Investigating ER Novice-Nurse Training Practices for the Design of Training Transfer Interventions

  • 黃 郁方

Student thesis: Master's Thesis

Abstract

The Emergency Department is the unit where frequent medical errors may occur and the ER novice nurses may make the medical errors the most Under this circumstance the medical organizations conduct a lot of training for the novice nurses so as to reduce the occurrence rate of medical errors among the ER novice nurses However as stated in some literature it is difficult for the newly graduated nurses to apply the training content in the clinical work Therefore the paper attempts to explore the opinions and suggestions of the novice nurses and the senior nurses towards the current ER training (including formal training and informal training) and figures out the factors why they can’t achieve training transfer effectively so as to serve as references for improving the future training Using a qualitative research approach the study recruited 34 nurses from the emergency departments of three teaching hospitals to complete semi-structured interviews All participants were female 15 were experienced nurses (mean age=34 SD=5 06 average years of experience=5 or above) 19 were novice nurses (mean age=24 SD=3 average years of experience=6 to 12 months) The study summarizes four findings from the study results (1) expectation of training conducted for ER novice nurses; (2) how the Department conducts the training and its influence on training transfer; (3) suggestions on ideal training patterns; and (4) suggestions on intervention scheme The research results showed three condition of formal training (1) the current raining can’t fully meet the expectations of the respondents such as transfer design such as teaching aids don’t match the clinical condition and the training content is unrelated to the clinical condition and lacks practice ; (2) the current training can’t meet the expectations of the respondents at all such as lack of practice incentive mechanism; (3) the problems encountered by the current training are revealed though they are not mentioned in the expectations of the respondents such as training time arrangement training design and transfer climate such as the content is hard to understand the training time is not arranged properly and the practice opportunity is inadequate In addition there are three condition of informal training: (1) the current raining can’t fully meet the expectations of the respondents For example the oral instruction provided for the clinical items that the novice nurses haven’t experienced doesn’t meet the expectation of respondents towards training (2) The current training can’t meet the expectations of the respondents at all For example the informal training lacks the mechanism balancing efforts and rewards and the mechanism that allows the novice nurses to only consult senior nurses (3) The problems encountered in the current training are revealed though they are not mentioned in the expectations of the respondents For example applying new competency in practice; making pressure; preceptor can’t concentrate on teaching or providing immediate instructional; novice nurses don’t acquire enough learning; the instruction method is not standardized The paper proposes related suggestions on the problems of formal training and informal training expecting to make further exploration and provide new direction to assist the Emergency Department in making training plan This ensures the transfer of training content and prevents the occurrence of medical errors actively
Date of Award2016 Aug 15
Original languageEnglish
SupervisorYu-Hsiu Hung (Supervisor)

Cite this

Investigating ER Novice-Nurse Training Practices for the Design of Training Transfer Interventions
郁方, 黃. (Author). 2016 Aug 15

Student thesis: Master's Thesis