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研究生:林嬿妮
研究生(外文):LIN,YEN-NI
論文名稱:護理人員實證護理能力及影響因素之探討
論文名稱(外文):A survey of the Evidence-Based Nursing Practice Competencies and related factors among Registered Nurses
指導教授:鍾聿琳鍾聿琳引用關係
指導教授(外文):CHUNG,YU-LIN
口試委員:許麗齡雷若莉
口試委員(外文):SYU,LI-LINGLEI,RUO-LI
口試日期:2019-01-02
學位類別:碩士
校院名稱:弘光科技大學
系所名稱:護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2019
畢業學年度:107
語文別:中文
論文頁數:93
中文關鍵詞:護理人員實證護理能力工作特性實證護理訓練
外文關鍵詞:nursing staffempirical nursing abilitywork characteristicsempirical nursing training
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本研究目的旨在探討臨床護理人員實證護理能力及影響因素。以南部某區域性醫院的臨床護理人員為研究對象,共收案226位。研究設計採橫斷式立意取樣以結構式問卷進行調查。並以 SPSS 20.0統計套裝軟體進行研究對象樣本之描述性統計分析、獨立樣本t檢定、單因子變異數分析(one-way ANOVA)、皮爾森積差相關分析 (Pearson product-momentcorrelation Correlation)、因素分析(Factor Analysis)及逐步迴歸之統計分析(stepwise multiple regression)。研究結果顯示:(1)護理人員之整體實證護理能力平均得分為3.07±SD=0.64分,屬於中等程度。並以探索性因素分析共萃取出三個範疇分別為「提出臨床問題證據」、「整合實證文獻搜尋」範疇及「推展實證護理成效」範疇。護理人員在「提出臨床問題證據」範疇得分最高、「整合實證文獻搜尋」範疇得分最低。(2)護理人員年齡較高、具研究所學歷、自覺英文能力程度達4分(含)以上、工作年資越高、專業職級為N4以上、自覺工作負荷很輕、參與實證實務訓練方式、以多重資料庫進行文獻資料搜尋與具備個案報告寫作能力者,以及自覺落實實證護理實務與主管支持程度越高者,其實證護理能力傾向越好。(3)專業職級、實證護理訓練方式、自覺落實執行實證護理實務程度及主管對實證護理實務支持程度等四個變項為護理人員實證護理能力的預測因子。本研究結果能作為規劃臨床護理人員實證護理在職教育訓練課程內容及訓練方式之參考。
The purpose of this study was to explore the clinical nursing staff's empirical nursing ability and influencing factors. Taking the clinical nursing staff of a regional hospital in the south as the research object, a total of 226 cases were received. The study design was conducted by cross-sectional sampling with a structured questionnaire. Descriptive statistical analysis, independent sample t-test, one-way ANOVA, Pearson product-moment correlation Correlation, factor analysis (Pearson product-momentcorrelation Correlation) and factor analysis were performed with SPSS 20.0 statistical software package. Factor Analysis) and stepwise multiple regression. The results of the study showed that: (1) The average score of the overall empirical nursing ability of nursing staff was 3.07±SD=0.64, which was moderate. In the context of exploratory factor analysis, the three areas of "Proposed Evidence of Clinical Problems", "Integrated Empirical Literature Search" and "Implementation of Empirical Nursing Effectiveness" were extracted. Nursing staff scored the highest in the category of "clinical evidence for clinical problems" and the lowest score in the category of "integrated empirical literature search". (2) The nursing staff is older, has a research qualification, and has a conscious English proficiency of 4 or more, the higher the working years, the professional rank is N4 or higher, the conscious workload is very light, and the participation in the practical training mode is The multiple database for literature search and case report writing ability, as well as the conscious implementation of empirical nursing practice and supervisor support, the better the ability to care for the better. (3) The four grades of professional rank, empirical nursing training mode, conscious implementation of empirical nursing practice level and supervisory support for empirical nursing practice are the predictors of the nursing staff's empirical nursing ability. The results of this study can be used as a reference for planning the content and training methods of in-service education training courses for clinical nursing staff.
目錄
致謝………………………………………..…………………………….……Ⅰ
中文摘要…………………………………………………………………..….Ⅱ
英文摘要…………………………………………………………………..….Ⅲ
目錄………………………………………………………………………..….Ⅴ
表目錄…………………………………………………………………..…….Ⅷ
圖目錄…………………………………………………………………..…….Ⅸ

第一章 緒論
第一節 研究背景與動機………………………………………………….1
第二節 研究目的…………………………….…………………………….3
第三節 研究問題………………………….……………………………….3
第四節 名詞界定………………………….……………………………….4
第二章 文獻探討
第一節 實證護理能力之概念…………………….………………………5
第二節 國內外實證護理的發展歷程…………………………………….8
第三節 實證護理能力及相關研究……………….……………………..12
第四節 總結………………………………………………………………17
第三章 研究方法及步驟
第一節 研究架構…………………………………………………………18
第二節 研究設計…………………………………………………………19
第三節 研究場域與對象…………………………………...……………20
第四節 研究工具…………………………………………………………22
第五節 研究步驟………….……………………………………………29
第六節 資料處理與分析………………………………………………...32
第七節 倫理考量……………….……………………………………...34
第四章 研究結果
第一節 研究樣本描述…………….…………………………...………...35
第二節 護理人員實證護理能力………….……………………………..40
第三節 護理人員個人屬性、工作特性及實證護理經驗與實證護理能
力之相關性………………………….………….……………….44
第四節 護理人員實證護理能力之重要預測因子………….………….57
第五章 討論
第一節 護理人員個人屬性、工作特性及實證護理經驗概況 .........…61
第二節 護理人員之實證護理能力…………………………………….66
第三節 護理人員實證護理能力與個人屬性、工作特性及實證護理經
驗之相關性……………….…………………….…………...…68
第四節 護理人員實證護理能力之重要預測因子…………….………70
第六章 結論與建議
第一節 結論……………………………………….……………………..71
第二節 研究建議………….……………………………………………..73
第三節 研究限制……………….…………………………………....…..75
參考文獻
中文文獻………………………..………………………………………....77
英文文獻…………………………….……………………………………79

附錄
附錄一 個人背景及實證護理能力問卷……………….………………84
附錄二 內容效度專家名單………………………….……….…………88
附錄三 專家意見彙總表………………………….…….………………89
附錄四 臨床試驗同意證明書…………….……………...….….………92
附錄五 研究量表授權同意明……………..……………...….….………93

表目錄
表3-1實證護理能力量表因素分析檢定…………....…………….….....…25
表3-2實證護理能力量表題目共通性…………..……………..……......…25
表3-3 實證護理能力量表題目轉軸後成分矩陣…….………………....…26
表3-4 實證護理能力量表13題題目總解釋變異量……….…………......26
表3-5 護理人員實證護理能力各範疇之事後檢定結果………...….....…27
表4-1 護理人員基本個人屬性分布情形…………..…………….…..…...36
表4-2 護理人員工作特性之分布情形………………..………….….....…37
表4-3 護理人員實證護理經驗之分布情形…………..………….….....…39
表4-4 護理人員實證護理能力之各題得分及事後檢定結果……....……42
表4-5護理人員實證護理能力與個人屬性之變異性分析結果................46
表4-6護理人員實證護理能力與工作特性之變異性分析結果 …...….....50
表4-7護理人員實證護理能力與實證護理經驗之變異性分析...........….55
表4-8護理人員實證護理能力之逐步迴歸模式摘要……………………..58
表4-9護理人員實證護理能力之逐步迴歸分析…………………..………58
表4-10護理人員個人屬性、工作特性及實證護理經驗對實證護理能力之
迴歸分析………………….…………….……..………….…60
圖目錄
圖一 研究架構圖…………………………….…………………….…….….18
圖二 研究步驟流程圖………………………….……………….……….….31








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