Hsu Li-Ling
National Taipei College of Nursing, Taipei, Taiwan.
J Clin Nurs. 2006 May;15(5):619-28. doi: 10.1111/j.1365-2702.2006.01332.x.
The aim of this study was to identify and assess the teaching behaviours (knowledge, attitudes and skills) observed in nurse educators as they taught in the clinical setting.
Many quantitative studies have defined and evaluated teaching effectiveness in the clinical area. Some of these studies established instruments to evaluate faculty effectiveness in the clinical setting; however, they tended to be so broad that they were of limited use in understanding clinical teaching behaviours in nursing education.
This study explored clinical teaching behaviours in a nursing practicum. Ten nurse educators taught 10 students in the medical-surgical unit at a hospital in Taiwan for about four weeks. Each teacher was observed by the researcher and one other observer for two days during regularly scheduled clinical teaching time.
Data collection and analysis were done by a qualitative approach. Content analysis is a process of identifying, coding and categorizing the themes in the data.
The themes of clinical teaching that emerged from data analysis included teaching aims (task-oriented and learner-centred), teacher competence (teacher knowledge, instructional strategies, planning learning experience, teaching priorities, feedback and caring) and teaching commitment (professional identity and giving of self). These findings offer a holistic blueprint of clinical teaching for nursing faculty members, which will enhance the quality of nursing education.
Complexity in nursing education has increased as it is challenged to meet the needs of diverse populations in rapidly evolving and highly technical health-care settings. Clinical teachers must be enabled and empowered to provide students with appropriate knowledge and skills to meet the needs of patients. To develop students' professional nursing identity now and in the future, nurse educators have to commit themselves to both nursing and teaching in clinical settings. More nurses need to be prepared for careers in education at the master's and doctoral levels.
本研究旨在识别和评估护士教育工作者在临床环境中教学时所展现的教学行为(知识、态度和技能)。
许多定量研究对临床领域的教学效果进行了定义和评估。其中一些研究建立了评估教师在临床环境中教学效果的工具;然而,这些工具往往过于宽泛,在理解护理教育中的临床教学行为方面用途有限。
本研究在护理实习中探索临床教学行为。十位护士教育工作者在台湾一家医院的内科 - 外科病房教授十名学生,为期约四周。在定期安排的临床教学时间内,研究人员和另一名观察者对每位教师进行了两天的观察。
采用定性方法进行数据收集和分析。内容分析是一个识别、编码和分类数据中主题的过程。
数据分析得出的临床教学主题包括教学目标(任务导向和以学习者为中心)、教师能力(教师知识、教学策略、规划学习体验、教学重点、反馈和关怀)以及教学投入(专业身份认同和自我奉献)。这些发现为护理教师提供了临床教学的整体蓝图,将提高护理教育质量。
护理教育的复杂性增加,因为它面临着在快速发展和技术高度发达的医疗保健环境中满足不同人群需求的挑战。必须使临床教师有能力并赋予其权力,为学生提供满足患者需求的适当知识和技能。为了培养学生现在和未来的专业护理身份,护士教育工作者必须致力于临床环境中的护理和教学工作。需要更多护士为硕士和博士层次的教育职业做好准备。