency with regard to the enhancement of student competency in nursing practice has played an important role in clinical nursing education. Purpose: This study aims to explore the development of a reflective program in nursing courses, with the aim to enhance the efficacy of student competency in communication, caring, and critical thinking. Methods: A cross-sectional research design using repeated measurements is employed, with a total number of subjects of 104 people, 51 in the experimental group, and 53 the control group. In avoiding the mutual confounding of the results of the two groups of students,, the two course structure, quizzes and assignments are identical. Only the experimental group is manipulated by the researcher with the introduction of the reflective pedagogical program; the control group is given the traditional pedagogy. Research tools include Lo Huimin's (2011) Nursing Student Core Competency Scale to assess caring, communication and reflection competency, in addition to in-depth interviews. Results: The results were as follows: (1) the communication, caring and reflective competency in the experimental group has increased significantly, and showed a significant difference from the control group; (2) the methods that influenced the reflective abilities in students are in the order of reflection logs, classroom discussions and study of book materials. Conclusion/Clinical application: The results of this study may provide referential guidance in curriculum design for nursing faculty members to enhance student core competency in nursing.