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題名：連續性腎臟替代治療自學手冊介入護理人員學習成效之研究
書刊名：護理雜誌
作者：黃意媜／許麗齡 引用關係
作者(外文)：Huang, Yi-chen／Hsu, Li-ling
出版日期：2011
卷期：58:1
頁次：頁37-47
主題關鍵詞：連續性腎臟替代治療；自學手冊；學習成效；學習滿意度；Continuous renal replacement therapy；Self-learning manual；Learning performance；Satisfaction with learning
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:4
  • 點閱點閱:47
背景 : 現今重症醫療儀器日新月異，突破傳統限制、挽救病人生命，但卻也由於設計複雜，護理人員不易學習，繼而影響臨床成效；因此運用符合實務所需之自學教材輔助在職教育訓練，可有效提升急重症護理人員的專業技能與醫療品質。 目的 : 本研究以連續性腎臟替代治療 (Continuous Renal Replacement Therapy, CRRT) 為主題，設計一本適合隨身攜帶、自我學習的手冊，將其介入於加護護理人員，以探討CRRT 操作技能之學習成效。 方法 : 本研究採準實驗性前後測研究設計，以立意取樣，選取台北市某醫學中心加護單位護理人員共66 人進行施測。於「CRRT 自學手冊」介入之前後，以「CRRT 技術自評表」收集相關資料。研究資料以SPSS 17.0 Window 套裝軟體進行各項統計分析。 結果 : 本研究結果顯示：一、CRRT 自學手冊介入後，實驗組的技術自評平均得分為91.06 分，標準差為9.49 分；對照組的平均得分為79.75 分，標準差為11.65 分，兩組達顯著差異。二、CRRT 自學手冊介入前，實驗組在CRRT 技術自評得分為80.71 ± 11.82 分，介入後的得分為91.06 ± 9.49 分，平均進步10.35 ± 10.35 分，實驗組的CRRT 技術自評前後測得分有顯著差異。 結論／依本研究結果建議 : 未來安排護理人員繼續教育時，可運用自學手冊輔助教學，以提高學習成效，並實務應用提升學習滿意度。
Background : Many nurses have difficulty learning to use the complex, non-traditional, and regularly-updated critical care equipment. Failure to use such equipment properly can seriously compromise treatment and endanger patient health and lives. New self-learning materials for novice nurses are necessary to provide essential and effective guidance as a part of formal nursing training. Such materials can enhance the capabilities of critical care nurses and, thus, improve the general quality of critical care. Objectives : The purpose of this research was to develop a continuous renal replacement therapy (CRRT)-themed self-learning manual that would provide easily absorbed and understood knowledge in an easy-to-carry format for ICU nursing staff. This study also investigated CCRT skill learning efficacy. Methods : This study adopted a quasi-experimental design with pretests and posttests. Purposive sampling generated a sample of 66 critical care nurses currently working at one hospital in Taipei City. Participants submitted a completed self-assessment survey that rated their command of continuous renal replacement therapy before and after the self-learning manual intervention. Survey data were analyzed using SPSS Version 17.0 for Windows. Findings : The two major findings derived from the study included: (1) The mean response score from the self-assessment survey filled out after the intervention was 91.06 and 79.75 (SD = 9.49 and 11.65), respectively, for experimental and control groups. Such demonstrated significant difference. (2) The mean posttest score after the intervention for the experimental group was 91.06 ± 9.49. This represents a significant increase of 10.35 ± 10.35 over their mean pretest score (80.71 ± 11.82). The experimental group showed other significant differences in terms of the CRRT self-assessment survey posttest. Conclusions/Implications for Practice : Self-learning manuals may be introduced in nursing education as useful aids and catalysts to achieve more effective and satisfying learning experiences.
期刊論文
1.董貞吟、黃乾全、丁如真、張家儒(20040300)。臺北市立醫院護理人員下背痛現況與教育需求之調查研究。勞工安全衛生研究季刊，12(1)，36-49。new window  延伸查詢new window
圖書
1.邱皓政(2007)。量化研究與統計分析。臺北市：五南圖書出版股份有限公司。  延伸查詢new window
其他
1.陳世豐、陳永昌、方基存、黃秋錦(2002)。病危患者的體液補充。  延伸查詢new window
2.黃朱岑(2006)。臨床護理人員使用Newport e500 呼吸器輔助自學手冊之成效。  延伸查詢new window
3.蔡壁如、柯文哲(2005)。腎臟替代治療在加護病房急性腎衰竭之臨床應用。  延伸查詢new window
4.Amanzadeh, J.; Reilly, R. F.(2006)。Anticoagulation and continuous renal replacement therapy。  new window
5.Barletta, J. F.; Barletta, G. M.; Brophy, P. D.; Maxvold, N. J.; Hackbarth, R. M.; Bunchman, T. E.(2006)。Medication errors and patient complications with continuous renal replacement therapy。  new window
6.Bouman, C.; Straaten, H.(2006)。Guidelines for timing, dose, and mode of continuous renal replacement therapy for acute renal failure in the critically ill。  new window
7.Darent Valley Hospital(2000)。Guidelines for continuous renal replacement therapy。  new window
8.Dirkes, S.(2000)。Continuous renal replacement therapy: Dialytic therapy for acute renal failure in intensive care。  new window
9.Dirkes, S.; Hodge, K.(2007)。Continuous renal replacement therapies in the adult intensive care unit: History and current trends。  new window
10.Ellis, K.; Burns, K. M.(2007)。Who should provide continuous renal replacement therapies?。  new window
11.Gilbert, R. W.; Caruso, D. M.; Foster, K. N.; Canulla, M. V.; Nelson, M. L.; Gilbert, E. A.(2002)。Development of a continuous renal replacement program in critically ill patients。  new window
12.Harvey, B.; Watson, A. R.; Jepson, S.(2002)。A renal critical care educator: The interface between paediatric intensive care and nephrology。  new window
13.Langford, S.; Slivar, S.; Tucker, S. M.; Bourbonnais, F. F.(2008)。Exploring CRRT practices in ICU: A survey of Canadian hospitals。  new window
14.Ludlow, V.; Gaudine, A.; Jacobs, M.(2007)。The design of a hemodialysis nursing orientation program。  new window
15.Orlando Regional Healthcare(20050301)。Principles of vontinuous renal replacement therapy。  new window
16.Petroni, K. C.; Cohen, N. H.(2002)。Continuous renal replacement therapy: Anesthetic implications。  new window
17.Rankin, E. A.; Mitchell, M. L.(2000)。Creating a pain management educational module for hospice nurses: Integrating the new JCAHO standards and the AHCPR pain management guidelines。  new window
18.Richardson, A.; Reynolds, C.; Rodgers, R.(2006)。Utilizing audit to evaluate improvements in continuous veno-venous haemofiltration practices in intensive therapy unit。  new window
19.Ronco, C.; Zanella, M.; Brendolan, A.; Milan, M.; Canato, G.; Zamperetti, N., et al.(2001)。Management of severe acute renal failure in critically ill patients: An international survey in 345 centres。  new window
20.Sclauzero, P.(2006)。Improving quality of assistance and outcome in critically ill patients with acute renal failure。  new window
21.Sefton, G.; Farrell, M.; Noyes, J.(2001)。The perceived learning needs of paediatric intensive care nurses caring for children requiring haemofiltration。  new window
22.Vidal, S. A.; Ronfani, L.; Silveira, S. M.; Mello, M. J.; Santos, E.; Buzzetti, R., et al.(2001)。Comparison of two training strategies for essential newborn care in Brazil。  new window
 
 
 
 
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