某醫學中心護理人員護理能力三年追蹤評價

Three-Year Follow-up of Nursing Competency in a Medical Center

提供病人優質安全的照護，是每個健康組織須優先考慮的事，合適的護理人員是提供病人安全照護的關鍵。本研究旨在追蹤某醫學中心新進護理人員護理能力之發展。採量性縱貫式研究設計，利用結構式問卷方便取樣以2005年到職之新進護理人員為對象，由護理臨床教師對留任56位進行連續三年追蹤評價。研究結果2008年相較於2006年在照顧、臨床、行政、臨床教學、危急病人處理、研究及總護理能力皆有顯著提升。2008年相較於2007年除危急病人處理能力外，其他六項皆有顯著提升。在照顧、臨床及總護理能力受服務科別之影響。行政能力受服務科別及能力進階之影響。臨床教學能力受服務科別及職稱之影響。結果可提供護理單位主管做為修正在職教育及培育訓練之參考。

The purpose of this study was to compare preceptor-reported changes in the competency of nurses in a medical center during the nurses' first three years of employment. A longitudinal research design was adapted as a guide for this study. Fifty-six nurses were surveyed three months after starting employment at the medical center, and again two years and three years later. Results: A comparison of the results of the 2008 survey with those of 2006 revealed significant increases in caring, clinical, administrative, teaching, emergency, research, and overall nursing competency. A comparison of the 2008 results with those of 2007 showed that there were significant increases in caring, clinical, administrative, teaching and research skills, and overall nursing competency. Aspects of care quality such as caring, clinical, and overall nursing competency were affected by the department serviced by subject. Administrative skills were affected by the department serviced and the clinical ladder level. Teaching skills were affected by the department serviced and job position. The results of this study will be used as a reference guide to revise the nursing training program and, in the long run, to improve nursing quality.