本單位為區域醫院急診室,2013年7月至2014年6月的新進護理師留任率為40%,到了2015年6月底留任率更降為0%,且造成的病人安全異常事件發生率遽增,故引發改善之動機。2015年7月6日成立專案小組研擬對策,運用分區制度、推行學習進度表、建立稽核制度及定期舉辦人員會談,提升3個月內新進急診護理師留任率由0%提升至100%、學習進度表紀錄完整率由40%提升到91.2%及臨床教師學習進度表認知正確率由48.5%提升到89.5%,皆能完成專案目的。本專案過程可提供給業務繁雜而人力不足之地區急診單位,利用分區制度及推行學習進度表,進而提升新進急診護理師留任率,且維護病人安全,促進更優質的專業護理照護。
In an emergency department of a regional hospital, the retention rate of new registered nurses was 40% from July 2013 to June 2014. In July 2015, the retention rate of new registered nurses was 0%, and the incidence of patient safety increased. Thus, researchers attempted to improve the retention rate of new registered nurses and the incidence of patient safety. On July 6^(th), 2015, an ad hoc group was set up and held a meeting to identify methods for addressing these problems. After using a zoning system, implementing a learning schedule, establishing an auditing system, and conducting regular staff interviews, the retention rate of new registered nurses improved from 0% to 100% and the completion rate of the learning schedule improved from 40% to 91.2%. Moreover, the completion rate of the learning schedule for a clinical nursing preceptor increased from 48.5% to 89.5%. The project objective was achieved after implementing the measures proposed in this project. This project can serve as a reference for emergency departments of regional hospitals with staff shortages and multifarious medical activities to provide better professional nursing care.