臨床判斷模式的階層式引導教學策略應用於「基礎醫學護理的整合與應用」課程_以學士後護理學系為例=Using clinical judgment model with hierarchical guidance as teaching strategy to "Integrated Application of Basic Medical Science in Nursing" course- An example from Department of Second Degree Bachelor of Science in Nursing

Project title
Using clinical judgment model with hierarchical guidance as teaching strategy to "Integrated Application of Basic Medical Science in Nursing" course- An example from Department of Second Degree Bachelor of Science in Nursing
Internal ID
PMN1100635
Principal Investigator
Status
已完成
Start Date
August 1, 2021
End Date
July 31, 2022
Organizations
Partner Organizations
Description
Nursing is a practical discipline. The purpose of nursing education is to cultivate nursing students’ professional knowledge and skills and clinical judgment with regard to solving health problems and providing appropriate nursing care to patients. This study recruited a purposive sample of nursing students enrolled in a Bachelor of Science degree course titled “Integrated Application of Basic Medical Science in Nursing.” The concept of clinical judgment was integrated into the students’ 18-week curriculum, covering one semester. At the beginning and end of the semester, the students were asked to analyze the health problems of patients in certain scenarios. At the end of the semester, the students who were willing to be interviewed were invited to conduct qualitative interviews for the researchers to understand their learning experiences and the effectiveness of those experiences for their growth as nurses. A total 53 students were enrolled in the degree course; 47 of these students completed pre-measurement and post-measurement tasks, and 22 underwent a qualitative interview at the end of the semester. After teaching was conducted based on a clinical judgment model, the pretest score for critical thinking (63.23 ± 7.16 points) did not significantly differ from the posttest score for critical thinking (63.43 ± 7.54 points; p = 0.86), and the posttest score (48.40 ± 7.34 points) for clinical judgment was significantly higher than the corresponding pretest score (37.04 ± 10.72 points; p < 0.001). In addition, the score for the analysis of patients’ health problems at the end of the semester (3.13 ± 1.66 points) was significantly higher than that at the beginning of the semester (1.79 ± 1.40 points; p < 0.001). In the qualitative interviews, most of the students stated that the critical judgment teaching model helped them comprehend the purpose of nursing and had made them more aware of how they can analyze their patients’ problems effectively. In summary, the present teaching model achieved impressive results in terms of improving nursing students’ clinical judgment abilities. Thus, the present findings can help nursing educators provide effective teaching, conduct research, and guide students through practical scenarios to adequately prepare nursing students for practice.

臺大位居世界頂尖大學之列，為永久珍藏及向國際展現本校豐碩的研究成果及學術能量，圖書館整合機構典藏（NTUR）與學術庫（AH）不同功能平台，成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動，應用在學術研究上是透過將研究著作公開供使用者自由取閱，以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力，NTU Scholars即為本校的開放取用典藏（OA Archive）平台。（點選深入了解OA）

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