- 期刊
運用多元策略提升外科加護病房護理師交班作業完整性
Enhancing the Integrity of Shift Handover Procedures among Surgical Intensive Care Unit Nursing Personnel Through Varied Strategies
摘要
目的：醫療人員應落實交接班，提供病人的重要訊息和照護指引，確保連續性的照護品質。本專案旨在運用多元策略提升加護病房護理師交班作業完整性。方法：現況護理師交班作業完整性僅達63.1%。分析原因為缺乏外科加護病房交班作業標準、教育訓練及人員對於交班要求不同與無法快速擷取照顧重點。於2019年5月1日到10月14日透過多元策略制定外科加護病房交班作業標準、交班指引單與管路引流物顏色辨識卡、規劃擬真情境模擬教育訓練與交班影片。結果：專案實施後，以「護理師執行交班作業內容完整性調查表」評值人員交班作業完整性由63.1%提升至94.7%，每位病人平均交班耗時由22分鐘下降至9分鐘，人員對於交班作業滿意程度提升為4.6分，達專案目的。結論：本專案結果有效提升護理師交班作業完整性，可平行推行其它加護病房使用，共同維護病人安全與提升整體重症照護品質。
並列摘要
Objectives: Healthcare professionals are required to implement shift handover procedures to relay crucial patient information and care instructions, ensuring the continuity of care quality. This project aims to elevate the integrity of shift handover procedures among nursing personnel in the intensive care unit (ICU) through varied strategies. Methods: The current integrity of handover procedures among nursing personnel is only 63.1%. Analysis revealed reasons such as the lack of standardized handover procedures and education/ training in the surgical ICU, varying personnel needs for handover, and difficulties in capturing critical care points quickly. From May 1 to October 14, 2019, various strategies were employed, including the development of standardized handover procedures for the surgical ICU, handover instruction sheets, color recognition cards for drainage tubes, real-scenario simulation-based training, and handover videos. Results: The "Questionnaire on the Integrity of Nursing Personnel's Implementation of Shift Handover Procedures" was used to evaluate the integrity of nursing personnel's shift handover work, which increased from 63.1% to 94.7%. Average shift handover time per patient dropped from 22 minutes to 9 minutes. Personnel satisfaction with the handover process also significantly improved, scoring 4.6, thus attaining the project's objective. Conclusions: The results of this project effectively enhanced the integrity of handover procedures among nursing personnel, and these improvements can be applied in other intensive care units to collectively maintain patient safety and enhance the overall quality of critical care.