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題名:提升某區域教學醫院新進護理人員的留任率
書刊名:長庚護理
作者:邱淑瑜周家欣吳佩真夏曉風陳淑賢
作者(外文):Chiu, Shu-yuChou, Chia-hsinWu, Pei-chenHsia, Hsiao-fengChen, Shu-hsien
出版日期:2017
卷期:28:1=97
頁次:頁60-71
主題關鍵詞:新進護理人員留任率支持團體ISBAR交班New nursesRetention ratesSupport groupsISBAR handover
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(1) 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:1
  • 共同引用共同引用:35
  • 點閱點閱:5
「離職」是護理人力最困擾的問題,新進護理人員留不住,使醫院頻於招收新人,影響護理人員工作士氣、照護品質,因此引發本專案動機。經現況分析,2012年度新進護理人員離職原因有:(1)新進護理人員部分以不知問題所在、管路不順不知如何處理及不知向誰諮詢等。(2)管理制度部分無支持關懷活動及無標準交班範本。(3)環境設備部分以末班車來不及搭乘等。故本專案旨在提升新進護理人員留任率。介入策略為:舉辦新進護理人員臨床案例模擬課程;制定標準化ISBAR交班模式;成立支持團體;舉辦大手牽小手聯誼關懷活動;與管理課協調增加交通班次;定期監測新進護理人員與臨床教師班表一致性。專案施行後,新進護理人員留任率從69.9%提升至84.3%,留任意願明顯提升,達專案目標。此經驗能供各醫院作為提升護理人員留任之參考。
"Quitting" is a serious problem that makes hospital to lose nurses. Hospitals recruit new nurse repeatedly. Low nursing personnel's morale and low caring quality usually resulted from low retaining rate of new nurse. Therefore, the motive of this project was triggered. Analysis results shows the main factors of low retaining rate of new nurses in 2012 were lack of understanding of what the problems were among new years, do not understand how to solve the problems of intravenous infection and nowhere to get consultation in new nurses. Besides, lack of support groups, and standard handover modes and insufficient shuttle buses were causes as well. The goal of the project is to promote the retaining rate of new nurses. The intervention strategies were (1) to hold OSCE programs; (2) to develop standard ISBAR handover mode; (3) to establish supporting group. (4) to conduct the caring activity "Holding hands" by senior nurses to help junior nurses. (5) to coordinate shuttle bus problems; and (6) to monitor new nurse and clinical teacher working schedule regularly. New nurse retaining rate increased from 69.9% to 84.3% after the project intervention. This experience could be shared with other hospitals facing the same retention problem.
期刊論文
1.馮明珠、陳幼梅、吳玲琨、吳鈴珠(20110600)。三個月內新進護理人員感受護理臨床工作之壓力與因應經驗。護理暨健康照護研究,7(2),98-107。new window  延伸查詢new window
2.Halfer, D.、Graf, E.(2006)。Graduate nurse perceptions of the work experience。Nursing Economic,24(3),150-155。  new window
3.唐紀絜、歐惠容(20110300)。建構護理新進人員臨床教學模式。榮總護理,28(1),1-7。new window  延伸查詢new window
4.Gerrish, K.(2000)。Still fumbling along? A comparative study of the newly qualified nurse's perception of the transition from student to qualified nurse。Journal of Advanced Nursing,32(2),473-480。  new window
5.王淑貞(2011)。打造正向執業環境。志為護理,10(1),20-29。  延伸查詢new window
6.林育靜、高美華、楊愛伶、楊雪娟、陳春蓮(2013)。降低單位新進護理人員一年內離職率之方案。馬偕護理雜誌,2(1),13-24。  延伸查詢new window
7.Fearon, C.、Nicol, M.(2011)。Strategies to assist prevention of bumout in nursing staff。Nursing standard,26(14),35-39。  new window
8.Hertel, R.(2012)。Regulating patient staffing: A complex issue。Academy of Medical-Surgical Nursing,21(1),3-7。  new window
9.Rheaume, A.、Clement, L.、LeBal, N.(2011)。Understanding intention to leave amongst new graduate Canadian nurse: A report cross sectional survey。International Journal of Nursing studies,48(4),490-500。  new window
10.Trinkoff, M. A.、Johantgen, M.、Storr, C. L.、Kihyr, H.、Liang, Y.、Guses, A. P.、Hopkison, S.(2010)。A comparison of working conditions among nurses in magnet and nonmagnet hospitals。The Journal of Nursing Administration,40(7/8),309-315。  new window
11.張慧蘭、盧美秀、林秋芬(20100900)。應屆畢業新進護理人員離職相關因素之探討。醫護科技期刊,12(3),161-172。new window  延伸查詢new window
12.王瑜欣、簡淑慧、范君瑜、周守民(20130600)。談最後一哩與新進護理人員臨床教育之銜接。護理雜誌,60(3),5-10。new window  延伸查詢new window
13.Carlson, E.、Wann-Hansson, C.、Pilhammar, E.(2009)。Teaching during clinical practice: Strategies and techniques used by preceptors in nursing education。Nurse Education Today,29(5),522-526。  new window
其他
1.Joint Commission on Accreditation of healthcare Organization(2008)。2008 National Patient Safety Goals,http://www.jointcommission.org/GeneralPublic/NPSG/08_npsgs.htm, 2008/12/11。  new window
2.中華民國護理師護士公會全國聯合會(2011)。醫事人力需求推估,http://www.nurse.org.tw/defaultNewsView.aspx?newsID。  延伸查詢new window
3.蔡佩靜,陳宇甄,余淑娟,吳肇鑫,鄭惠娟(2012)。提升急診與加護病房醫護人員間交班之完整性,http://www.areahp.org.tw/upload/result_issue_paper/101B0060.pdf。  延伸查詢new window
 
 
 
 
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