提升新進護理師嚴重創傷病人照護完整率

Enhancing the Care Integrity Rate of Newly Enrolled Nurses in Severe Trauma Patient Care

嚴重創傷病人入院後48小時死亡率高達60%，需專業有效率的創傷照護團隊介入。單位護理師年資小於2年比例達4成，適逢新冠肺炎，院內外創傷護理實體課程皆延期或停辦，且接獲創傷團隊成員反映，新進護理師對創傷照護不熟悉以致治療延遲，主因為缺乏教材及基礎教育、未完成創傷護理訓練、受訓期間未遇創傷病人及團隊分工不明確所致。本案旨在提升新進護理師嚴重創傷病人評估與照護完整率，採用「BONE BOMB PUZZLE愛拼才會贏！」遊戲化教學工作坊，涵蓋7項解決策略，使評估與照護完整率由50.9%提升至96%，耗用時間由平均50分鐘降至39分鐘。未來建議將遊戲化教學內容遠距與行動化，除降低疫情衝擊外，更可個人化安排學習進度達到成效，進而提升照護品質。

The 48-hour mortality rate for severely traumatized patients upon admission is as high as 60%, necessitating the involvement of a specialized and efficient trauma care team. Forty percent of the unit's nurses have less than two years of experience, and due to the ongoing COVID-19 pandemic, both internal and external trauma nursing courses have been postponed or canceled. Additionally, feedback from trauma team members indicates that new nurses are unfamiliar with trauma care, resulting in treatment delays. The main reasons for this are a lack of educational materials and foundational training in trauma nursing, incomplete trauma nursing training, lack of exposure to trauma patients during training, and unclear team assignments. The purpose of this project is to enhance the assessment and care completion rate for severely traumatized patients among new nurses. We implemented the“BONE BOMB PUZZLE - Only by Playing Hard Can You Win!”gamified teaching workshop, which includes seven strategies for resolution. As a result, the assessment and care completion rate increased from 50.9% to 96%, and the average time required decreased from 50 minutes to 39 minutes. In the future, it is recommended to make the gamified teaching content more accessible and mobile-friendly. This not only reduces the impact of the pandemic but also allows for personalized learning schedules, thereby further improving the quality of care.