提升腫瘤科護理師臨床專業能力進階完成率

Improving the Completion Rate of Nurses Practitioners' Clinical Ladder Advancementin Oncological Nursing Care

陳幼貴(Yu-Kuei Chen)

《腫瘤護理雜誌》 14卷1期 (2014/06) Pp. 63-75

https://doi.org/10.3966/168395442014061401006

摘要

本專案旨在推廣實證護理，提升腫瘤科護理師臨床專業能力進階完成率，經現況分析發現主要問題為：書寫報告困難、不知道要完成哪些項目、沒有時間準備進階，以及缺乏進階動機。針對原因專案小組成立專業能力進階輔導小組、宣導進階及醫院納編制度、導入實證護理與進階制度結合、建立護理進階評核表、訂定合適進階獎勵制度等改善措施，在對策實施後，單位護理師臨床專業能力進階完成率從13.3%提升到60%，顯示專案確實有成效，也讓單位護理人員瞭解進階的重要性，進而培養護理人員的實證能力，以因應日漸複雜的醫療需求，提高病人對護理品質的滿意度。

關鍵字

腫瘤科護理師 ； 實證護理 ； 護理進階

並列摘要

This program aims to promote evidence-based nursing to improve the completion rate of nurse practitioners' clinical ladder advancement in oncological nursing care. The analysis of the current situation shows that the main problems are difficulty in writing reports, lacks of knowledge about which projects need be completed, no time to prepare for the advancement, and lacks of motivation to advance clinical competence. For these reasons, ad hoc group adopteds some improvement strategiess such as setting up the mentoring groups for professional advancement, advocating the clinical ladder advancement and reorganizing system for hospitals, combining the evidence-based nursing with the clinical ladder advancement, establishing the appraisal instrument for nursing clinical ladder advancement, and stipulating proper reward regulations for the advancement. After the implementation of these strategies, the completion rate of nurse practitioners clinical ladder advancement in the hospital rises from 13.3% to 60%, indicating that this program is effective and can help nurses in the hospital understand the importance of the advancement. In addition, the nurses' competence to implement the evidencebased nursing care are fostered to meet the more and more patient complex medical needs and improve the patients' satisfaction with the nursing care quality.

並列關鍵字

Oncology Nurse ； evidence-based nursing ； nursing ladder