A Model for Strengthening Primary Nursing Care for Long-Term Hemodialysis Patients
詹淑貞(Shur-Jen Chan)；楊麗瑟(Li-Se Yang)
血液透析 ； 主護護士 ； 護理照顧模式 ； hemodialysis ； primary Nurse ； nursing care model
|Volume or Term/Year and Month of Publication||
1卷1期（2002 / 08 / 01）
60 - 69
The purpose of this project was to improve primary nursing care for long-term hemodialysis patients. By reviewing the retrospective dialysis nursing care records and on-site visits, data were collected and analyzed. We found that primary nurses did not spend enough time with the patients, nursing records were incomplete, arid patient's follow-up and nursing evaluations were not being adequately performed. To improve those problems, we established and implemented some improvement strategies as follows: (1) re-arranged the nursing schedule, appointing primary nurses follow-up checklist form and the patient's satisfaction survey. After implementing these new practices, the project evaluation showed that: (1) increased the frequencies of nursing services for the long-term hemodialysis patient from 16% to 31.1%; (2) increased nursing follow-up tracking performing rate from 35% to 100%; and (3) improved patients' satisfaction from 4.07 to 4.38. The overall outcome of the project was that we improved our nursing care quality and gained more satisfaction to our services from our clients.
醫藥衛生 > 社會醫學