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題名：The Effects of Continuing Education in Restraint Reduction on Novice Nurses in Intensive Care Units
書刊名：The Journal of Nursing Research
作者：葉淑惠／蕭秋月／賀天蕙／江明珠／林麗味／許瓊尹／林淑媛 引用關係
作者(外文)：Yeh, Shu-hui／Hsiao, Chiu-yueh／Ho, Tien-hui／Chiang, Ming-chu／Lin, Li-wei／Hsu, Chiung-yin／Lin, Shu-yuan
出版日期：2004
卷期：12:3
頁次：頁246-256
主題關鍵詞：約束縮減；在職教育；加護病房；Restraint reduction；Continuing education；Intensive care unit
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(5) 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:5
  • 共同引用共同引用:32
  • 點閱點閱:161
　　　　　縮減約束是加護病房照護品質的重要指標，因此，本研究採類實驗設計探討約束縮減在職教育對加護病房新進護理人員之成效。以南部某醫學中心11個加護病房之37位新進護理人員為研究對象，探討其接受約束縮減在職教育前後，約束的知識、認知、態度和臨床施行的改變，及預測其改變的變項。約束減縮在職教育是由兩位護理教師負責教導，內容包括：說明約束護理工作準則、約束縮減原則及約束替代方案等，共四小時。授課前後給予新進護理工作人員二次結構式問卷測試，以paired t-test進行單組前後測比較。研究結果發現施行約束縮減在職教育後，加護病房新進護理工作人員約束的知識 (t = -6.04, p < .01)、認知 (t = 4.76, p < .01) 及態度 (t = 3.93, p < .01) 有顯著之改善。此結果可提供國內加護病房施行約束縮減在職教育的參考，以促進加護病房病患照護之品質。
　　　　　A decrease in the use of physical restraints in Intensive Care Units (ICUs) is an important indicator of quality of nursing care. This quasi-experimental study examined the effect on nurses of a session of continuing education aimed at reducing the use of restraints. At a medical center in southern Taiwan, 37 novice nurses were surveyed about their knowledge, perception, attitude and clinical practice of restraint use in 11 ICUs. Two instructors then taught a four-hour continuing education class on patient restraint standards, principles for reducing physical restraint use, and alternatives to restraining. Data were analyzed by paired t-test and the results of identical structured questionnaires which participants received before and after the lecture, showed that, afterwards, knowledge (t = -6.04, p < .01), perception (t = 4.76, p < .01), and attitude (t = 3.93, p < .01) toward restraint use had significantly improved . The continuing education improved the nurses' knowledge and attitude toward restraint use and may therefore enhance the quality of care provided to ICU patients.
期刊論文
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2.江明珠、許玲女、陳翠娥、郭美玲(19990300)。護理人員對身體約束知識與態度之探討。長庚護理，10(1)=25，42-50。new window  延伸查詢new window
3.Cruz, V.、Abdul-Hamid, M.、Heater, B.(1997)。Research-based practice: Reducing restraints in an acute care setting-phase 1。Journal of Gerontological Nursing，23(2)，31-40。  new window
4.明勇、孟祥越、范保羅(20020600)。「身體約束的使用」臨床之評估與應用。慈濟護理雜誌，1(2)，24-30。  延伸查詢new window
5.吳秋燕、吳肖琪、劉文良、林麗嬋(19991200)。機構正式照顧者之約束知識、態度和使用理由之關係。護理研究，7(6)，518-530。new window  延伸查詢new window
6.黃惠子、馬鳳歧、陳清惠(20030600)。護理人員對身體約束的知識、態度、行為及其相關性探討。慈濟護理雜誌，2(2)，32-41。  延伸查詢new window
7.Minnick, A. F.、Mion, L. C.、Leipzig, R.、Lamb, K.、Palmer, R. M.(1998)。Prevalence and patterns of physical restraint use in the acute care setting。Journal of Nursing Administration，28(11)，19-24。  new window
8.Meyer, R.、Elliott, R. L.(1996)。Pathway to excellence: A peer based program in continuing education。The Journal of Continuing Education in Nursing，27(3)，104-107。  new window
9.Gillber, G.、Counsell, C.(1999)。Planned change to implement a restraint reduction program。Journal of Nursing Care Quality，13(5)，57-64。  new window
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11.賀天蕙、葉淑惠、黃夢婷、林麗味(19991200)。無約束的長期照護機構。護理雜誌，46(6)，83-88。new window  延伸查詢new window
12.葉淑惠、林麗味、王興耀、吳淑如、林昭宏、蔡富棉(20010400)。護理之家施行約束縮減方案之成效。護理研究，9(2)，183-193。new window  延伸查詢new window
13.Houston, K. A.、Lach, H. W.(1990)。Restraints: How do you score? Take this quiz to see how well you can separate the facts from the fallacies of restraints。Geriatric Nursing，11(5)，231-232。  new window
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16.楊美賞、鍾信心(1993)。精神科住院病人與護理人員對約束及隔離之態度與感受之比較。護理研究，1(3)，193-204。new window  延伸查詢new window
17.Evans, L. K.、Strumpf, N. E.、Allen-Taylor, S. L.、Capezuit, E.、Maislin, G.、Jacobsen, B.(1997)。A Clinical Trial to Reduce Restraints in Nursing Homes。Journal of the American Geriatrics Society，45(6)，675-681。  new window
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20.嚴毋過(1996)。臺北市立醫療院所護理人員參加「愛滋病照護講習」前後對愛滋病知識態度及對該病病人接受度之比較。醫院：中華民國醫院協會雜誌，29(4)，31-43。  延伸查詢new window
21.張雅芬、劉麗芳、劉波兒(2001)。某精神科病房保護約束處置改善方案。榮總護理，18(1)，72-79。new window  延伸查詢new window
22.Coble, P.、Davis, J.(2001)。Restraint reduction in a large tertiary medical center。Journal of Nursing Administration，31(7/ 8)，344-345。  new window
23.Conely, L. G.、Campbell, L. A.(1991)。The use of restraints in caring for the elderly: Realities, consequence and alternatives。Nurse Practitioner，16(2)，48-52。  new window
24.Frengley, J. D.、Mion, L. C.(1998)。Physical restraints in the acute care setting: Issues and future directions。Clinics in Geriatric Medicine，14(4)，727-743。  new window
25.Garrard, J.、Chen, V.、Dowd, B.(1995)。The impact of 1987 federal regulations on the use of psychotropic drugs in Minnesota nursing homes。American Journal of Public Health，85(6)，771-776。  new window
26.Hancock, C. K.、Buster, P. A.、Oliver, M. S.、Fox, S. W.、Morrison, E.、Burger, S. L.(2001)。Restraint reduction in acute care: An interdisciplinary approach。Journal of Nursing Administration，31(2)，74-77。  new window
27.Helmuth, A. M.(1995)。Nurses' attitudes toward older persons on their use of physical restraints。Orthopedic Nursing，14(2)，43-51。  new window
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35.Neufeld, R. R.、Libow, L. S.、Foley, W.、White, H.(1995)。Can physically restrained nursing-home residents be untied safely? Intervention and evaluation design。Journal of the American Geriatrics Society，43(11)，1264-1268。  new window
36.Ortiz-Pruitt, J.(1995)。Physical restraint of critically ill patient: A human issue。Critical Care Nursing Clinics of North America，7(2)，363-373。  new window
37.潘純媚(1993)。高雄巿醫院護理人員對在職教育的態度之探討。高雄醫學科學雜誌，9(5)，276-289。  延伸查詢new window
38.潘玉琴、林圭碧、胡淑霞、Chen, T.、Wu, C. L.、Fu, L.(2001)。某醫學中心護理人員接受植入式皮下注射器注射法在職教育效果之探討。榮總護理，18(1)，64-71。new window  延伸查詢new window
39.Scherer, Y. K.、Janelli, L. M.、Wu, Y. B.、Kuhn, M. M.(1993)。Restrained patients: An important issue for critical care nursing。Heart and Lung，22(1)，77-83。  new window
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研究報告
1.葉淑惠(2001)。The outcomes of restraint reduction programs for patients in acute care settings。沒有紀錄。  new window
學位論文
1.張毓珊(2000)。長期照護機構住民身體約束之使用(碩士論文)。國立臺灣大學。  延伸查詢new window
 
 
 
 
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