提升個案報告撰寫完成率

To Enhance the Case Report Writing Skills of Clinical Ladder for Nursing Staff

刁綺慧(Chi-Hui Tiao)；胡馨方(Hsin-Fang Hu)；王姮樺(Heng-Hua Wang)；何幸美(Hsing-Mei Ho)；陳繪竹(Hui-Zhu Chen)

個案報告 ； 臨床專業能力進階制度 ； case report ； nursing clinical ladder system

志為護理-慈濟護理雜誌

18卷1期（2019 / 02 / 01）

101 - 113

繁體中文

臺灣護理學會規範N3須通過個案報告審查，旨在豐富其教學題材與促進專業角色之認同。本院2014年各單位沒有同仁撰寫完成送審個案報告，分析資深N2護理人員未撰寫個案報告之原因為1.無專人指導、2.個案報告撰寫訓練課程太少、3.沒有進階獎勵金、4.院內電腦使用權限受限。專案自2014年08月01日至2015年07月31日，擬定改善策略為（1）排定專人1對1指導、（2）增加個案報告撰寫訓練課程次數、時段及上傳數位學習課程、（3）公費支出送審費用、（4）開啟連結學校圖書館資料庫權限。改善後分析2015年完成個案報告撰寫計有15篇，目標達成率為125%，該年度平均通過率為55%，優於同年臺灣護理學會平均通過率（44.8%），顯示本專案之改善策略成效卓著。

The reasons behind the mandatory requirement for all nurses in the Nursing Clinical Ladder N3 to pass case report writing evaluation by the Taiwan Nurses Association are to enrich teaching materials and enhance professional recognition of nurses. However, in this particular hospital, no nurses submitted their case reports for N3 evaluation in 2014 owing to the following reasons: 1) lack of professional guidance, 2) insufficient case report writing training courses, 3) no monetary incentive for professional advancement, and 4) restricted computer access in the hospital. This project was implemented from August 1, 2014 to July 31, 2015 aiming to resolve the aforementioned issues by incorporating the following strategies: 1) assign one-on-one professional mentoring, 2) arrange more case report writing training courses with on-line learning options, 3) reimburse the N3 evaluation fee, and 4) enable access to the affiliated university library databases. After the strategies were implemented, 15 case reports were completed by the end of 2015. A 55% N3 passing rate in 2015, which was higher than the average passing rate of 44.8% of the Taiwan Nurses Association, further supported that the four strategies proposed in this project are effective in achieving its intended objectives.

1. 張純純,李美英(2015)。實作導向的個案報告訓練成效評值。領導護理，16(4)，66-75。
   連結：
2. Hunker, D. F.,Gazza, E. A.,Shellenbarger, T.(2014).Evidence-based knowledge, skills, and attitudes for scholarly writing development across all levels of nursing education.Journal of Professional Nurings,30(4),341-346.
3. Jack, K.(2015).The use of poetry writing in nurse education: An evaluation.Nurse Education Today,35,e7-e10.
4. Linton, D. L.,Pangle, W. M.,Wyatt, K. H.,Powell, K. N.,Sherwood, R, E.(2014).Identifying key features of effective active learning: The effects of writing and peer discussion.Life Science Education,13(3),469-477.
5. 台灣護理學會(2012)·基層護理人員臨床專業能力進階制度規劃指引·取自https://www.twna.org.tw/frontend/un10_open/welcome.asp#
6. 利怡慧,林伶黛,蔡菁菁,周嫚君,林梅香(2012)。N3護理人員參加臨床能力進階制度意願之相關影響因素。護理雜誌，59(1)，41-50。
7. 林明珍(2014).護理報告之課室教學與臨床應用.臺北:華杏.
8. 黃雅燕,吳秀雲,張思潔,李雅雯(2012)。提升外科病房護理人員學術能力之改善專案。嘉基護理，11(1)，15-23。
9. 劉玉玲(2013)。運用任務型教學模式輔助寫作課程之個案研究。健行學報，33(4)，97-112。

1. 龔建吉,葉麗月,黃薏媛,陳姵君,許哲瀚,洪弘昌(2021)。組織氣候和領導型態對護理人員專業能力進階意願影響之研究。榮總護理，38(2)，165-174。
2. 楊欣憓,黃千育,郭嫚芸,張瀞文,李鈺玢(2022)。提升兒童加護病房個案報告繳交率之改善專案。源遠護理，16(1)，35-43。
3. (2024)。提升某內科病房護理人員N3臨床專業能力進階比率。志為護理-慈濟護理雜誌，23(3)，89-101。