提升加護病房護理師對FloTrac之認知及技能正確率

Project to Improve FloTrac Cognition and Skill Accuracy in Nurses Working in the Intensive Care Unit

10.6224/JN.202310_70(5).10

郭芝頴(Chih-Ying KUO)；鄭芯驊(Hsin-Hua CHENG)；鄭佩琪(Pei-Chi CHENG)

血液動力學 ； 弗羅威克 ； 重症護理師 ； 加護病房 ； 認知及技能 ； hemodynamics ； FloTrac ； intensive care nurse ； intensive care unit ； cognition and skill

護理雜誌

70卷5期（2023 / 10 / 01）

75 - 83

繁體中文;英文

背景：FloTrac可監測病人的血液動力學，缺乏儀器認知及操作不熟練，可能危害病人安全，故引發專案改善動機。目的：護理師對FloTrac認知正確率由57.6%提升至85%；護理師對FloTrac技能正確率由73.3%提升至91%；護理師以碼表計時裝置FloTrac平均完成時間低於8分38秒。解決方案：構思創意口訣、製作操作技能教學影片、簡易操作手冊、提醒小卡、舉辦在職教育及定期品質監控。結果：護理師對FloTrac認知正確率由57.6%提升至90.4%，技能正確率由73.3%提升至99.7%，裝置完成時間由8分38秒縮短至5分42秒。結論：經由實施改善策略後讓護理師提升專科的知能，並有效率的輔助醫師取得血液動力學數據，提供重症病人精確且快速的治療處置。

Background & Problems: FloTrac is used to monitor hemodynamics in patients. Insufficient awareness of and inexperience with this machine put patients at risk. Purpose: A project was developed to increase FloTrac cognitive accuracy from 57.6% to 85% and skill accuracy from 73.3% to 91% in ICU nurses. Also, FloTrac installation time was intended to be reduced to less than 8 minutes and 38 seconds. Resolution: Create a pithy, easy-to-remember formula; make operation teaching videos, operation manuals, and reminder cards; arrange educational training; and monitor quality regularly. Results: FloTrac cognitive accuracy increased from 57.6% to 90.4%; FloTrac skill accuracy increased from 73.3% to 99.7%; and installation time was shortened from 8 minutes and 38 seconds to 5 minutes and 42 seconds. Conclusions: After implementation of the project, nurses improved their professional knowledge and were better able to help doctors obtain hemodynamic data efficiently to provide patients with accurate and rapid treatment.

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