- 期刊
提升護理人員第四階段學習護照完成率改善方案
Improving the Completion Rate of Learning Portfolios in Stage IV Nurse Training
摘要
本專案目的為提升二年期訓練護理人員第四階段學習護照完成率，此階段著重急重症訓練，完成率低可能影響臨床照護工作。2012年經調查本院二年期護理人員邁入第四階段訓練時，學習護照完成率僅66%，明顯低於第一至三階段之學習護照完成率(平均87% )。經問卷調查分析完成率偏低原因有：學習護照內容繁瑣、未按時完成護照內容之指導與評值、讀書報告與案例分析無法完成、N2集中訓練課程及OSCE測驗未完成及缺乏獎勵機制等。專案於2013年1月至2014年3月實施，擬定及執行改善對策：修訂學習護照內容、建立學習護照指導與評值完成時間之提醒機制、規劃讀書報告與案例分析細項學習內容及輔導機制、增加N2集中訓練課程及OSCE測驗次數並建立獎勵機制。改善結果自2014年3月起第四階段學習護照完成率由66%提升至94.5%，達專案目標。透過專案規劃安排學習課程，強化學員學習動機與落實臨床指導，除了增進護理人員臨床照護能力，冀能提升優質之醫療品質。
並列摘要
The aim of this project was to improve the completion rate of learning portfolios in stage IV nursing training during a 2-year training course. In 2012, the learning portfolio completion rate was only 66% for stage IV courses. A questionnaire was employed, which identified the following reasons: cumbersome content, the preceptor failed to complete the passport content, reading reports and case studies could not be completed on time, training camps and objectively structured clinical exams were unfinished, and a lack of a bonus system. The project was conducted during January 2013-March 2014. We revised the content of the learning portfolio, established an alarm to remind the training course participants, revised the content of the reading reports and case studies, and made it easier to finish the program at different times. Additionally, we increased the N2 and OSCE training camps and established a bonus system. After the improvement, the completion rate increased from 66% to 94.5%. In conclusion, the use of comprehensive learning plans and implemented clinical guidelines, along with training and curriculum revisions, enhanced clinical nurses' ability to achieve a higher quality of care.
參考文獻
延伸閱讀
- 莊雅淇（2019）。提升四技護理實習生之學習信心教學方案。中科大學報，6(1)，87-103。https://doi.org/10.6902/JNTUST.201912_6(1).0006
- 常玉琴、黃惠姿、王襄華、張雅惠、樊君儀、高麗娟、戴千淑（2009）。提昇護理紀錄書寫完整性之改善方案。榮總護理，26(3)，304-310。https://doi.org/10.6142/VGHN.26.3.304
- 葉鎂瑱、游雅梅、陳思吟、孫美華（2017）。提升新進護理人員留任率之改善方案。新臺北護理期刊，19(1)，47-57。https://doi.org/10.6540/NTJN.2017.1.005
- 古雪鈴、李艷清、謝麗珠、趙慧玲、張文英（2005）。提升手術室護生實習成效之改善專案。新臺北護理期刊，7(2)，83-94。https://doi.org/10.6540/NTJN.2005.2.009
- 黃雅燕、吳秀雲、張思潔、李雅雯（2011）。A Project to Improve the Nursing Staff Academic Competence。嘉基護理，11(1)，15-23。https://doi.org/10.29936/DMFCCHJN.201106.0003