The Development of a Competency-Based Clinical Performance Examination Model in Maternity Nursing for BSN Graduates

[[abstract]]本研究的目的在發展大學護理畢業生産科臨床專業能力鑑定模式。本研究採行動研究方法，分兩個階段進行，第一爲發展之階段，在研究之初即成立産科護理臨床專業能力鑑定模式發展小組，此小組定期開會討論，依據文獻及台灣護理實務，發展出鑑定模式內涵及過程的草案；同時，爲了落實此模式的執行，也完成臨床考試場所的准備、考試老師的培訓及評鑑者與受試者手冊。此草案再經專家的檢定及小型的預測，兩度修正後定案。第二爲測試之階段，即實際應用此已初步發展完成的鑑定模式於週産期護理學課程中，來進一步檢定此模式的效信度。選修週産期護理學二年制的護生41人，週産期護理學老師8人、考場産科護理人員9人及服務對象20人共同參與其效信度之驗證。此模式具專家及區分效度，考試老師執行模式亦具調度之一致性，此模式不但可應用爲挑戰考試以做爲學生抵免學分之依據，亦可以應用於傳統學程及臨床做爲鑑定臨床能力筆試方式外的另一種選擇。 The purpose of the study was to establish a competency-based clinical performance examination model in maternity nursing for baccalaureate students. Action research was the main research methodology used in the study. A committee, consisting of nursing faculty, students and experienced obstetric nurses, was established to develop the model. Based on intensive literature reviews and standards of nursing practice in Taiwan, the first draft of the model, including the content and process, was created by the committee. The draft then was revised twice after expert review and pilot testing. The revised version of the model was formally implemented into the curriculum to examine the competencies of forty-one BSN students at the end of the perinatal nursing course. Responses from students, clinical examiners, clinical staff and clients were all gathered and integrated to refine the model. The model has content, expert and discriminative validity. The reliability of the model was proven by the high consistency in administration and scoring of the model among clinical examiners