以混成式教學策略提升護理師協助氣管插管流程之正確率

Enhancing the Accuracy of Nurse Assistance in Tracheal Intubation Process Through Blended Teaching Strategies

急救復甦品質與是否能拯救病人生命息息相關，在大部份急救過程中，建立適當氣道是最重要的。新冠疫情期間，混成式學習被廣泛用來設計護理課程，利用多元教學策略確保學習連貫，維持學習成效。經現況分析發現護理師協助氣管插管流程平均正確率為41.7%，顯示對流程非常不熟悉。主要原因為缺乏知能課程、無稽核機制、用物不齊全、對流程不熟悉、信心不足。透過在職教育課程、錄製教學影片、製作流程圖、規劃醫材置放處、發展技術評核表等方式，將護理師協助氣管插管流程平均正確率由41.7%提升至86.8%。另外，自我效能平均分數由18.1分提升至24.8分。本專用應用混成式教學模式的優勢提升護理師對氣道評估及氣管插管處置之知能，同時增加對協助氣管插管流程之信心。

The quality of CPR (Cardiopulmonary Resuscitation) and the ability to save a patient's life are closely related, and establishing a proper airway is the most important aspect of CPR in most emergency situations. During the COVID-19 pandemic, blended learning has been widely used to design nursing courses, utilizing diverse teaching strategies to ensure coherent learning and maintain learning effectiveness. An analysis of the current situation revealed that the average accuracy rate of nurses in assisting endotracheal intubation was only 41.7%, indicating a lack of familiarity with the process. The main reasons for this were lack of knowledge-based courses, absence of auditing mechanisms, incomplete equipment, unfamiliarity with the process, and lack of confidence. Through in-service education courses, recorded instructional videos, production of process diagrams, planning of medical material placement, and development of technical assessment forms, the average accuracy rate of nurses in assisting endotracheal intubation was increased from 41.7% to 86.8%. Additionally, the average self-efficacy score increased from 18.1 to 24.8. The advantages of this specific blended learning mode improved nurses' knowledge of airway assessment and endotracheal intubation procedures, while increasing confidence in assisting the process.