加護病房護理指導課程滿意度改善專案

Improving Family Satisfaction in the ICU by Offering Courses on care Skills

加護單位在執行護理照護及治療時，由於工作的緊張性質，容易忽略家屬需求；若能讓家屬參與照顧病人，就能夠緩解其壓力、增進照顧病人之技巧。本單位於民國七十九年起即提供護理指導課程，由於內容、教學方式、教具以及課程宣導之不足，一直未能有顯著的成效。民國九十三年的護理指導滿意度調查僅達50.1%。為了提升護理指導課程滿意度，專案小組重新編排衛教教材內容及製作教具、改進護理人員之教授方法，並制訂護理指導流程查核表，落實衛教工作。專案實施之後，各項護理指導內容使用標準統一之教材，並將課程作整合，專案實施後家屬滿意度達90.6%。此外，經由有系統的護理指導課程規劃後，每一項團體護理指導僅耗時10-15分鐘，每次課程約需30-45分鐘，並未加重護理人員的工作負擔，而且也大大增進了家屬與單位護理人員的人際互動

In intensive care units, families' demands are easily overlooked when nurses are dedicated to nursing and medical care. For the purpose to release families' pressure and improve care skills, we encourage families to actively participate in care. We started by providing courses on care skills since 1990. However, it lacks efficacy due to insufficient contents, methods, aids and advertisement. According to a survey in 2001, family satisfaction was only 50.1%. To improve the satisfaction, we designed curricular contents together with improving teaching aids, methods, and devise checklists and guidelines. The teaching materials were then standardized. Finally, we achieved a satisfaction rate of 90.6%. Besides, the workload of nursing staff did not increase thanks to systemic and comprehensive plans on the course design. This renovation also helps promote the relationship between families and nurses.