為提昇護理服務品質，護理人員於照顧病患的過程中，應擬定護理計畫並運用護理 過程，以提供病患個別性、持續性的護理。由於計畫之擬定思考費時，加上護理人力不足， 護理人員之背景與經歷不一，致使部份的護理計畫缺乏完整性。因而本專案除制定了本院臨 床護理的標準，並將病患健康問題之護理計畫電腦化，於民國八十二年十月全面實施至今。 經評值實施成效得知，護理同仁對護理計畫電腦化之施行均感「滿意」以上程度，尤其在節 省時間、整齊美觀、避免護理計畫疏漏三項滿意度最高；經觀察測得護理人員執行電腦點選， 完成一份病患的護理計畫所需平均時數為11.5分，較人工書寫一份護理計畫的平均時數9.2 分節省17.7分；護理人員在「依健康問題擬定護理計畫」指標之達成率亦較實施本專案前高， 顯示本專案計畫對簡化作業、提昇護理服務品質確有助益。 由於目前僅完成二十一項病人健康問題之護理計畫電腦化作業，本專案小組人員已擬定 進度，持續擴增內容，並定期評值實施成效，檢討改進。

　　　　　In order to improve the quality of nursing care and provide nursing care with continuity to patients, nurses make nursing care plans. But some nursing care plans were not completed due to the time consuming process of making a care plan, a shortage of nurses, and different educational and experience backgrounds of nurses. The purpose of this project was to develop a nursing care standard and to implement computerized nursing care plans in October of 1993. Results of the evaluation were: (1) nurses were satisfied with computerized nursing care plans, especially because of time savings and the clarity of completed plans; (2) average cost of nursing time spent on care plan preparation was reduced by 17.7 minutes per patient; (3) the rate of compliance to nursing care plan formulation guidelines was increased. The application of this computerized care plan and findings of this project will improve the quality of nursing care.