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題名 | 連續性腎臟替代治療自學手冊介入護理人員學習成效之研究=Critical Care Nurse Learning of Continuous Renal Replacement Therapy : The Efficacy of a Self-Learning Manual |
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作者 | 黃意媜; 許麗齡; | 書刊名 | 護理雜誌 |
卷期 | 58:1 2011.02[民100.02] |
頁次 | 頁37-47 |
分類號 | 419.73 |
關鍵詞 | 連續性腎臟替代治療; 自學手冊; 學習成效; 學習滿意度; Continuous renal replacement therapy; Self-learning manual; Learning performance; Satisfaction with learning; |
語文 | 中文(Chinese) |
中文摘要 | 背景 : 現今重症醫療儀器日新月異,突破傳統限制、挽救病人生命,但卻也由於設計複雜,護理人員不易學習,繼而影響臨床成效;因此運用符合實務所需之自學教材輔助在職教育訓練,可有效提升急重症護理人員的專業技能與醫療品質。 目的 : 本研究以連續性腎臟替代治療 (Continuous Renal Replacement Therapy, CRRT) 為主題,設計一本適合隨身攜帶、自我學習的手冊,將其介入於加護護理人員,以探討CRRT 操作技能之學習成效。 方法 : 本研究採準實驗性前後測研究設計,以立意取樣,選取台北市某醫學中心加護單位護理人員共66 人進行施測。於「CRRT 自學手冊」介入之前後,以「CRRT 技術自評表」收集相關資料。研究資料以SPSS 17.0 Window 套裝軟體進行各項統計分析。 結果 : 本研究結果顯示:一、CRRT 自學手冊介入後,實驗組的技術自評平均得分為91.06 分,標準差為9.49 分;對照組的平均得分為79.75 分,標準差為11.65 分,兩組達顯著差異。二、CRRT 自學手冊介入前,實驗組在CRRT 技術自評得分為80.71 ± 11.82 分,介入後的得分為91.06 ± 9.49 分,平均進步10.35 ± 10.35 分,實驗組的CRRT 技術自評前後測得分有顯著差異。 結論/依本研究結果建議 : 未來安排護理人員繼續教育時,可運用自學手冊輔助教學,以提高學習成效,並實務應用提升學習滿意度。 |
英文摘要 | Background : Many nurses have difficulty learning to use the complex, non-traditional, and regularly-updated critical care equipment. Failure to use such equipment properly can seriously compromise treatment and endanger patient health and lives. New self-learning materials for novice nurses are necessary to provide essential and effective guidance as a part of formal nursing training. Such materials can enhance the capabilities of critical care nurses and, thus, improve the general quality of critical care. Objectives : The purpose of this research was to develop a continuous renal replacement therapy (CRRT)-themed self-learning manual that would provide easily absorbed and understood knowledge in an easy-to-carry format for ICU nursing staff. This study also investigated CCRT skill learning efficacy. Methods : This study adopted a quasi-experimental design with pretests and posttests. Purposive sampling generated a sample of 66 critical care nurses currently working at one hospital in Taipei City. Participants submitted a completed self-assessment survey that rated their command of continuous renal replacement therapy before and after the self-learning manual intervention. Survey data were analyzed using SPSS Version 17.0 for Windows. Findings : The two major findings derived from the study included: (1) The mean response score from the self-assessment survey filled out after the intervention was 91.06 and 79.75 (SD = 9.49 and 11.65), respectively, for experimental and control groups. Such demonstrated significant difference. (2) The mean posttest score after the intervention for the experimental group was 91.06 ± 9.49. This represents a significant increase of 10.35 ± 10.35 over their mean pretest score (80.71 ± 11.82). The experimental group showed other significant differences in terms of the CRRT self-assessment survey posttest. Conclusions/Implications for Practice : Self-learning manuals may be introduced in nursing education as useful aids and catalysts to achieve more effective and satisfying learning experiences. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。