提升某內科加護病房護理人員N3能力進階比率

Project to Increase the Percentage of Nursing Staffs Passing Clinical Ladder-3 Certification in the Intensive Care Unit

背景：N3護理人員具備重症整合性之照護能力，堪能勝任加護病房護理業務，但是本院某加護病房N3以上能力進階僅佔15.3%，低於全院N3以上能力進階比率23.1%，故引發專案動機。2016年1月經現況分析原因，包括：個案報告寫作能力不足、在職教育主講能力不足、未取得教師認證。目的：本專案目的在提升某內科加護病房護理人員N3能力進階比率。解決方案：安排個案報告寫作訓練、安排指導員輔導、教導簡報製作技巧、演練口頭報告、安排參加教師訓練營、演練使用多元化評估工具。結果：專案推動後單位N3能力進階比率提升至39.0%。結論：同儕間互相分享能力進階順利晉級的喜悅，亦鼓舞單位各層級的能力進階風氣，且提升護理專業成長與助益臨床照護品質。 Background & Problems: Clinical ladder (CL)-3 nurses should have both an ability to integrate the clinical information of critically ill patients and to carry out the administrative work of the intensive care unit. However, in our unit, only 15.3% of nurses hold CL-3 certification, which is much lower than the hospital average of 23.1%. Thus, we initiated a project to raise this percentage in our unit. An analysis in January 2016 showed that the main obstacles to obtaining CL-3 certification in our unit were inability to write case reports, inadequate in-service education, and a lack of certified educators. Purpose: The purpose of this project was to increase the number of CL-3-certified nurses in our intensive care unit. Resolution: The resolution included holding courses on case report writing, briefings, and oral presentation techniques; assigning a preceptor to make nursing staff assignments; encouraging nurses to participate in the clinical nursing preceptor education training camp; and conducting practice tests using a multiple assessment tool. Results: After implementation of this project, the percentage of unit nurses who had passed CL-3 increased to 39.0%. Conclusions: This project not only allowed our fellow nurses to share in the joy of clinical ladder advancement but also improved the atmosphere in the unit by encouraging self-development. This project helped stimulate professional growth among our staff and improved the quality of clinical care.