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題名 | 以實證護理提升護理人員執行氣管內管拔管後病患吞嚥評估之正確率=Enhance the Accuracy of Nurse-performance Post Endotracheal Tube Extubation Swallowing Assessment by an Evidence-based Nursing Project |
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作者姓名(中文) | 顏靜美; 謝伶瑩; 廖欣怡; 王妍惠; | 書刊名 | 高雄護理雜誌 |
卷期 | 40:3 2023.12[民112.12] |
頁次 | 頁27-38 |
分類號 | 419.812 |
關鍵詞 | 重症; 拔管後吞嚥困難; 吞嚥評估; Critical; Post-extubation dysphagia; Swallowing assessment; |
語文 | 中文(Chinese) |
DOI引用網址 | 10.6692/KJN.202312_40(3).0003 |
中文摘要 | 經口氣管內插管是重症病患維持生命的重要處置,拔管後正確進行吞嚥評估對病人安全相當重要。經訪談及實際觀察,發現護理人員對於吞嚥評估的認知及操作流程的正確率偏低,故成立小組進行改善。確立主要問題為:(一)護理人員缺乏吞嚥評估的相關知識及技能、(二)缺乏吞嚥評估教育訓練、(三)缺乏示範教學影片、(四)現行吞嚥評估表單不適切、(五)針對吞嚥評估未通過的患者,無後續追蹤機制。為達專案目的,藉由(一)修訂新版「吞嚥困難篩選表」、(二)建立標準操作程序、(三)製作示範教學影片、(四)進行拔管後吞嚥評估的在職教育訓練及種子床邊教學等改善策略。至此護理人員對於吞嚥評估的認知及操作正確率均可達100%。 |
英文摘要 | Transoral endotracheal intubation is an important life-sustaining treatment for critically ill patients. It's important to assess the patient's swallowing function accurately after extubation to ensure patient safety. Lower accuracy had been found in nursing staffs' cognition and operation of swallowing assessment after interviews and field surveys, hence we set up a team to improve it. We identified the main problems as: (1) nursing stuffs' were lacked of relevant knowledge and skills of swallowing assessment, (2) lack of swallowing assessment education and training program, (3) lack of demonstration video, (4) current swallowing assessment form was inappropriate, (5) follow-up program is absent for those who failed the swallowing assessment ever since. To achieve the purposes, the project was implemented via (1) revised new edition of post-extubation swallowing assessment checklist, (2) establishing standard operating procedure of post-extubation swallowing assessment, (3) filming the demonstrating video, (4) setting-up in-service training and seed members bedside demonstration. Therefore, both accuracy of cognition and operation processes with post-extubation swallowing assessment of nurses are both reached 100% at the end of the project. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。