- 期刊
運用ADDIE教學模式提升精神科護理人員儀器操作正確率
Using the ADDIE Instructional Model to Enhance Accuracy of Medical Instrument Operation among Psychiatric Nursing Staff
摘要
精神科病人因藥物副作用及自我照顧能力差，使共病機率高，護理人員需同時處理生心理之急慢性病症，且單位內曾發生因儀器操作流程生疏，延遲醫療處置，故引發改善動機。現況分析發現精神護理照護相關的重要儀器操作正確率偏低的主因為：使用經驗少且認知不足、對儀器操作不了解、缺乏完整稽核項目、操作學習內容查詢不易等。本專案旨在透過ADDIE教學模式設計相關改善策略，包括運用行動學習方式增加自主學習機會、建置儀器操作手冊、調整稽核項目等，以提升精神科護理人員對常用儀器操作之正確性；方案介入後，人員執行儀器操作正確率由30.5%提升至100%。盼將改善方案推廣至相關專科病房，讓病人享有安全的醫療照護。
並列摘要
Psychiatric patients often experience high comorbidity because of medication side effects and poor self-care ability, requiring nursing staff to attend to both acute and chronic physical or mental health issues. Instances of delayed medical interventions, resulting from unfamiliarity with instrument operation procedures, have occurred within the unit at the institution this study examined. A situational analysis indicated that the main reasons for low accuracy in instrument operation in psychiatric care are limited experience and knowledge, unfamiliarity with the instruments, inadequate evaluation criteria, and difficulties in accessing learning content. This project designed improvement strategies by using the analysis, design, development, implementation, and evaluation (ADDIE) instructional model. The proposed strategies encompassed implementing mobile learning to increase self-directed learning opportunities, developing instrument operation manuals, and adjusting evaluation criteria. The goal was to improve the accuracy of common instrument operation among psychiatric nursing staff. After the intervention, accuracy of instrument operation increased from 30.5% to 100%. The improvement strategies can be used in other specialty wards to ensure that patients receive safe medical care.