[[alternative]]A study of Nurse Preceptor's Professional Teaching Competence

[[abstract]]護理臨床教師(nurse preceptor)的臨床教學能力必須與時俱進，符合醫療職場的脈動，才能協助新進護理人員勝任臨床工作，為了解臨床教師是否具備臨床教學能力，必須有一份具信效度的量表來評量其臨床教學能力，檢視國內外有關評量臨床教師指導新進護理人員之相關量表只有2份，分析其量表的題目，並未涵蓋目前護理臨床教師應具備的臨床教學能力之內涵，例如:教導跨領域團隊合作照護與實證護理實務。 本研究旨在探討護理臨床教師教學專業能力的內涵，及發展一份具備良好信、效度之護理臨床教師教學專業能力量表。研究步驟分四階段，第一階段，文獻查證，統整並分析國內外護理臨床教師教學專業能力相關量表及內涵；第二階段進行焦點團體訪談，邀請南部某區域教學醫院之護理臨床教師10位與新進護理人員4位進行訪談，將訪談資料作內容分析，形成初步的問卷題目；第三階段運用德菲法，邀請15位護理專家學者進行內容效度檢定，實施兩回合結構性問卷調查，以檢視量表內容之合適性、代表性及明確性。第四階段，問卷調查法，針對該院60位護理臨床教師進行問卷調查及信度檢測。 研究結果顯示本「護理臨床教師教學專業能力量表」共包含五個向度，分別為「熱忱的教學承諾」5題、「和諧的學習氛圍」8題、「引導式的教學技巧」12題，「跨領域團隊合作的照護」6題，「客觀的回饋與評值」5題，合計36題。量表內容CVI值為0.99，Cronbach’s alpha值為0.96，是一份良好信、效度之量表。本研究建構之量表可作為護理臨床教師自我檢核及新進護理人員評量其教學專業能力之工具，並可提供醫療機構開設護理臨床教師教育訓練課程的參考。[[abstract]]The professional teaching competence of a nurse preceptor should be progressive at all times in order to comply with the trend of medical circumstance and be helpful for the new nurse. For the purpose to inspect the ability of a nurse preceptor, an evaluation tool with sufficient reliability is important. Two copies of related evaluation scale were collected and inspected in this article. It indicates that the scale items in the above mentioned scales s did not introduce some important contents including the Inter-professional Practice (IPP) and Evidence-Based in nursing practice.This study aims to understand the contents of the nurse preceptor’s professional teaching competence and developed the nurse preceptor’s professional teaching competence scale (NPPTCS).The NPPTCS were constructed in four stages. The first stage, based on a literature review, integration at home and abroad related to professional teaching competence connotation. In the second stage, focus group interviews, in southern regional teaching hospital, we invited ten nurse preceptors and four new nurses to participate in focus group interviews. Data were analyzed by content analysis and constructed a preliminary framework of scale items. In the third stage, using the Delphi Method, we invited 15 experts and scholars to detect scale items of content validity and use two rounds of structured questionnaires to view the appropriateness of the scale items, representativeness, clarity, and completed of construction the professional teaching competence scale for nurse preceptors. In the end of this stage, data from the questionnaire were analyzed using internal consistency. Analysis results were to determine the reliability and validity of the developed scale.According to the research result, the NPPTCS are composed of the five dimensions as following: enthusiastic teaching commitment, harmonious learning atmosphere, guided teaching skills, objective feedback and evaluation, and interprofessional practice, combining with 36 items. The final version of the NPPTCS showed good reliability and validity, Cronbach’s alph were 0.96 and content validity index were 0.99, respectively.Based on the research result, the researcher proposes the NPPTCS can enhance their ability. Meanwhile, the NPPTCS not only can be considered as a reference in a nurse preceptors training but also evaluation the nurse preceptors for clinical teaching performance