提升手術室新進護理師對「新型冠狀肺炎手術流程及防護措施」之認知能力

背景：由於新冠肺炎疫情發生，我國衛生主管機構立即啟動因應機制，然而若手術室護理師對於防護措施及流程的熟練度不足，容易造成人員恐慌、影響手術流程順暢性及團隊合作氣氛，故引發改善動機。經全面相關因素分析後發現，人員對新的流程及儀器設備缺乏足夠的教育訓練、對外巡迴工作職責缺乏經驗、穿脫個人防護裝備流程較複雜及正確運送病人經驗不足等因素所致認知能力不足。目的：提升手術室新進護理師對「新型冠狀肺炎手術流程及防護措施」之認知能力由59.40分提升至89.10分。解決方案：推動實際穿脫防護裝備訓練、提供線上教學影片、製作防疫作業手冊、公告手術室工作區域劃分及人員動線圖等改善措施。結果：手術室新進護理師對「新型冠狀肺炎手術流程及防護措施」之認知能力由59.40分提升至94.17分，成功達到專案目標，且新進護理師對訓練課程滿意度可達95分。結論：運用教育訓練及實際操作練習可有效提升手術室新進護理師因應新冠疫情之手術護理認知能力，以期提升手術照護品質。

關鍵字

新型冠狀肺炎；手術流程；防護措施；認知能力；個人防護裝備

並列摘要

Background: Due to the coronavirus disease (COVID-19) outbreak, the response mechanism of our country was activated immediately. However, operating room nurses are not proficient in COVID-19 procedures and protective measures, which may lead to panic staff, unsatisfactory operational procedures, and complaints from team members. Purpose: The purpose of this study is to increase surgical nurses' cognitive ability when it comes to ＂COVID-19 Surgical Procedures and Protective Measures.＂ Methods: This study included in-person training courses on wearing protective equipment, online teaching videos, an epidemic prevention handbook, the announcement of operating room work area divisions, and personnel movement diagrams. Results: After the interventions, the nurses' ＂New Coronary Pneumonia Surgical Procedures and Protective Measures＂ cognitive ability scores increased from 59.40 points to 94.17 points. The results reached the target of 89.10 points. Conclusions: The findings of this study can be used to enhance educational training and practical exercises. Furthermore, they can be used to effectively improve operating room nurses' cognitive ability in response to the COVID-19 epidemic. We believe that our results will lead to better surgical care.

並列關鍵字

COVID-19 ； surgical procedures ； protective measures ； recognition ； personal protective equipment (PPE)

國際替代計量

提升手術室新進護理師對「新型冠狀肺炎手術流程及防護措施」之認知能力

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