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關于對臨床技能的研究essay

時間:2015-09-14 18:17來源:livesitehelp.com 作者:pesix4 點擊:
本文主要介紹了學生對臨床技能學習的內容。臨床技能學習對學生來說是非常重要的一部分,而導師制模式會有助于提高臨床技能學習,把理論付諸于實踐,從而提高學生的學習。



本次研究的主要目的是為了通過在軍隊實施導師制模式來提高學生的學習和臨床技能。軍隊已經開始開設本科學位和現代護理專業來面對來自全球的挑戰,其中的挑戰主要包括教育或者與健康相關的問題,師資短缺問題,理論與實踐的差距問題以及全世界對護士的需求問題等。在他們最后一年的最后一個學期當中,這兩個程序具有很多極具挑戰性的任務,他們很難在沒有人監督的情況下進行學習,尤其是臨床技能建立的部分,因為這也是期末考試的一部分。史蒂文森和肖利確定,“被監督者能夠與客戶發展出更強大的自信、更敏銳的洞察力以及更協調的一致性。”在通過實踐之后,他或者她的能力就會增強。因此,本文的研究將有助于導師制模式的實施;另外,這也將在政策層面帶來變革。最終的結果是,它將有助于更好地識別和了解導師的性格特征,以及他或者她將如何通過整合理論并把理論付諸于實踐,從而提高學生的學習。

The purpose of research is to improve student's learning and clinical skills by implementing the preceptorship model in army. Army has started baccalaureate and Post RN nursing to meet the challenges of globe, which could be educational, health related issues, faculty shortage, theory practice gap and graduate nurse's demand in the world. These two programs have many challenging tasks at their final term of final year which are difficult to learn without supervision, especially clinical skill building which is integral part of final exam. Stevenson and Shanley (2006) identified that “the supervisee develops greater self confidence, greater insight and greater consistency with clients. He/she has increased ability to reflect on practice afterwards.” (p. 588). Therefore, this study will help to implement the preceptorship model in addition; will bring change at policy level. Consequently, it will help to identify the characteristics of preceptor, and how she/he will facilitate to integrate the theory into practice to enhance the students learning.


文獻綜述的目的---Purpose of Literature Review


Literature will help to identify the main variables (constructs, concepts). Relatively, it will guide to get instrument (questionnaire, interview guide) form the different sources by which researcher can measure the main variables. Literature provides the empirical data, conceptual framework, theoretical framework, and importance of research by giving previous research results, and that aids to integrate previous results to the present study. It also support and facilitate to interpret the results of study.


文獻綜述的概念---Concepts of Literature Review


Literature review is important to understand the important concepts in research study which derived from the research question. These concepts can formulate the conceptual framework. The entire process of research revolves around the research question which helps to understand the phenomenon.


研究問題---Research Question


Do baccalaureate nursing students who work with a preceptor during their intensive care rotation nursing experience of their medical surgical course score higher on their medical surgical final exam compared to those to baccalaureate nursing students who do not work with a preceptor?


導師---Preceptor


According to Mantzorou, 2004 (as cited by Peirce, 1991) that word preceptor primarily was introduced in 15th century stands for teacher or lecturer. It is defined by Cooper and Palmer, 2002 (as cited by Cooper, 1993) that preceptor is “a qualified and first level nurse who has agreed to work in partnership with a (newly) registered practitioner colleague in order to assist and support them in the process of learning and adaptation to his or her new role” (p. 98).


新近人員/護士學生Preceptee/Nursing Students


Barrett and Myrick (1998) highlighted that preceptee is person who can be student or new staff nurse work on assign patients under supervision and provide nursing care according to the guidelines given by preceptor.

導師制模型---Preceptorship Model

According to the Myrick and Yonge (2004) it is a model in which preceptee and preceptor work together through an orientation process to build the clinical skills.


導師和學生學習---Preceptor and students learning


Pakistan army schools/hospitals do not have preceptorship in their setting, although around the globe this model is utilizing, and even in some places of Pakistan. Allen and Simpson (2000) emphasized that if preceptor and preceptee work together they give better environment to the patients. Moreover, Block, Claffey, Korow, and McCaffrey, (2005) identified that mentor or preceptor is important for the organization. Army is struggling for faculty development due to shortage of faculty, and implementation of preceptorship which can reduce the shortage by utilizing them as a faculty or assigning them as a clinical instructor. Relatively, Ross and Clifford (2002) has discussed that transition period from student to staff nurse is more stressful, thus preceptor can guide and support them to handle the different issues. Final year of nursing students becomes very hectic because of electives in their final term of final year and final exams especially clinical skills testing. (責任編輯:wangjiazhang18)

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