新冠肺炎（COVID-19）期間護理人力整備及應變計畫之成效

The Effectiveness of the Nursing Workforce Development and Contingency Program during the COVID-19 Pandemic

張朔衽(Shuo-Jen Chang) ； 張倩蜜(Chien-Mi Chang) ； 曾麗卿(Li-Ching Tseng) ； 趙岑恩(Tsen-En Chao) ； 陳淑純(Shu-Chun Chen) ； 張艾玲(Ai-Ling Chang) ； 張淑真(Shu-Chen Chang) ； 李雅文(Ya-Wen Lee)

《醫管新冠肺炎防疫專刊》 第二刊 (2022/04) Pp. 70-83

https://doi.org/10.29636/SIHMCOVID-19P.202112_70

摘要

在COVID-19期間，個案醫院護理部進行「負壓隔離病房護理人員培訓計畫」，提升護理人員對COVID-19照護的認知及技能。採用醫學教育課程發展六步驟：問題確認需求評估、學習者需求評估、訂定目標、課程執行與評估與回饋；設計翻轉教學並運用Kirkpatrick四層次評估模式。共培訓81位護理人員，平均年齡31.4歲（±6.4），平均年資8.6年（±5.6），以內科病房（72.9%）及N2職級居多（56.8%），人員的滿意度為4.92分、100%通過個人防護裝備之穿脫流程評核，教學前後測成績達顯著差異（p=.000）。2021年5月疫情期間，護理人力整備在臨床實際運用上共有37位護理人員進入負壓隔離病房照顧COVID-19病人。事先訓練護理人員熟悉負壓隔離病房常規，可因應COVID-19疫情來時所需的護理人力。護理管理者透過早期人力規劃與安排可因應COVID-19疫情所帶來的人力挑戰。

關鍵字

負壓隔離病房 ； 護理人員培訓 ； COVID-19

並列摘要

Nursing workforce development and contingency programs were delivered during the COVID-19 pandemic to promote knowledge and skills among the nursing staff . We adopted a six-step development process for a medical curriculum that can identify problems as well as fulfilling the following needs: assessment, assessing targeted learners, and identifing goals, objectives, educational strategies along with their implementation, evaluation, and feedback. The flipped classroom was applied, and Kirkpatrick's four-level model was evaluated. A total of 81 nursing staff were recruited. The mean age of the participants was 31.4 years ( ± 6.4); and the average tenure was 8.6 years ( ± 5.6). The majority of the work units were in internal medicine wards (72.9%), and most nursing staff were N2 (56.8%). The average satisfaction level score was 4.92 points. All participants (100%) passed the evaluation for personal protective equipment (PPE). The pre-post scores were statistically significant (p = .000). Finally, 37 nursing staff had entered negative pressure isolation rooms to care for COVID-19 patients on May, 2021. The training of the nursing staff was similar to negative pressure isolation room routines and supported nursing staff during the COVID-19 pandemic Nurse managers could plan and arrange nursing staff to learn and develop skills in relation to the challenges of treating COVID-19.

並列關鍵字

negative pressure isolation room ； nursing staff training ； COVID-19