- 期刊
提升急診護理師防疫能力之改善專案
Improving Emergency Nurses' Epidemic Prevention and Control Abilities
摘要
急診室是醫療院所安全防護門戶之一，急診護理師在防疫角色扮演重要關鍵人物，提升急診護理師的防疫能力，可保障醫療系統及病人就醫安全。本專案於2020年1月30日至2月7日經由「急診護理師防疫能力自信評估問卷」以及「防疫流程客觀結構式臨床技能評估（objective structured clinical examination, OSCE）」，發現防疫能力自信評估僅2.9分、防疫流程OSCE正確率53.6%，原因有照護經驗不足、對防疫流程不熟悉、防疫政策異動頻繁、防疫能力自信低、隔離室動線標示不清等因素。專案自2020年1月至5月實施，透過情境模擬訓練、建立結構化流程、成立Facebook社團即時更新防疫政策、舉辦在職教育、進行目視化用物管理，以增進急診護理師防疫能力。專案實施後，急診護理師防疫能力自信評估自2.9分提升為4.7分、防疫流程OSCE正確率自53.6%提升至95.0%。期望本專案提供急診護理師在新興傳染病照護上之參考，落實防疫政策，並確保醫療體系安全。
並列摘要
Emergency nurses play a key role in epidemic prevention and control. They should have a high level of training in epidemic prevention to prevent infectious disease transmission and achieve epidemic control. Therefore, strategies for improving nurses' epidemic prevention abilities, enhancing their awareness of the risk of emerging infectious diseases, and improving the effectiveness of implementation strategies at both the individual and institutional level should be developed. An objective structured clinical evaluation (OSCE) of the epidemic prevention abilities of emergency nurses and a questionnaire about their self-confidence were administered from January 30 to February 7, 2020. The evaluation revealed that emergency nurses' epidemic prevention abilities were low. Status analysis revealed that the main factors related to such low abilities included a lack of nursing experience, unfamiliarity with epidemic prevention procedures, frequent changes in epidemic policies, a low willingness to take epidemic prevention seriously, and unclear marking of the moving line in emergency negative-pressure isolation rooms. In response to these findings, a project was established to enhance the epidemic prevention abilities of emergency nurses. The project was conducted from January to May 2020. A structured process and a list of spare parts were established through situational simulation training. A Facebook community was established to update nurses on epidemic prevention policies. On-the-job education on epidemic prevention and empathy was implemented to improve nurses' clinical skills, confidence, and knowledge. Furthermore, moving lines in emergency negative-pressure isolation rooms and for material allocation were marked visually. After implementation of these measures, the average score of nurses' self-confidence in their epidemic prevention abilities increased from 2.9 to 4.7 points. The integrity rate of the epidemic prevention OSCE reached 94.98%. All target values were reached, and the epidemic prevention ability of emergency nurses improved significantly. This study can provide emergency nurses with a reference in the care of patients with emerging infectious diseases and COVID-19. Such a reference is necessary to implement epidemic prevention and ensure the safety of the medical system.