行使生命自主權

Practice Life Autonomy

本專案旨在改善鼻部手術護理指導完整性，增進病人對手術自我照顧認知，避免術後出血等合併症與短期再入院的發生，以提升照護品質。專案執行前護理人員執行護理指導完整性僅75％，分析原因為：個別護理指導耗時、缺乏教育訓練、缺乏標準作業規範及監測工具、輔助工具與現況不符。經由問卷調查、矩陣分析、文獻查證後，針對問題採取改善方案：進行團體護理指導、定期安排在職教育、建立護理指導監測機制、建立護理指導標準作業規範、修訂護理指導影片、修訂護理指導看板。專案實施後，護理人員執行護理指導完整性由75％提升至100％，病人對護理指導認知正確率由72％提升至96％，病人對護理指導滿意度由80％提升至97％，達成專案目的，有效提昇照護品質。

The aim of this project was to improve the nursing instruction integrity in nose surgery, enhance patient cognition in postoperative self-care, and to avoid postoperative complications such as bleeding and short-term re-admission. The nursing instruction integrity in nursing staff prior to the project was only 75%, and the reasons were identified as followed: individualized nursing instruction time-consuming, lack of training, lack of standard operating rules and monitoring tools, and instructional aids inconsistent with current situation. After questionnaire, matrix analysis, and literature verification, the following interventions were implemented: group nursing instruction, regular on-the-job training, nursing instruction monitoring mechanism, nursing instruction standard operating rules, and updated nursing instruction video and bulletin boards. These intervention resulted in an improvement in the integrity of nursing instruction from 75% to 100%; an increase in patients' general recognition from 72% to 96%, and an increase in the patients' satisfaction rate from 80% to 97%. In conclusion, the project had successfully achieved its original aim, and effectively enhanced the over all nursing quality and patient satisfaction.