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題名:提升急診新進護理人員臨床照護技能正確率
書刊名:長庚護理
作者:王怡婷陳雅欣邱凱莉黃韻如陳麗貞
作者(外文):Wang, Yi-tingChen, Ya-hsinChiu, Kai-liHuang, Yun-juChen, Li-chen
出版日期:2019
卷期:30:1=105
頁次:頁66-78
主題關鍵詞:臨床照護技能新進護理人員急診Clinical care skillsNew nurseEmergency room
原始連結:連回原系統網址new window
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  • 共同引用共同引用:14
  • 點閱點閱:2
在醫院中,急診的工作一向是急迫且繁忙,而病人也都有高且複雜的疾病嚴重度,急診護理人員需具備快速且正確臨床照護技能的執行能力,才能有效維持病人的生命安全。因2014年本院急診照護異常事件共有53件,其中新進護理人員就佔有42件(79.2%),故成立本專案小組。於2015年3月8日至3月30日,以自訂之「急診新進護理人員臨床照護認知試卷」及「急診新進護理人員臨床照護技能正確性查核表」,針對55位急診新進護理人員進行調查及分析,結果發現造成新進人員臨床照護正確率低的原因為:(1)未實際操作過臨床照護技能;(2)缺乏臨床照護技能指導手冊;(3)未接受過相關照護技能訓練;(4)班別不同教學無法連續性;(5)臨床技能流程不熟悉;以及(6)臨床教師指導方式不一。經本組討論後提出之改善措施為:(1)舉辦臨床照護技能模擬訓練;(2)舉辦臨床照護技能課室教學;(3)製作急診臨床照護技能操作指引;(4)製作臨床照護技能學習光碟等四項對策。本專案自2015年5月1日至9月4日,分計劃、執行和評值三階段執行,結果顯示:臨床照護技能認知正確率由75.4%提升至95.7%,照護技能正確率由70.4%提升至95%,確實提升了急診新進護理人員對臨床照護技能的認知程度及執行正確性,成效顯著。本專案結果可提供臨床急診單位提升新進護理人員臨床照護技能執行正確性之參考。
Emergency room (ER) is a place characterized by urgent and busy work with extreme severe diseases. ER nurses need to implement clinical care skills quickly and correctly to maintain patient safety. In 2014, among 53 emergency room incident reports, 42 (79.2%) were performed by new nurses. To understand the causes for the highe incident rate, we used the "Recognition Test of Clinical Care Skills for New Emergency Nurses" and the "Checklist of Performance Correctness on Clinical Care Skills for Emergency Care for New Emergency Nurses" to survey 55 new emergency nurses from March 8 to March 30, 2015. The reasons for the low accuracy of clinical care skills among new nurses included no experiences in practicing clinical care skills, lack of guiding manual for clinical care skills, no trainings of clinical care skills, clinical mentors having different shift rotations, interruption of teaching, not familiar with procedures of clinical care skills, and clinical mentors having different teaching styles. After data analysis and discussion, we developed improvement measures as the followings: conducting clinical care skills simulation training, conducting clinical care skills classroom lecturing, providing guidelines for the development of clinical care skills, and producing training disc of clinical care skills. The project was divided into three phases from May 1st to September 4th, 2015: planning, implementation, and evaluation. The results showed that the recognition rate of clinical care skills increased from 75.4% to 95.7%, and the performance of clinical care skills increased from 70.4% to 95%. This project improved the correctness and awareness of clinical care skills of new emergency nurses. The project had achieved remarkable results and provided a reference for other clinical units to enhance clinical care skills of new nurses.
期刊論文
1.Khomeiran, R. T.、Yekta, Z. P.、Kiger, A. M.、Ahmadi, F.(2006)。Professional competence: Factors described by nurses as influencing their development。International Nursing Review,53(1),66-72。  new window
2.周成蕙、黃慧芬、劉桂芬(20140900)。熟能生巧--情境模擬在護理教育的應用。榮總護理,31(3),226-233。new window  延伸查詢new window
3.Norman, J.(2012)。Systematic review of the literature on simulation in nursing education。ABNF Journal,23(2),24-28。  new window
4.黃雅萱、謝素英、許麗齡(20140400)。心肌梗塞情境模擬溝通課程對提升護理人員溝通能力成效之研究。護理雜誌,61(2),33-43。new window  延伸查詢new window
5.Bland, A. J.、Topping, A.、Wood, B.(2011)。A concept analysis of simulation as a learning strategy in the education of undergraduate nursing students。Nurse Education Today,31(7),664-670。  new window
6.林嘉玲、林君萍、蘇美禎、張媚(20140300)。情境模擬教學在護理教育。臺灣醫學,18(2),238-243。  延伸查詢new window
7.周佳慧、雷若莉、陳淑齡(20140900)。從新手至熟練臨床照護能力之轉換歷程。榮總護理,31(3),276-285。new window  延伸查詢new window
8.徐佩玉、翁小莉、吳瑋玲、徐珮絜、徐南麗(20151000)。急診護理人員工作壓力之探討。健康與建築雜誌,2(3),40-48。new window  延伸查詢new window
9.周佳慧、陳淑齡(20110900)。探討護理能力--從護理系畢業生的觀點。Chung Shan Medical Journal,22(3),307-317。  延伸查詢new window
10.郭靜怡、謝雅存、李秋蓉、紀孟鳳、陳婉宜、陳虹夆(20160300)。提升加護護理人員術後病人立即性照護認知及技能之專案。長庚護理,27(1)=93,34-46。new window  延伸查詢new window
11.鄧喬鳳、張光喜、吳碧珠、夏珊、張瑛瑛、劉雅絃(20140900)。應用客觀結構式測驗課程提升護理臨床教師教學評量之一致性。榮總護理,31(3),265-275。new window  延伸查詢new window
12.劉淑倩、王宜卉、唐敏華、劉雅菁、余慧蘭、李承泠(20110600)。某內外科加護病房護理人員執行護理評估正確率之改善方案。護理雜誌,58(3附冊),47-55。new window  延伸查詢new window
13.蔡素卿、李雨庭、陳麗雪、楊雨涵(20160700)。提升手術室新進護理人員執行骨科手術器械之正確率。馬偕護理雜誌,10(2),50-61。  延伸查詢new window
14.Martin, W.、Hickerson, R.(2013)。Mental capacity and the applied phenomenology of judgement。Phenomenology and the Cognitive Sciences,12(1),195-214。  new window
15.Odell, M.、Victor, C.、Oliver, D.(2009)。Nurses' role in detecting deterioration in ward patients: systematic literature review。Journal of Advanced Nursing,65(10),1992-2006。  new window
研究報告
1.衛生福利部(2014)。醫療機構現況及醫院醫療服務量統計年報(102年度醫療服務量)。  延伸查詢new window
學位論文
1.陳麗紅(2011)。新進護理人員二年期臨床護理師(護士)四個階段訓練具備之護理能力探討(碩士論文)。臺北醫學大學。  延伸查詢new window
 
 
 
 
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