Development and Evaluation of Educational Program for Nursing Students` Health Volunteers.

目的：根据学生的学习需求，以美国的“服务学习”理念为指导，设计健康志愿者教育项目。方法：采用访谈法收集学生健康志愿者体验和学习需求的数据。这项研究的访谈指南是为了了解护生开始志愿活动的季节，困难，好处和学习需要是什么？采访被录音和转录。每一份转录的数据都由两名采访者进行分析。结果：调查人员访问了15名首次从事健康志愿者工作的护生。护生主要在家中工作，日以继夜地照顾ASL患者、医院、指导残疾人和幼儿玩伴。我们发现，1)他们从事健康志愿者工作的动机是通过扩展自己的经验来自我教育，或探索未来的方向；2)他们通过与包括客户及其家人和其他志愿者在内的各种人交谈来学习；3)他们的教育资源和支持有限，包括知识、技能和态度。在此基础上，为护生健康志愿者制定了由介绍计划、准备计划和同伴支持计划三部分组成的指导计划。结论：护生需要一个包括风险管理、专业课自学指导在内的综合性指导方案，以及由教职员工或大四学生共同参与的指导体系。在下一阶段，我们将实施、评估这一指导计划，并制定服务学习计划。

Objective : This study was conducted to design an educational program for students working as health volunteers based on students' learning needs and using a USA concept of "Service Learning" as a guide.Method : Interview method was used to collect data regarding students' experience of health volunteers and learning needs. The interview guide for this study was developed to understand what were seasons for nursing students to start their volunteer activities, what were difficulties, benefits and leanings, leaning needs? The interviews were taped and transcribed. Each transcribed data were analyzed by two interviewers. A coding list was developed by the working committee all investigators participated.Results : The investigators interviewed 15 nursing students working in their first experience as health volunteers. Nursing students were working mainly in a home care for ASL patients around the clock, hospital, guiding the disabled and play-mates for young children. We found 1) their motivation for working as a health volunteers was to educate themselves by extending their experience, or explore in their future directions; 2) they learned through meeting various people including clients and their family and other volunteers; 3) they have limited educational resources and support including knowledge, skills, and manner. Based on those findings, we developed a guidance program consisting of three parts including introduction program, preparation program, and peer-support program for nursing students' health volunteers. Conclusion : Nursing students needed a general guidance program including risk management, self-learning guides in the specialized courses, and an advising system by faculty members or senior students. As next stage, we will implement, evaluate this guidance program as well as develop a service learning program.