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臨床教學創作—主動脈氣球幫浦標準技術流程

Clinical Teaching Program: Standardized Operating Procedure for Intra-Aortic Balloon Pump Support

摘要


主動脈內氣球幫浦,是重症照護治療的重點項目之一,為了確保使用主動脈內氣球幫浦病人的照護品質,臨床教學者必須提供有效的教學策略。有鑑於護理同仁對主動脈內氣球幫浦的陌生與照護上的畏懼,以及傳統主動脈內氣球幫浦課室教學和產品介紹式的學習方式,導致護理品質的不穩定性,故本文採用口訣式的創意教學法,來協助護理同仁對主動脈內氣球幫浦標準技術流程之學習,期能藉由提供心像練習法(圖像、口訣)輔助實際操作練習,以增進對主動脈內氣球幫浦儀器操作之認知,並達到長期記憶與技巧熟練之目的。

並列摘要


Intra-aortic balloon pump (IABP) is one of the most important treatment strategies for patients with heart failure in the intensive care unit (ICU). To ensure quality of treatment, clinical preceptors must employ effective teaching strategies to acquaint nurses with the proper use of IABPs. Many nurses are hesitant to use IABPs due to lack of knowledge regarding their use. Classroom lectures and instruction manual-style materials are often ineffective strategies for teaching novice nurses to use IABPs properly and have resulted in unsatisfactory patient treatment quality. This study developed a creative, pithy rhyme to help nurses remember the key elements of IABP support as part of their IABP learning process. This innovative tool uses rhymes and mental images to instill critical information related to IABP use and help nurses become fluent IABP users.

參考文獻


黎珈伶(2001).全腦學習策略課程發展及相關因素之研究(未發表的博士論文).國立台北教育大學教育政策與管理研究所。
Bandura, A. (1986). Social foundations of thought and action. Englewood Cliffs, NJ: Prentice-Hall.
Baskett, R. J. L., Ghali, W. A., Mailland, A., & Hirsch, G. M. (2002). The intra aortic balloon pump in cadriac surgery. The Annals of Thoracic Surgery, 74(4), 1276-1287.
Hanlon-Pena, P. M., & Quaal, S. J. (2011). Intra-aortic balloon pump timing review of evidence supporting current practice. American Journal of Critical Care, 20(4), 323-333. doi:10.4037/ajcc2011542
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