在職護理人員「護病性溝通課程」模式初探：質性研究

Exploring the Expectation of Nurses Continuing Education Course for Nurse-Patient Communication about Sex: A Qualitative Study

本研究旨在探討國內護理人員合適的護病性溝通課程模式為何，以作為未來建構在職護理人員性教育課程有效教學模式與策略之參考。為了擬定有利於護理人員在職性教育課程模式之策略，本研究以台灣北部一家醫學中心之10位臨床護理人員為研究對象，以臉書線上焦點團體法探討護理人員對於在職性教育課程模式之主觀學習需求，並將線上討論與留言內容進行質性分析。研究結果分析顯示，理想的課程屬性包含「省時有效」、「時間與選課具彈性」及「具認證性」，理想的授課方式為「混成式課程方式」，即以網路課程為主、實體面授課程為輔，線上課程時數總計在2小時以內，面授課程以則1∼2小時為佳；理想課程內容應包括「性健康照護主要範疇」及「與個案談性的互動技巧」；此外，可透過繼續教育積分以提高護理人員參與課程之意願。期望藉由本研究結果，提供後續護病性溝通課程發展之參考，進而提升護理人員提供性健康照護之能力。

This study aims to explore the expectation of clinical nurses’ continuing education course on nurse-patient communication about sex for the development of appropriate strategies of sexual health education in line with the actual situation. Qualitative methods were used to an online Facebook focus group to explore the nurses’ perception and expectation of a continuing education course on nurse-patient communication about sex. Ten nurses working in a medical center in northern Taiwan were recruited as the research subjects, and invited to join an online Facebook group and discuss the subjective learning needs. The results indicate that ideal nature of the course should be “time saving and efficient,” “flexible in time and course selection” and “certified”; An ideal way of the course is blended teaching, including online teaching as well as learning supplemented by offline classroom. The online course in total should be within 2 hours, offline classroom is preferably 1-2 hours. The content of sexual health should include “the scope of sexual health care” and “skills of talking about sex with clients”. In addition, the course should be certified as continuing education credits to raise the learning incentive. The results of this study provide a reference for the development of appropriate strategies for clinical nurses’ continuing education course on nurse-patient communication about sex, thereby enhance their ability to provide sexual health care in the future.