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頁籤選單縮合
題名 | 提升加護病房護理人員交班作業完整率=Improving the Completeness of Nursing Shift Exchange in Intensive Care Units |
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作者 | 楊式辰; 蔡佳樺; 黃痢晴; 巫明雅; 鍾艷香; 吳孟嬪; Yang, Shih-chen; Tsai, Chia-hwa; Huang, Li-ching; Wu, Ming-ya; Chung, Yen-hsing; Wu, Meng-ping; |
期刊 | 北市醫學雜誌 |
出版日期 | 20111200 |
卷期 | 8:4 2011.12[民100.12] |
頁次 | 頁341-356 |
分類號 | 419.9 |
語文 | chi |
關鍵詞 | 加護病房; 交班作業完整率; 交班時間; 交班滿意度; Intensive care units; The completeness of nursing shift exchange; Time shift; Shift Satisfaction; |
中文摘要 | 某區域醫院加護病房於2010年9月實地查檢30位護理人員交班作業完整率僅73%,再查每位同仁交班平均花費17.47分鐘且交班滿意度僅57.33%。加護病房護理人員交班作業完整率低之主要原因為:加護病房護理交班單內容不足、無加護病房護理交班規範、無加護病房護理交班稽核制度、未舉辦在職教育。本專案目標為提升護理人員交班作業完整率至95%、交班時間縮短為5分鐘、滿意度提升至90%。擬訂對策為制定加護病房護理交班規範、修訂加護病房護理交班單、制定加護病房護理交班稽核制度、舉辦交班教育訓練。專案執行後護理人員交班作業完整率提升至96.00%,交班花費時間降至4.47分鐘、滿意度提升至91.33%。 |
英文摘要 | The aim of this project was to improve the completeness of nursing shift changeover by careteam members in intensive care units with respect to medical instructions. During clinical practice in 2009, there were four incomplete nursing shift exchange events that were reported by the mass media. In this study 43 person-time nursing shift changeovers were investigated. The results showed that nursing shift changeovers were not adequate with a completeness of 72.99%, a satisfaction rate of 57.33% and an average time for changeover of 17.47 minutes. The reasons found for the above included nursing shift changeover sheets that had incomplete content, a lack of standard operating procedures, the lack of an audit system and, the absence of in-service education. We focused on those defects and made efforts to correct them. The nursing shift changeover sheets were revised and a standard operating procedure was introduced; these changes were announced and enforced by carrying out in-service education. The completeness of the changeover sheets was raised from 72.99% to 96.0%, while the satisfaction rate was increased from 57.33% to 91.33% and the average time for changeover was shortened from 17.47min to 4.47min. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。