目的:第一型糖尿病病童需透過護理人員指導疾病照護及胰島素操作技能才能維護其生活品質,故護理人員需具備第一型糖尿病照護的知能。方法:現況發現兒科NPGY學員對第一型糖尿病照護正確率低之主因為對第一型糖尿病照護認知正確率低、缺乏照護指引及胰島素注射輔具、教育訓練未符合人員缺乏照護經驗的需求及輔導訓練及評值未統一等。故結合跨領域團隊實施解決方案:安排遊戲式學習策略融合課程、製作胰島素教學注射輔助工具箱、舉辦照護模擬情境訓練、建置疾病照護指引、統一制訂NPGY學員輔導訓練。結果:NPGY學員對第一型糖尿病照護認知的正確率由58.7%提升至98.4%;血糖監測及胰島素注射護理正確率由63.8%提升至98.8%。討論:本專案以學習者為中心,運用創新的遊戲式學習,促進照護知能,進而提升兒科護理品質。
Purpose: Children with IDDM who received effective care guidelines from pediatric nurses during their hospitalization period would have an increased understanding of the disease and enhanced self-care abilities when they return home. Method: Factors leading to lower effectiveness of TIDM patient education include (1) the PGY nursing staff lack sufficient knowledge regarding IDDM patient education, (2) a lack of clear IDDM guidelines in patient education, or inefficiency in facilities or tools for teaching insulin injection, and (3) an unclear evaluation process or standard. This project aimed to explore the influence of a game-based learning approach to 2-year PGY nurses in advanced education for T1DM care. The new PGY education program based on game-based learning with a new tool box was created, and a simulation teaching strategy was developed for use in demonstrating and evaluating insulin injection processes to PGY nurses. Additionally, IDDM standards and work guidance for new personnel were enacted. Results: After completing this program, participants showed valid achievements by using game-based learning in the 2-year PGY training process. The results show that the correct rate in TIDM nursing care knowledge and skills increased from 58.7% to 98.4%, and evaluations showed that the correctness of insulin injection rose from 63.8% to 98.8%. Discussion: This project enhanced the T1DM knowledge, abilities, and practice satisfaction in nurse PGY staff, and thereby improved the effectiveness of patient care safety and quality.