提升兒科加護病房護理人員執行復健擺位正確率專案

A Nursing Project to Enhance Nursing Staffs in Pediatric Intensive Care Unit to Promote Correct Rehabilitation Positioning

復健擺位有助於早產兒生命徵象的穩定及骨骼、神經肌肉的發展，對於斜頸、骨折、臂神經叢受損及腦性麻痺等，皆有矯正及維持治療的效果。專案實施前人員執行復健擺位正確率僅有55.6%，認知正確率僅達60.3%，分析原因主要為：缺乏復健擺位標準作業流程及照護指引、未舉辦相關在職教育，導致人員不知道其重要性與影響及如何執行復健擺位。針對原因擬定解決方案：舉辦在職教育訓練、制訂復健擺位照護指引及標準作業流程，製作復健擺位學習光碟。專案實施後人員執行復健擺位正確率由55.6% 提升至93.6%，認知正確率由60.3% 提升至90.6%。期盼藉由專案的推行與改善，以充實人員護理專業知識與技能，提升護理照護與服務的品質。

Rehabilitation positioning is necessary for preterm infants to stabilize their vital signs and maintain the development of skeletal and neuromuscular systems of patients with torticollis, fracture, brachial plexus injury, and cerebral palsy. Before we promote our nursing project, the correct rehabilitation positioning performed by our nursing staff reached only 55.6% and basic knowledge achieved 60.3%. The following were some of the possible causes: lack of an established standardized protocol or a clinical practice guideline and lack of related nursing continuing education topics. Possible solutions for the above mentioned problemsincluded providing related lectures for our nursing staff, establishing a standardized protocol or clinical practice guideline for rehabilitation positioning, and reproducing the learning vcdabout this topic. After the project, the correct rate of rehabilitation positioning performed by our nursing staff achieved 93.6% and the basic knowledge level achieved 90.6%. By introducing the nursing project, we hope to improve our nursing staff’s knowledge and practical skills in order to provide better nursing care and quality service.