- 期刊
提升手術室護理師執行心臟捐贈手術前用物準備之正確性
Improvement on the Accuracy of Preoperative Preparation for Cardiac Donation Surgery Made by Nursing Staff in an Operating Room
摘要
心臟捐贈手術可遇不可求，故護理師缺乏經驗，對手術毫無概念，導致用物準備不完整、更甚至影響捐贈手術之進行，而引發改善動機。本專案旨在提升護理師執行心臟捐贈手術前用物準備之完整性。現況發現：因護理師經驗少；對手術流程認知僅65%；沒有手術專用包盤、外出專用箱與冰箱；以及未舉辦相關教育訓練，以致心臟捐贈手術前用物準備之正確性僅59%。經介入教育訓練、增購包盤及採購外出專用箱與冰箱、設計用物準備清單與材料籃等。方案介入後，認知程度由65%提升至100%，用物準備正確性由59%提升為100%。透過專案，期盼能引起更多人對於捐贈手術的重視，讓捐贈者大愛延續，更讓參與之護理師，能更加謹慎與重視。
並列摘要
Cardiac donation surgery comes by chance rather than by request, so nursing staff may lack experience and have no idea about the needs for the surgery. This condition may then result in incompleteness of preoperative preparation made by the nursing staff as well as impact on the implementation of cardiac donation surgery. The above-mentioned phenomenon serves as the motivation for the improvement discussed in this paper, with this research project aiming to enhance the completeness of preoperative preparation made by nursing staff before cardiac donation surgery is performed. The findings determined that nursing staff lacked experience in making preoperative preparation for the surgery; they only possessed 65% of the knowledge necessary for the surgical procedure; they did not have dedicated surgical instrument trays and medical boxes and refrigerators for outdoor use; and additionally, related educational training was not held so that the accuracy of preoperative preparation for cardiac donation surgery only reached 59%. An intervention project was then introduced, including educational training, purchase of surgical instrument trays, acquirement of dedicated boxes and refrigerators for outdoor use, design of a preoperative preparation list, and materials baskets. After the intervention project was carried out, the nursing staff’s knowledge of the cardiac donation surgery increased from 65% to 100%, while the accuracy of preoperative preparation improved from 59% to 100%. It is expected that this project will draw more attention to cardiac donation surgery and extend the great unselfish love of donors to others. Moreover, it is hoped that the nursing staff taking part in such surgery can adopt a more cautious and serious manner.