運用情境模擬提升血液透析護理師急救技能完整率

Using Situational Simulations to Raise the First Aid Competency Rate of Hemodialysis Nurses

10.3966/172674042020121902004

李欣娜(Shin-Na Lee)；何嘉莉(Chia-Li Ho)；林榆絜(Yu-Jin Lin)；吳麗敏(Li-Min Wu)；王佳慧(Chia-Hui Wang)

情境模擬 ； 急救技能 ； 血液透析 ； situational simulation ； first aid skills ； hemodialysis

臺灣腎臟護理學會雜誌

19卷2期（2021 / 01 / 01）

49 - 65

繁體中文

為了避免因急救技能不完整導致急救時間延長造成病人不可逆的傷害。本專案目標為提升護理師急救技能完整率。經現況分析發現護理師急救技能完整率低的原因有：缺乏團隊合作默契、缺乏情境模擬急救實務訓練、稽核制度不完善、對急救車用物擺放位置不熟悉、及缺乏啟動急救提醒標語。經由舉辦急救在職教育、錄製情境模擬急救教學影片、擬定情境模擬演練模式、製作急救車平面圖、及設置緊急應變提示小卡。急救技能完整率由68.8%提升至93.8%。本專案的經驗顯示，透過情境模擬訓練，可以增進醫護人員急救能力及團隊合作技巧，改善急救品質，提供病人安全的醫療照護。

Given that the lack of comprehensive first aid skills could prolong the time taken to perform first aid and cause patients to suffer irreversible injuries, this project aimed to raise the first aid skill competency rate of the center's nurses. A situation analysis revealed the following reasons behind the nurses' low first aid skill competency rate: a lack of teamwork, a lack of practical first aid training involving situational simulations, an imperfect auditing system, a lack of familiarity concerning the location of items in an ambulance, and a lack of first aid reminder slogans. With the implementation of various measures (i.e., the implementation of in-service first aid education, the production of educational first aid situational simulation videos, the establishment of situational simulation models, the production of ambulance plans, and the placement of emergency response reminder cards), the nurses' first aid skill competency rate was raised from 68.8% to 93.8%. Through the implementation of training methods involving situational simulations, and by improving the first aid and teamwork skills of the center's nurses, the center was able to increase the quality of its first aid services and provide safer medical care for its patients.

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