運用高擬真情境模擬教學提升兒童加護病房新進護理師之急救能力品質

護理師常是首位評估急救需求的專業人員，及早提供有效的胸外按壓，可改善病人存活率及有利神經學的預後，當新進護理師執行急救能力不足時，將危及病童的生命，甚至衝擊其對臨床工作的心理調適。藉由事件的分析及品質改善，發現造成急救能力不足的原因包括：缺乏急救經驗，對於急救車用物放置位置及急救藥物的給予劑量不熟悉，急救設備內容物種類多且未落實稽核研究機構院內護理急救技術評核。此次品質改善活動期望兩年期新進護理師之執行急救能力完成率由33.3％提升至86.7％。改善策略包含：實體教育訓練課程、跨團隊合作擬真情境模擬訓練、建置急救用藥稀釋及給藥流程。評值改善策略之成效，兩年期新進護理師執行急救能力完成率由33.3％提升至94.4％，有效提升護理師對於急救流程之認知與技能，有助於個人專業的增長，並增進自我信心，進而提升重症照護品質。

關鍵字

高擬真情境模擬；跨團隊合作訓練；急救能力

並列摘要

Mostly nurses are the very first expertise to assess the need for emergency care. They could provide effective chest compressions to patients as soon as possible; it can improve patient survival and favorable neurological prognosis. When the rookie nurses perform the first-aid ability unskillful, not only endanger the child's life but also impact their mental accommodation of clinical nursing activity. According to cases study and quality assurance progress, we found unskilled first-aid ability including: lack of first-aid experience, not familiar with the placement of emergency vehicle and the emergency medicine dose, the variety of first-aid equipment, and insufficient carrying out the evaluation of nurses first-aid treatment ability in hospital. The quality assurance progresses are planning two-year duration for rookie nurse division to increase their first-aid treatment completion rate from 33.3% to 86.7%. The quality assurance strategy includes: intermediate training course, multi-disciplinary team work to simulate the reality scenario training, building up emergency drug dilution and drug delivery operation procedure. Evaluation of the effectiveness of the quality of first-aid ability completion rate from 33.3% to 94.4% of new nurses in their two years, enhances the nurse's first-aid domain knowledge and skills, implements self-achievement and realization, and promotes the quality of critical care.

並列關鍵字

high-fidelity patient simulation ； interprofessional teamwork training ； first-aid ability

參考文獻

柯彤文、王拔群：擬真教育在醫療品質與病人安全的運用。台灣擬真醫學教育期刊2014;1:32-5。[Ko TW, Wang PC: The application of simulation in patient safety education. Journal of Taiwan Simulation Society in Healthcare 2014;1:32-5.] doi: 10.6582/JTSSH.2014.1(1).08

謝明芫、謝素英、許麗齡：某醫學中心護理人員接受高級心臟救命術課程自評執行急救能力之研究。新臺北護理期刊2014;16:17-28。[Hsieh MY, Hsieh SI, Hsu LL: A study of medical center nurse's self-assessment in performance of advanced cardiac life support skills. New Taipei J Nurs 2014;16:17-28.] doi: 10.6540/NTJN.201

楊志偉：模擬醫學在臨床技能訓練之應用。台灣醫學2015;19:356-62。[Yang CW: Application of medical simulation in clinical skills training. Formosan J Med 2015;19: 356-62.] doi: 10.6320/FJM.2015.19(4).04

陳美容、歐淑華、廖如文等：某醫學中心接受「二年期護理師(護士)訓練」學員主觀護理能力之探討。護理雜誌2012;59:54-61。[Chen MJ, Ou SH, Liao RW, et al: Nurses' self-perception of nursing competence after completing a 2-year training program at a medical center. J Nursing 2012;59:54-61.] doi: 10.6224/JN.59.4.

Hasegawa T, Daikoku R, Saito S, et al: Relationship between weight of rescuer and quality of chest compression during cardiopulmonary resuscitation. J Physiol Anthropol 2014;33:16. doi: 10.1186/1880-6805-33-16

被引用紀錄

劉雅惠、柳美如、賴怡君、葉倩菁（2023）。提升精神科急性病房護理師急救處置能力的改善專案。精神衛生護理雜誌，18(1)，34-43。https://doi.org/10.6847/TJPMHN.202308_18(1).05

李怡濃、曾雯琦、楊策淳、蔡侑邑、翁偉楷、江慧珣（2022）。高擬真大量傷患模擬演練對北市某醫學院學生救災準備度之成效。源遠護理，16(3)，40-49。https://doi.org/10.6530/YYN.202211_16(3).0006

高奕潔、詹玉霜、范毓珊、陳意雯、李鈺玢（2023）。運用團隊資源管理模式提升兒童加護病房急救作業完整性。長庚護理，34(4)，62-75。https://doi.org/10.6386/CGN.202312_34(4).0006

郭貞嬋、魏惠君、柯薾婷、鄭青青、林秋子（2021）。提升骨科護理人員急救技能完整性。長庚護理，32(3)，50-64。https://doi.org/10.6386/CGN.202109_32(3).0005

陳秀芳、賀倫惠、李香君、邱小鳳、陳海焦、蔡青青（2020）。護理情境模擬教案設計－以重症護理課程為例。長庚護理，31(3)，338-353。https://doi.org/10.6386/CGN.202009_31(3).0004

國際替代計量

運用高擬真情境模擬教學提升兒童加護病房新進護理師之急救能力品質

全文下載

主題瀏覽