改善某加護病房護理小組長交班時間專案

Quality Improvement Project for Nursing Change-of Shift in the ICU

楊淦秀(Kan-Hsiu Yang) ； 葉惠慈(Hui-Tzu Yeh)

《馬偕護理雜誌》 1卷1期 (2007/01) Pp. 46-52

摘要

護理小組長交班是臨床每班例行的工作，正確而完整的交班對加護病房非常的重要，會直接影響護理品質。筆者通過實際觀察、訪談及問卷蒐集病房內組長護理交班流程，發現護理小組長交班時間為41.65分鐘，對交班的滿意度只有30.77%，為了改善此問題，進而擬定改善方案，包括護理小組長交班單的修改設計、交班單規範的建立，以及交班單的審核評值。經實行專案後結果顯示護理小組長交班時間實際有縮短為30.27分鐘，且滿意度提昇至53.85%。由此可見本專案擬定確實能改善護理小組長交班問題，並可提供臨床護理工作之護理小組長交班之參考。

關鍵字

護理小組長 ； 交班時間 ； 改善方案

並列摘要

The quality of nursing care is related to an accurate and complete nursing report at the change-of-shift. ICU nurse team leaders were interviewed and completed a questionnaire about the report process. We also developed a set of standardized procedures and a checklist for change-of-shift to improve the process. We compared the time it took for and satisfaction with change-of-shift procedures before and after introduction of the standardized procedure. The mean time required for change-of-shift before the new procedure was 41.65 minutes, which dropped to 30.27 minutes after introduction of the procedures. Satisfaction with the process improved from 30.8% before to 53.9% after. This standardization of the procedure enhanced the quality of the nursing change-of-shift.

並列關鍵字

nursing team leaders ； nursing shift ； improvement project