運用翻轉教學提升血液透析護理人員COVID-19防護之正確率

Application of flipped learning to improve hemodialysis nurses' accuracy of implementing COVID-19 protection measures due to Low Life Quality

新冠肺炎疫情興起，鑒於血液透析病人需規律進出醫院接受治療，若未適當防護，易引起群聚感染。專案自2021年2月23日至9月30日，經調查血液透析護理師對新冠肺炎防護問題如下：單位缺乏稽核制度及教育訓練、不清楚PPE穿脫順序、不清楚透析防護流程及隔離動線、缺乏環境及機器終期消毒事項等，運用多元翻轉教學策略制定稽核制度、訓練種子教師、舉辦教育訓練及防護流程演練、規劃動線圖、設置專用設備及環境消毒事項，專案實施後，血液透析護理人員新冠肺炎防護認知率由57.3％提升至96.8％，防護技能正確率由58.1％提升至92.5％，期望本專案提供血液透析護理師在新興傳染病照護上之參考，落實防疫政策，確保醫療體系安全。

 

Regular treatment sessions at hospitals are required for patients on hemodialysis. As a result of the ongoing COVID-19 pandemic, inadequate protective measures can easily lead to a cluster infection. This project was conducted from February 23rd through September 30, 2021, during which several issues were identified regarding the COVID-19 safety measures implemented by nurses in hemodialysis units, including: the absence of an audit framework and in-service training programs at the unit; the nurses’ poor understanding of the procedures for putting on personal protective equipment, hemodialysis precautions, and patient isolation flow; and the lack of terminal disinfection in the hospital environment and equipment. To address these issues, an integrated flipped learning strategy was applied to develop audit frameworks, train seed teachers, organize in-service training programs and drills, create occupant flow diagrams, and devise terminal disinfection protocols. Following the implementation of this project, the hemodialysis nurses’ knowledge of COVID-19 safety measures increased from 57.3% to 96.8%, and their accuracy in implementing safety measures increased from 58.1% to 92.5%.The results of this study are serve as a reference for hemodialysis nurses to provide care to patients with novel infectious diseases, and facilitate the development and implementation of epidemic prevention policies that ensure safety in the healthcare system.