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提升內科重症護理師照護體外循環維生系統病人之緊急狀況處理正確率
提升內科重症護理師照護體外循環維生系統病人之緊急狀況處理正確率
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提升內科重症護理師照護體外循環維生系統病人之緊急狀況處理正確率
提升內科重症護理師照護體外循環維生系統病人之緊急狀況處理正確率

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提升內科重症護理師照護體外循環維生系統病人之緊急狀況處理正確率
提升內科重症護理師照護體外循環維生系統病人之緊急狀況處理正確率
Journal Article

提升內科重症護理師照護體外循環維生系統病人之緊急狀況處理正確率

2023
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Overview
背景:體外循環維生系統(extracorporeal membrane oxygenation, ECMO)能暫時替代心肺功能,減少重要器官的損傷,重症護理師照護ECMO病人需有高度警覺性及觀察力,若不熟練而無法即時且正確地處理ECMO之緊急狀況,將會危及病人生命。本單位曾發生ECMO緊急狀況而影響病人安全且致護理師照護時壓力大,經現況分析發現單位護理師對ECMO緊急狀況處理正確率僅59.1%,導因為缺乏技術評核標準、在職教育不足、無實際操作經驗、缺乏多元化教材及未建立線上課程。目的:提升重症護理師對ECMO緊急狀況處理正確率達86%以上。解決方案:根據此臨床問題導向擬定改善方案,藉由制定技術評核表及技術考、舉辦在職教育、情境模擬教學及製作多元教材等措施。結果:重症護理師對ECMO緊急狀況處理正確率由59.1%提升至95.9%。結論/實務應用:本專案有效提升重症護理師對ECMO的照護認知及危機處理能力,降低對警訊之壓力感受並增強問題處理的自信心,完善照護品質而保障病人安全。