數位教學提升護理師對出血性休克病人評估與處置能力

Digital Teaching to Enhance Nurses＇Abilities in Assessment and Management of Patients with Hemorrhagic Shock

重大創傷所導致的出血性休克死亡率高，當護理師評估與處置能力不足時，將危及病人安全。本研究透過事件分析，發現護理師對出血性休克的認知率僅為59.9%，在直接觀察操作型技術評核中的相關知識得分為1.7分、技術執行能力為2.0分。問題根源包拮護理師對出血性休克的認知不足、臨床評估與處置能力不足、缺乏合適教學教材，以及受訓方式僅限於口頭教學。針對此情況，本研究制定一系列改善方案，包括在職教育、種子導師專責教學、虛擬實境模擬課程、LINE Chatbot學習專區及動態海報教材。結果顯示，認知率由59.9％提升至94.8%，且直接觀察操作型技術評核中的相關知識與技術執行能力提升至5分以上，皆達本研究目標。數位教學策略導入有效提升護理師的重症照護知能與臨床技能，從而改善病人安全並優化照護品質。

Hemorrhagic shock caused by significant trauma has a high mortality rate. Further, patient safety is jeopardized when nurses’assessment and intervention capabilities are insufficient. Through event analysis, it was found that nurses’awareness of hemorrhagic shock was 59.9%, and the relevant knowledge score for the“Direct Observation of Procedural Skills”form item was 1.7 points. Moreover, the technical execution competency score was 2.0 points. This is mainly because nurses have insufficient knowledge of hemorrhagic shock, inadequate clinical assessment and management skills, lack appropriate teaching materials, and because training was conducted only through verbal instruction. Therefore, the motivation to address these issues has been sparked. Based on this clinical issue, an improvement plan was developed. We implemented educational training courses planned for seed mentors to teach, implemented virtual reality simulation courses, established a LINE Chatbot learning area, and utilized digital teaching materials. These initiatives effectively increased the awareness rate from 59.9% to 94.8%, and furthermore, increase the scores for relevant knowledge and technical execution competency in the Direct Observation of Procedural Skills form item to above 5 points. The introduction of digital teaching strategies enhances nurses’critical care knowledge and clinical skills, thereby improving patient safety and quality of care.