- 期刊
手術室護理師術前訪視改善專案之成效
The effectiveness of the preoperative visit of nurse in the operating room to improve the project
摘要
目的：術前訪視是醫院照護品質重要指標，當病人不瞭解手術訊息，產生阻抗影響手術進行，本專案目的在提升手術室護理師術前訪視執行率，讓病人充分瞭解手術情形進而順利完成手術治療。2016年6-8月間手術室護理師術前訪視執行率僅55%，分析原因為白班護理師加班工作繁忙無法如期完成術前訪視、擔心專業知識不足無法回答病人問題、缺乏術前訪視護理衛教作業規範之教育訓練、手術前訪視會談紀錄單規範不完整、無稽核制度、術前訪視的時段影響病人休息及缺乏衛教指導之輔助工具。方法：運用改善策略強化專業知識與溝通技巧舉辦教育訓練課程、術前訪視案例經驗分享、透過修訂手術前後訪視會談紀錄單、修訂術前訪視時段及修訂術前訪視職責改由小夜班護理師執行、設計術前訪視護理衛教彩色流程圖、臨床指導影片及制定術前訪視持續監測作業。結果：介入改善措施後，手術室護理師術前訪視執行率提升至96％、手術病人對手術室護理師提供術前訪視平均滿意度改善率達23.1%。結論：術前訪視是護病間雙向互動的關係，亦是落實手術全期護理照護，提升醫院服務的品質，透過多元化之衛教教材提供即時無障礙溝通管道，完整的術前訪視能讓病人正確瞭解手術相關訊息，安心接受手術，使手術如期完成，顯現護理專業的價值。
並列摘要
Objectives: Preoperative visit is an important indicator of the quality of hospital care. When the patient does not understand the surgical information, the impedance will affect the operation. The purpose of this project is to improve the preoperative visit execution rate of the nurse in the operating room, so that the patient can fully understand the surgical situation and then complete Surgical treatment. In June-August 2016, the implementation rate of preoperative visits of nurses in the operating room was only 55%. The reason for the analysis was that the white-shift nurses were busy with overtime work and could not complete the preoperative visits as scheduled, worried about the lack of professional knowledge and unable to answer patient questions, and lack of preoperative visits. The education and training of the nursing care and health education operation standard, the pre-operation interview record sheet are incomplete, the non-audit system, the period of pre-operative visit affects the rest of the patient and the lack of auxiliary tools for health education guidance. Method: Use improvement strategies to strengthen professional knowledge and communication skills to organize education and training courses, share experience of pre-operative visit cases, revise pre- and post-operative interview talk sheets, revise pre-operative visit time slots and revise pre-operative visit duties from minor The night shift nurses perform, design the color flow chart of pre-operative nursing care education and clinical guidance videos, and formulate the pre-operative visit continuous monitoring operation. Results: After the intervention of improvement measures before surgery operating room nurse visits implementation rate increased to 96% of surgical patients to the operating room nurse visits provide an average satisfaction rate of 23.1% before surgery to improve. Conclusion: The preoperative visit is a two-way interactive relationship between nurses and patients. It is also the implementation of full-period nursing care, improving the quality of hospital services, providing instant barrier-free communication channels through diversified health education teaching materials, and complete preoperative visits It allows the patient to correctly understand the information related to the operation, and accept the operation with peace of mind, so that the operation can be completed as scheduled, and the value of the nursing profession is revealed.
參考文獻
被引用紀錄
延伸閱讀
- 吳曉玟、謝春金、藍蕙娟（2016）。提升住院手術病人手術前訪視成效。長庚護理，27(2)，187-196。https://doi.org/10.3966/102673012016062702004
- 洪郁惠、陳慧、鄭順意（2015）。提升外科病房手術前準備完整性之改善專案。亞東學報，(35)，31-41。https://www.airitilibrary.com/Article/Detail?DocID=18133754-201512-201602250006-201602250006-31-41
- 王美文、黃麗鳳、台麗珍、陳淑華（2012）。恢復室護理人員術後交班作業完整性之改善。護理雜誌，59(2)，80-87。https://doi.org/10.6224/JN.59.2.79
- Ju, C. X., Yang, C., Jung, H. T., Hsuan, H. M., Tzu, C. F., & Jie, G. R. (2022). The Effectiveness of The Preoperative Visit Improvement Project For Operating Room Nurses. In 亞洲健康識能學會 (Ed.), The proceedings of the 8th ahla international conference: health literacy in social resilience (pp. 73-74). 亞洲健康識能學會. https://doi.org/10.30181/AHLA.202210.0046
- 朱翠萍、周娟羽、徐淑珠、陳淑華（2013）。Project of Improving Surgical Hand Antisepsis in Operating Room。長庚護理，24(3)，283-292。https://doi.org/10.6386/CGN.201309_24(3).0005