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題名:運用多元策略提升護理人員執行疼痛評估正確率之專案
書刊名:長庚護理
作者:張雅玲黃惠玲林雅玲陳秀琍翁淑媛郭秋雅陳怡呈
作者(外文):Chang, Ya-lingHuang, Hui-lingLin, Ya-lingChen, Hsiu-liWeng, Shu-yuanKuo, Chiu-yaChen, Yi-chenge
出版日期:2017
卷期:28:1=97
頁次:頁47-59
主題關鍵詞:疼痛照護指引輔助工具mini-CEXPainCare guideAids
原始連結:連回原系統網址new window
相關次數:
  • 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:41
  • 點閱點閱:7
提升疼痛評估能力是疼痛處理品質重要的一環。疼痛處置過程首重準確的疼痛評估,透過疼痛評估結果並詳細的記錄,才能適當處置且正確用藥,有效降低疼痛程度以對生活的影響。本專案旨在提升護理人員執行疼痛評估正確率。臨床發現護理人員疼痛評估內容不完整、工具使用錯誤、缺乏實作教學及評估指引、執行疼痛評估認知不足等,影響護理人員執行疼痛評估正確率僅57.6%,經專案措施介入:1.建置疼痛評估照護指引。2.舉辦疼痛評估教育訓練。3.發展疼痛評估mini-CEX評量表。4.設計疼痛評估輔助工具。專案實施後,護理人員疼痛評估認知率提升31.7%、執行疼痛評估正確率由改善前57.1%提升至91.3%,病人滿意得分也由3.5分提升至4.2分(5分法)達專案目的。期能提供教育界規劃完整疼痛評估與照護課程,並做為新進人員訓練基礎,有效運用於臨床實務,共同改善病人疼痛問題,達病人、護師及醫院三贏局面。
The enhancement of nurses' pain assessment capabilities is an important part of the quality of pain management. Through pain assessment results and detailed records, appropriate disposal and medication can be administered, thereby effectively reducing the degree of pain and decreasing its impact on life .The project aims to enhance the accuracy of nurses to perform pain assessment. Several problems were identified including incomplete pain assessment performed by nurses, wrong tools were used, lack of clear guidance for teaching and assessment, and inadequate recognition of implementing pain assessment. As a result, only 57.6% of nurses performed proper pain assessment. The project intervention measures included: 1. building a care guide for pain assessment; 2. organizing pain assessment education and training courses; 3. developing pain assessment mini-CEX assessment sheet; 4. designing pain assessment aid tools. After implementing the project, the perception of pain assessment among nurses increased 31.7%, the execution of pain assessment increased from 57.6% to 91.3%, and the patients' satisfaction score increased from 3.5 to 4.2 out of 5. The article provides a reference for designing a training program to enhance the ability to perform pain assessment among nurses so that the quality of pain care can be improved.
期刊論文
1.明金蓮、洪曉佩(20110500)。急性疼痛評估與症狀護理。源遠護理,5(1),11-16。  延伸查詢new window
2.胡文郁、陳宛榆、羅淑芬、陳書毓、黃翰心、陳幼貴(20111200)。成人癌症疼痛臨床照護指引。腫瘤護理雜誌,11(增刊),87-127。  延伸查詢new window
3.林偉文(20110600)。創意教學與創造力的培育--以「設計思考」為例。教育資料與研究,100,53-74。new window  延伸查詢new window
4.Moceri, J. T.、Drevdahl, D. J.(2014)。Nurses' knowledge and attitudes toward pain in the emergency department。Journal of Emergency Nursing,41(1),6-12。  new window
5.吳淑芬、林貴珍、陳正彥、蘇浩博、劉洪香水、李來涼、洪俊傑(20141200)。提升疼痛護理指導之成效。北市醫學雜誌,11(4),410-420。  延伸查詢new window
6.林芷彤、賴淑芬、黃怡菁、林玲雅、張玉君、孫茂勝(20111200)。以病歷審查評估醫院的病人疼痛照護品質。病歷資訊管理期刊,10(2),48-60。  延伸查詢new window
7.黃惠美、郭素真、王靜慧、張議文、周幸生(20120600)。建立成人癌症病人疼痛非藥物處置之臨床照護指引。榮總護理,29(2),145-158。new window  延伸查詢new window
8.陳怡亨、林麗嬋(20121200)。機構評鑑新指標與專業實踐--疼痛不該再是一場猜謎遊戲。護理雜誌,59(6),19-24。new window  延伸查詢new window
9.顧雅利、郭倩琳、李碧玉、程紋貞、郭世明(20140900)。迷你臨床演練評量(mini-CEX)於護理領域之運用。長庚護理,25(3)=87,283-290。new window  延伸查詢new window
10.Gropelli, T.、Sharer, J.(2013)。Nurses' perceptions of pain management in older adults。Medsurg Nursing,22(6),375-382。  new window
11.Molony, S. L.、Kobayashi, M.、Holleran, E. A.、Mezey, M.(2005)。Assessing pain as a fifth vital sing in long-term care facilities Recommendations from the field。Journal of gerontological nursing,31(3),16-24。  new window
12.Phillips, J.、Heneka, N.、Hickman, L. L.、Lam, L.、Shaw, T.(2014)。Impact of a novel online learning module on specialist palliative care nurses' pain assessment competencies and patients' reports of pain: Results from a quasi-experimental pilot study。Palliative Medicine,28(6),521-529。  new window
13.曾瓊瑩、游淑貞、吳佩蓉(20110300)。燒傷病人疼痛護理改善專案。長庚護理,22(1)=73,62-72。new window  延伸查詢new window
圖書
1.李石增、史清平、朱宗藍、吳茂昌、李明勳、王錦榮、顏志峰(2013)。臨床能力評量指引。台北:台灣愛思唯爾有限公司。  延伸查詢new window
 
 
 
 
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