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志為護理:慈濟護理人文與科學

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篇名 提升護理人員熱傷害認知及處置完整性之改善專案
卷期 19:6
並列篇名 Improving Nursing Staff's Cognition and Treatment Integrity of Heat Injury Treatment
作者 古佳琦戴智意周惠珠李秀芳
頁次 077-091
關鍵字 熱傷害護理人員認知及處置完整性cognition and treatment integrityheat injurynursing personnel
出刊日期 202012

中文摘要

熱傷害處置藉由快速降溫、輸液補充及立即轉送,過程中爭取的時間都與病患安全息息相關。護理人員對熱傷害症狀不了解可能影響處置流程及結果,降低救護品質及容易引發病安事件,因此引發專案改善動機。依現況分析及資料收集結果,確立本專案問題為護理人員熱傷處置完整率低,只有40%。其原因為:臨床工作缺乏熱傷害相關照護經驗、過去未接受熱傷害相關教育、救護計劃不完整。經討論後改善措施為施行教育訓練、設計知識小卡、QR code掃瞄、人員資格要求、修訂救護計劃。經專案實行結果顯示: 熱傷害知識認知由29.2%提升到90.8%,並改善熱傷害處置完整性40% 提升至100%,讓救護活動能快速執行。

英文摘要

The processing time in the treatment of heat injury by means of fast cooling, fluid supply, and immediate transfer is closely related to patients’ safety. Nursing staff's ignorance regarding heat injury can not only affect the treatment and outcome but also reduce the quality of medical care. These factors motivated this improvement project. Following current situation analysis and data collection, we identified that nursing staff's cognition of heat injury was only 29% and the treatment integrity of heat injury was only 40%, constituting main concerns. Reasons for these shortcomings include a lack of experience caring for patients who have heat injury during clinical nursing, lack of education in heat injury, and lack of precision in their first aid plan. After discussions, improvement plans were implemented, which included training, the design of knowledge cards, the scanning of QR codes, requiring qualified personnel, and modifying the first aid plan. According to the outcome of this project, the correct rate of cognition of heat injury increased from 29.2% to 90.8%, and the integrity of heat injury increased from 40% to 100%, which led to the immediate completion of the first aid activity.