運用翻轉教學模式提升急診人員N3個案報告送審成效

Using the Flip Teaching Mode to Improve the Submission Effectiveness of the Emergency Department N3 Case Report

回顧過去三年單位送審N3個案報告篇數為0篇，加上N3個案報告送審篇數亦是單位年度平衡計分卡指標之一，故引發本小組成立之動機，本專案執行期間為2016年03月01日至2017年05月31日，經現況分析後，確認問題有：書寫報告認知能力不足、缺乏同儕力量、缺乏獎勵制度、無開立實體寫作課程、缺乏督促機制等，透過經成立書寫專班、以「翻轉教學」模式導入訓練課堂、申請工具書、安排書寫人員、編輯書寫進度表、運用評讀訓練、同儕力量強化書寫動力、以母雞帶小雞方式陪伴學員、增訂單位獎勵制度等對策實施後，急診護理人員於2017年度N3個案報告送審篇數由0篇提升至5篇，成效良好，帶動單位人員對於寫作風氣及信心，於隔年又接著送審4篇，著實提升護理專業學術能力。

The nursing department has made the number of submissions and approvals of N3 case reports an indicator for BSC. No such reports have been submitted in 3 years, and this motivated this group setting to promote effectiveness. The implementation period of the project is from March 1^(st), 2016 to May 31^(st), 2017. After analysis, the problems identified were as follows: poor writing skills among staff, lack of confidence, and lack of peer strength to write a report. In addition, no reward policy exists to motivate staff, no writing training courses are available, and no supervision is provided. A series of policies and processes have been applied, such as the establishment of the class, the introduction of the flipped teaching approach, the provision of reference books and writing staff, the implementation of writing schedules and periodic tracking, training evaluation, enhancing writing motivation by peers, and the implementation of reward systems. As a result, the number of emergency nurses in the 2017 annual N3 case report was upgraded from 0 to 5, demonstrating a major improvement as well as enhancing the academic ability of nursing specializations.