Wang Jing-Jy, Lo Chi-Hui Kao, Ku Ya-Lie
Department of Nursing, FooYin University, Taiwan, ROC.
Nurse Educ Today. 2004 Nov;24(8):589-95. doi: 10.1016/j.nedt.2004.07.004.
A set of problem solving strategies integrated into nursing process in nursing core courses (PSNP) was developed for students enrolled in a post-RN baccalaureate nursing program (RN-BSN) in a university in Taiwan. The purpose of this study, therefore, was to evaluate the effectiveness of PSNP on students' clinical problem solving abilities. The one-group post-test design with repeated measures was used. In total 114 nursing students with 47 full-time students and 67 part-time students participated in this study. The nursing core courses were undertaken separately in three semesters. After each semester's learning, students would start their clinical practice, and were asked to submit three written nursing process recordings during each clinic. Assignments from the three practices were named post-test I, II, and III sequentially, and provided the data for this study. The overall score of problem solving indicated that score on the post-test III was significantly better than that on post-test I and II, meaning both full-time and part-time students' clinical problem solving abilities improved at the last semester. In conclusion, problem-solving strategies integrated into nursing process designed for future RN-BSN students are recommendable.
针对台湾一所大学护理专业本科后学士学位课程（RN-BSN）的学生，开发了一套融入护理核心课程护理流程的问题解决策略（PSNP）。因此，本研究的目的是评估PSNP对学生临床问题解决能力的有效性。采用单组后测重复测量设计。共有114名护理专业学生参与本研究，其中47名全日制学生和67名非全日制学生。护理核心课程分三个学期分别进行。每个学期学习结束后，学生开始临床实习，并要求在每次临床实习期间提交三份书面护理流程记录。三次实习的作业依次命名为后测I、II和III，为本研究提供数据。问题解决的总体得分表明，后测III的得分显著高于后测I和II，这意味着全日制和非全日制学生的临床问题解决能力在上学期均有所提高。总之，为未来的RN-BSN学生设计的融入护理流程的问题解决策略是值得推荐的。
