- 期刊
運用醫療團隊資源管理提升某復健單位護理人員急救能力
Enhancing Emergency Life Support Ability of Rehabilitation Nurses through Applying the Healthcare Team Resource Management
摘要
背景：本單位屬復健病房，護理同仁急救經驗少，面臨急救時會有不熟悉流程、慌亂及分工不清情形，致急救成效不彰，故成立專案小組。目的：提升單位護理人員急救知識技能，促進病人安全。解決方案：專案小組首先發展知能量表，包含急救相關知識、心電圖判讀共20題；團隊急救技能17項、合作技巧18項共35項評分表，做為評量同仁急救能力之工具。運用醫療團隊資源管理手法-團隊導向式學習，進行四個月計畫性在職教育與訓練：包括舉辦急救相關在職教育、制定團隊急救標準流程、錄製模擬急救情境教學影片、同時將護理同仁分五組進行急救情境模擬訓練，於課程結束後一個月以評估工具進行後測。結果評值：護理人員急救相關知識由62.9提升至81.9分，急救技能完整性由52.9%提升為87.1%；團隊合作技巧完整性由49.4%提升至86.1%。結論：導入醫療團隊資源管理於急救過程能有效提升護理人員知識技能，提供病人安全的醫療照護。
並列摘要
Background and Problems: Due to limited emergency life support experience, rehabilitation nurses are usually unfamiliar with emergency life support procedures and their roles in the team work. The unfamiliarity may result in an ineffective resuscitation while facing emergency events. Purpose:The purpose of the study is to enhance emergency life support ability of rehabilitation nurses. Solutions: The project team developed the knowledge scale to measure the project outcomes in life support ability of nursing staffs. There are 35 items in the scale, including 20 items of ECG interpretations, 17 items of team work and life support related knowledge, and 18 items of collaboration skills. We applied the team based learning strategies of the Healthcare Team Resource Management (HTRM) to the 4-month in-service education and trainings. These include giving emergency life support related lectures, developing the standards for the team-based emergency life support procedures, filming emergency life support simulating teaching videos, and grouping the nurses into 5 groups for practicing the emergency training simulations. The outcomes were evaluated one month after completing the program. Result: The mean knowledge score of emergency life support improved from 62.9 to 81.9. The completeness of emergency life support skills increased from 52.9% to 87.1%. The completeness of team-work skills enhanced from 49.4% to 86.1%. Conclusion: Appling the HTRM into the in-service training can improve the emergency life support knowledge and skills of rehabilitation nurses, and thereafter to provide patient safety in health care.
參考文獻
延伸閱讀
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