| 英文摘要 |
Background: We have found that the nurses’ satisfaction level toward Passive Range of Motion (PROM) by nurse aides is the lowest among all the care components in a routine survey. Four major causes were identified, including “lack of knowledge among nurse aides”, “failure by medical staff to implement proper shift transfer procedures”, “lack of workplace regulations for PROM”, and “negative attitude towards PROM from the patients and families”. By improving recognition of PROM among nurse aides, nurse aides may implement PROM actively in the future. When nurses, patients, and families are satisfied with nurse aides’ implementing of PROM, nurses’ workload may be reduced, and communication between nurses and patients can be improved. Purpose: To improve the recognition rate of nurse aides on PROM to 90.0%. The satisfaction level of nurses, patients and families toward PROM performed by nurse aides could reach 75.0%. Methods: Interventions applied to promote the satisfaction of bedridden patients toward PROM with nurse aides included (a) designing a PROM in-service education program, (b) establishing the regulation of nursing instruction for PROM; (c) providing additional computer platforms, and (d) formulating the evaluation and award system for nursing aides. Results: After the project, the recognition rate of nurse aides on PROM was up to 99.3%, and 100.0% at one month after the project. Satisfaction of nurses, patients and families toward PROM performed by nurse aides were also up to 85.3% and 88.0%. Conclusions/Implications for Practice: The recognition and skills of nurse aides could be improved by conducting the incentive intervention, in-service education, and teamwork. After this project, the nurse aides tended to have stronger intention to implement PROM, and consistently used correct methods to carry out PROM for bedridden patients. The result of this project can provide as a clinical reference for patient care or management of nurse aides. |
