本土化手術全期護理措施準則之發展

Development of an Outcome-oriented Perioperative Nursing Data Set in Taiwan

手術全期護理為一門專精而分工的護理學門，然而，卻因缺乏與護理溝通的共通語言而難以證明其專業貢獻與成就。近年來國際上陸續發展，被公認為是手術全期護理與專業團隊的溝通語言。是以，研究者進行此探索性之調查研究，目的在以德爾菲專家法，發展本土版本之「以手術病人成果為導向之手術全期護理措施準則」，提供臨床手術全期護理人員在照護手術病人實務上之參考。本研究依提出之專家標準，邀集五位分數在分以上之手術全期護理專家，以不記名郵寄問卷收集專家效度審查資料，並以值作為決策之依據。研究結果發展出項手術病人成果及其相關之成果定義與成果標準，項相關之手術全期護理措施。研究結果證明中文版本在成果定義與國際版本類似，可作為手術全期護理溝通之專業語言，並可應用於臨床實務、護理教育與護理管理。未來建議應用於發展電子化之手術護理記錄，大幅提昇執行手術全期護理措施之效率與效益，並進而策進手術病患照護品質。

Perioperative Nursing is threatened with lacking valid and reliable sources ofdata that provide the knowledge required for clinical practice, education, management,and research. This lack of comparable data severely limits perioperative nursing'sablility in developing an evidence-based data of nursing practice. The purpose ofthis preliminary investigation was to examine the content validation of perioperativepatient outcomes and related nursing interventions. Five perioperative nursing careexperts were recruited according to Fehring (1986) around Taiwan. Data werecollected by mailing questionnaires. 27 patient outcomes and 133 related nursinginterventions were identified, similar to international version. The results of thisstudy may develop a scientific basis of perioperative nursing, standardize theperioperative nursing language and promote the perioperative nursing care.