- 期刊
提升護理人員執行灼傷病人水療作業完整性
Enhancement of the Integrity of Hydrotherapy Executed by Nursing Personnel
摘要
護理人員執行灼傷病人水療作業需整體共同合作，若不熟悉流程，易讓傷口長時間暴露，造成低體溫不適，危害病人安全，本專案實際觀察護理人員執行灼傷病人水療作業認知程度僅達82.7%；水療作業完整性僅達73.2%，探討原因有護理人員對執行灼傷病人水療作業認知不足、流程不熟悉、缺少實務操作訓練、無定期稽核機制、缺乏團隊合作精神，故制定標準化作業流程、種子訓練及擬真情境教育訓練，製作設備操作指引及學習護照，建立定期稽核機制，提供溫馨提醒卡及圖卡索引，讓人員快速確認自身角色及功能。改善後，水療作業認知程度提升至96.4%；水療作業完整性提升至100%，達本專案目的，營造團隊默契及提升照護品質。
並列摘要
Nursing personnel are required to practice collaboration in executing hydrotherapy for burn patients. If they are unfamiliar with the procedure, the wound may be exposed for an extended period, resulting in hypothermia and endangering the patient. This study finds via observation that the comprehension of nursing personnel of hydrotherapy amounts to merely 82.7%. Meanwhile, the integrity of hydrotherapy only amounts to 73.2%. The reasons comprise the following: nursing personnel lacks comprehension of how to execute hydrotherapy for burn patients, and the procedure involved; inadequate practical training; no regular inspection mechanism in place; and inadequate spirit of collaboration. As such, it is necessary to standardize the operating procedure, seed training, and simulation training, formulate user manual for equipment, establish training passport, establish regular inspection mechanism, provide gentle reminder cue cards and index, so that the personnel can quickly get to know their role and the functions to perform. After improvement, the comprehension of hydrotherapy increases to 96.4%, while the integrity of hydrotherapy increases to 100%, both of which meeting the objective of this study in fostering team work and enhancing the quality of care.