提升護理人員執行肺炎病人出院衛教完整率

The improvement of integrity rate for nursing staff to execute health education to patients with Pneumonia discharged from the hospital

因護理人員執行衛教時機與內容不一致，導致照顧者學習或準備不足而延長出院，引發專案小組動機。為讓肺炎病人出院衛教完整率由21.4%提升至96.8%，分析原因：1.未建立標準化流程及稽核制度；2.缺乏輔助工具；3.缺乏肺炎衛教指導相關教育訓練；4.缺少出院準備查檢表。經團隊共識介入措施：增修肺炎照護標準書之出院衛教標準化流程、建立衛教監測表、製作肺炎病人出院照護QR code、建立出院衛教資訊懶人包、舉辦肺炎出院準備教育訓練、監測肺炎相關技術操作之標準作業、建立肺炎病人出院準備查檢表。肺炎病人出院衛教完整率由24.1%提升至96.8%，作業標準化可供護理人員增加交班的連續性，進而提供病人良好照護品質。

The motivation for the project team is triggered by the nursing staff executing the health education may vary on the timing and content, which leads to the delay for the patient to discharge from the hospital when the caregiver’s learning and insufficient preparation. The integrity rate of health education for Pneumonia patients discharged from the hospital has been improved from 24.1% up to 96.8%. For reason: 1. the unavailable SOP and auditing system; 2. in short of the auxiliary tool, .3. in short of guiding related health education of Pneumonia and related education and training, 4. in short of the form of Checking list for preparation of discharge from the hospital. The team was in consensus, and the involvement actions: To edit the SOP of health education for the discharge from the hospital of the caretaking standard fo r Pneumonia, to make the monitoring chart of health education, to make a QR code for the Pneumonia patient who discharges from the hospital, to establish for dummies of health education for discharged from the hospital, to host a training and education for pneumonia discharge planning, the monitoring SOP for Pneumonia and related technical operation. To establish the form of Checking list for preparation of discharge, the integrity rate of health education for Pneumonia patients discharged from the hospital has been improved from 24.1% up to 96.8%. The SOP can help nursing staff to enhance the continuity when shift change and furthermore provide the patient with quality caretaking.