南丁格爾學苑護理領導人才培訓課程對學員核心能力之影響－－聚斂型平行混合研究

The Impact of the Nightingale Nursing Leadership Institute’s Training Program on Core Competencies in Program Participants: A Convergent Parallel Mixed-Methods Study

背景：台灣護理學會自2009年起主辦南丁格爾學苑護理領導人才（Nightingale Nursing Leadership Institute, NNLI）培訓課程，致力於培養具領導力和策略思維的護理專業人才，至今已有超過10年歷史，NNLI已成為國內重要的護理領導力培訓平台。
目的：本研究旨在評值完成NNLI培訓課程後，學員在溝通、領導、政策及政治參與、宏觀視野、社會影響和自我成長等核心能力的發展情形。
方法：本研究採用聚斂型平行混合研究設計，於2022年10月至2023年4月間，針對2011至2020年間完成NNLI課程的學員進行網路問卷調查及焦點團體訪談，並以NNLI課程核心能力框架統整質性與量性資料進行分析。
結果：學員在溝通能力的平均得分為4.33分，所有題項平均得分均超過4分；領導能力平均得分為4.23分，其中政治技巧（3.67分），政策實踐（3.83分）及對外在的覺察（3.91分）項目得分相對較低。學員在機構外部的政策及政治參與平均得分（5.94分）低於機構內部的政策及政治參與（7.15分）。此外，學員在自我成長、社會影響及宏觀視野的平均得分分別為8.58分、7.50分及8.79分。焦點團體訪談結果指出，NNLI課程拓展了學員的視野與思維，強化了與護理團體的鏈結，並提升了溝通及領導技巧。然而，由於多數學員首次接觸政策及政治參與議題，實際參與政策及政治影響力的經驗尚不足。廣義線性模型分析顯示，年齡、教育程度及主管職位是影響學員溝通、領導及自我成長的重要因素。
結論／實務應用：NNLI培訓課程顯著提升學員在溝通、領導、自我成長、社會影響和宏觀視野等核心能力，並成為全國護理領導力培訓的標竿。建議未來課程加入輔導機制，幫助學員將政策及政治參與理論與實務結合，增強其在政策及政治參與方面的信心與實務能力。

Background: The Taiwan Nurses Association has organized the Nightingale Nursing Leadership Institute (NNLI) training program since 2009 to further cultivate leadership and strategic thinking capabilities in nursing professionals. Over the past decade, NNLI has become a key platform for nursing leadership development in Taiwan.
Purpose: This study was designed to evaluate impact of the NNLI training program on participants’core competen¬cies in communication, leadership, policy and political participation, macro-level perspectives, social impact, and per¬sonal growth.
Methods: A convergent parallel mixed-methods design was adopted. From October 2022 to April 2023, an online survey and focus group interviews were conducted NNLI graduates from 2011 to 2020. Qualitative and quantitative data were analyzed based on the NNLI core competency framework.
Results: The average post-training scores for core competencies were 4.33 for communication skills (with average scores of > 4 for all items in this category), 4.23 for leadership skills, 3.67 for political skills, 3.83 for policy implementation, and 3.91 for external awareness. Moreover, the average score of 5.94 for external engagement in policy and political participation was lower than that of 7.15 for internal engagement. Also, the average scores for personal growth, social impact, and macro-level perspectives were 8.58, 7.50, and 8.79, respectively. The focus group interviews revealed the NNLI program broadened the participants’perspectives, strengthened their connections with nursing organizations, and enhanced their communication and leadership skills. However, most participants had no prior experience in policy and political engagement, their related practical experience in this arena was limited. The results of the generalized linear model analysis revealed age, educational level, and managerial position to significantly influence communication, leadership, and personal growth.
Conclusions/ Implications for Practice: The NNLI training program significantly enhances the core compe¬tencies of its participants in the realms communication, leadership, personal growth, social impact, and macro-level perspectives. Thus, this program may be treated as a benchmark for nursing leadership training nationwide. Future programs should incorporate mentorship mechanisms to help participants integrate theoretical knowledge with practi¬cal policy and political engagement, thereby enhancing participants’confidence and practical skills in these areas.