護理助產系學生子宮頸抹片實務能力養成之成效

The Effectiveness of a Pap Smear Screening Practical Skills Training Program forNurse-Midwifery Students

背景：子宮頸抹片篩檢能有效降低子宮頸癌的發生，其教學策略的學習成效卻較少被論述。
目的：旨在評估護理助產學生在「課室模擬教學」及「社區子抹車篩檢教學」對子宮頸抹片操作能力之成效。
方法：採方便取樣，收集對象為某國立大學護理助產系學生2021–2023年入學之大學部學生。收案期間為2023年9月到2024年6月，採前實驗設計法（pre-experimental design）中的單組前、後測設計。學習成效包含自我導向學習能力與子宮頸抹片實務能力表現。自我導向學習能力採自我報告問卷，實務能力表現採直接觀察操作技能評估（directly observed procedural skills），由兩位老師共同評值。
結果：學生共52位。隨著時間及教學策略的變化下能看出自我導向學習力不論在總量表及次量表得分上均顯著性增加。直接觀察操作技能評估在兩種不同教學策略下，實務能力表現得分呈現有顯著性上升。
結論／實務應用：課室模擬教學外可搭配臨床現場實務訓練，提升學生自主學習，也能加深技術的熟練度及提升學生未來在婦女健康推動自我導向學習及實務能力。

Background: Pap smear screenings effectively reduce the incidence of cervical cancer. However, the effectiveness of practical teaching strategies for this procedure is seldom discussed.
Purpose: This study was designed to evaluate the effectiveness of a Pap smear screening training approach using the two strategies of classroom simulation and practical community screening demonstrations.
Methods: Convenience sampling was used to recruit undergraduate students enrolled between 2021 and 2023 in the nursing midwifery department of a national university. Data were collected between September 2023 and June 2024 and analyzed using a pre-experimental design with a one-group pretest-posttest design. The learning outcomes considered included self-directed learning ability and practical ability performance in cervical smear procedures. Self-directed learning ability was assessed using a self-reported questionnaire, while practical ability performance was separately evaluated by two instructors using direct observation.
Results: Fifty-two students were enrolled as participants. Over time, and with the changes in teaching strategies, significant improvements were observed in self-directed learning ability in terms of mean total and subscale scores. In addition, DOPS scores showed a significant increase in practical ability performance.
Conclusion/ Implications for Practice: Integrating clinical hands-on training into classroom-based simulation teaching can enhance autonomous learning, improve skill proficiency, and foster future self-directed learning and practical abilities in students to promote women’s health.