Cheng Su-Fen
PhD, RN, Professor, Department of Allied Health Education & Digital Learning, National Taipei University of Nursing and Health Sciences, Taiwan, ROC.
Hu Li Za Zhi. 2021 Dec;68(6):4-5. doi: 10.6224/JN.202112_68(6).01.
Nursing education in Taiwan has evolved from the hospital-based nursing programs of the prewar era to today`s school-based education (Yeh, 2014), while the pedagogy utilized in nursing education has similarly transitioned from traditional apprenticeships to school-based education. Nursing faculty engage in knowledge transformation and skills demonstrations in hopes of producing practice-ready graduates who meet the needs of their time. However, new graduates often experience difficulties in transitioning into practice settings. They tend to engage in passive learning and are inadequately prepared on competencies such as problem-solving and critical thinking. Thus, they are not fully equipped to manage diverse clinical situations. In 2006, the Taiwan Ministry of Education established the Taiwan Nursing Accreditation Council, which subsequently proposed eight core competencies of nursing education as a guide for cultivating excellent professional nurses. While traditional approaches remain the mainstream pedagogy, clinical scenarios have been integrated into the nursing curriculum. Clinical simulation in conjunction with objectively structured clinical examinations has been implemented in all nursing programs and even been used to determine eligibility for graduation. Problem-based learning, experiential learning, game-based learning, the flipped classroom approach, and technology integration (such as virtual reality and augmented reality) are developing trends in innovative teaching approaches and educational reform strategies. Specifically, authentic technology-integrated education is the current direction for nursing education. Furthermore, resolving nursing clinical dilemmas with design thinking and the creation of new products are also guiding the development of the nursing profession. Applications of these innovative teaching approaches are intended to reduce the gap between practice and theory. Because of the rapid advancement of information technology, big data and artificial intelligence have become unstoppable. Examples include clinical implementations of Line chatbot and the constant development of knowledge through artificial intelligence. The impact of these technological advancements on the nursing profession cannot be ignored. Nursing education is progressing away from traditional teaching approaches and focusing increasingly on the cultivation of professional nurses. Nevertheless, as nurse educators, we need to reflect whether our educational approaches remain overly limited by the traditional framework and, if so, whether we are preparing our future nurses for the past? It is our professional responsibility to prepare the nursing workforce for the present and the future (Murray, 2018). The knowledge required for developing artificial intelligence and relevant technologies is distinctly different from the knowledge required for the nursing profession. Nurse educators must contemplate strategies for leading the new generation of nursing students to be in line with current trends and reflect constantly on the essence and goals of nursing education. We must relentlessly learn new knowledge, align ourselves with the pulse of the times, develop innovative educational strategies, and engage in interprofessional collaboration to produce effective and wise nursing professionals.
台湾的护理教育已从战前以医院为基础的护理项目发展到如今的以学校为基础的教育(叶,2014),护理教育中所采用的教学方法也同样从传统的学徒制转变为以学校为基础的教育。护理教师进行知识转化和技能示范,希望培养出符合时代需求、能随时投入实践的毕业生。然而,新毕业的护士在过渡到实际工作环境时常常遇到困难。他们倾向于被动学习,在解决问题和批判性思维等能力方面准备不足。因此,他们并未完全具备应对各种临床情况的能力。2006年,台湾教育部成立了台湾护理评鉴委员会,该委员会随后提出了护理教育的八项核心能力,作为培养优秀专业护士的指导方针。虽然传统方法仍然是主流教学法,但临床情景已被纳入护理课程。所有护理项目都实施了临床模拟并结合客观结构化临床考试,甚至用其来确定毕业资格。基于问题的学习、体验式学习、游戏化学习、翻转课堂教学法以及技术整合(如虚拟现实和增强现实)是创新教学方法和教育改革策略的发展趋势。具体而言,真正的技术融合教育是当前护理教育的方向。此外,运用设计思维解决护理临床困境以及开发新产品也在引领护理专业的发展。这些创新教学方法的应用旨在缩小实践与理论之间的差距。由于信息技术的飞速发展,大数据和人工智能已势不可挡。例如,Line聊天机器人的临床应用以及通过人工智能不断发展知识。这些技术进步对护理专业的影响不可忽视。护理教育正逐渐摆脱传统教学方法,越来越注重培养专业护士。然而,作为护理教育工作者,我们需要反思我们的教育方法是否仍然过度受限于传统框架,如果是这样,我们是否在让未来的护士为过去做准备?为当下和未来培养护理人才是我们的职业责任(默里,2018)。开发人工智能及相关技术所需的知识与护理专业所需的知识截然不同。护理教育工作者必须思考如何引领新一代护理学生跟上当前趋势,并不断反思护理教育的本质和目标。我们必须不懈地学习新知识,紧跟时代脉搏,制定创新教育策略,并开展跨专业合作,以培养出高效且明智的护理专业人员。