頁籤選單縮合
題名 | 提升加護病房護理人員對「食道球放置流程」照護完整性=Improving the Integrity of Sengstaken-Blakemore Tube (S-B Tube) Placement Process and Care for Nurses in Intensive Care Units |
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作者 | 陳南燕; 陳雅惠; Chen, Nan-yen; Chen, Ya-hui; |
期刊 | 長庚護理 |
出版日期 | 20180600 |
卷期 | 29:2=102 2018.06[民107.06] |
頁次 | 頁199-211 |
分類號 | 419.73 |
語文 | chi |
關鍵詞 | 加護病房; 食道球; 完整性; Intensive care units; Sengstaken-Blakemore tube; S-B tube; Integrity; |
中文摘要 | 本專案旨在提升加護病房護理人員對「食道球放置流程」照護完整性。現況發現「食道球放置流程」照護完整性僅38.3%。確立原因:認知正確率52.1%、備物易遺漏、管路操作及流程照護不熟悉、用物放置分散、缺乏在職教育、衛材變更未舉辦教育訓練、標準作業規範未修訂、新進人員輔導手冊無專科評核。改善方案:(1)製作指引手冊,(2)製作食道球專用盒,(3)制定流程照護檢視表,(4)制定新進人員專科評核,(5)舉辦在職教育,(6)舉辦食道球技術指導。專案改善後,護理人員對「食道球放置流程」照護完整性由38.3%提升至91%、認知正確率由52.1%提升至91%,有效提升「食道球放置流程」照護完整性及放置時效,完善專業照護品質。 |
英文摘要 | The purposes of the project were to improve the integrity of Sengstaken-Blakemore tube (S-B tube) placement process and care for nurses in intensive care units. Before the improvement program, the rate of integrity of nursing care for S-B tube placement process was 38.3%. The causes were: insufficient knowledge about S-B tube placement process (only 52.1% correctness), incompleteness of material preparation, unfamiliarity with the S-B tube placement, dispersion of the appliance, lack of in-service education and training, lack of revision of standard operating practices, lack of evaluation for coaching new staff. We implemented the following interventions, including developing a guidelines manual, providing a complete S-B package, designing a checklist for S-B tube placement, developing an evaluation form for training new nurses; and developing an in-service education and training program. After the improvement program, the completion rate increased from 38.3% to 91%, the accuracy rate of nurses' knowledge increased from 52.1% to 91%. The program has improved the integrity and timeliness of S-B tube placement and enhanced the quality of care. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。