多元策略提升急診護理人員三個月新人訓練如期完成率

Multiple Strategies to Improve the Completion Rate of a Three-Month Training Program for New Emergency

急診病人病情複雜及嚴重度高，需系統性培育護理師專業能力，以提高照顧品質。專案旨在「運用多元策略，提升急診護理人員3個月新人訓練如期完成率」，分析問題主因：對臨床教育操作不熟悉、無專人監控完成進度、不知如何分配表單進度、臨床教師審核表單標準不一、虛擬私人網路（virtual private network, VPN）使用權限受限、新人與臨床教師班別不同。專案包括舉辦在職教育課程與建構急診雲端、不定期稽核同仁進度、設計完成進度單張、說明表單審核通過標準一致性、開啟非院內使用VPN權限，與分配新生代臨床教師指導不同新人。結果:急診護理人員3個月新人訓練如期完成率由17%提升至100%，護理師能掌握自我學習進度，管理者可隨時監控完成比率，故建議本策略可平行推廣至急重症單位。

Emergency patients often present with complex and severe conditions, making it essential to systematically cultivate the professional competence of nurses to improve care quality. This project aims to ''Utilizing Multiple Strategies to Improve the Completion Rate of a Three- Month Training Program for New Emergency Nursing Staff ''Analysis of key causes: unfamiliarity with clinical educational procedures, lack of dedicated personnel to monitor progress, uncertainty about how to manage the completion of required forms, inconsistent form review standards by clinical instructors, restricted access to virtual private network (VPN) permissions, and differing shift schedules between new nurses and clinical instructors. Project implementation: hosting in-service education sessions, establishing a cloud-based system for the Emergency Department, conducting regular audits of staff progress, designing a progress tracking flyer, standardizing the form review approval process, granting VPN access outside the hospital, and assigning younger clinical instructors to guide new nurses with varying shift schedules. As a result, the three-month training completion rate for new Emergency Department nursing staff increased from 17% to 100%. By employing multiple strategies, nurses are able to manage their own learning progress, while administrators can monitor completion rates in real-time. It is therefore recommended that this approach be extended to critical care units.