提昇加護病房護理人員執行入院護理之完整性

Improving Admission Orientation for Intensive Care Unit Nurses

加護病房的家屬因親人病情急速變化，加上面對複雜儀器與治療程序等不友善環境，容易感到緊張與不安。本專案的目的在提升加護病房護理人員執行入院護理指導之完整性，讓家屬能獲得充分的資訊並瞭解其內容。專案改善前護理人員執行入院護理指導完整性僅41.5%，家屬的瞭解程度也僅54.7%，主要是缺乏教育訓練與標準流程、沒有適合衛教資料、未建立稽核制度。經舉辨教育訓練、建構護理指導流程、製作圖文並茂的衛教本，並將指導的過程訂立稽查辦法。透過改善措施讓護理人員執行入院護理指導完整性提升至100%，同時接受指導後家屬的瞭解程度也提升至94.1%。完整的入院護理指導可以讓家屬獲得正確之資訊與降低感染的風險，減輕其焦慮與不安情緒。

Families and patients face rapid changes in the condition of patients in intensive care units. Coupled with a lack of understanding of the complex equipment and treatment procedures, and an unfamiliar environment, they are prone to stress and discomfort. The purpose of this project was to improve ICU nurse performance with regard to integrity of admission orientation, and to assist families with sufficient information and guidance. Before this project, nurses’ instruction integrity scores were 41.5%, while awareness of family members after receiving guidance was only 54.7%. There are currently no suitable educational materials or an established auditing system, resulting in a lack of education and training. The production of illustrated brochures for audit approaches that enhance integrity, gave nurses continuing education, and created admission nursing orientation procedures altered results with an improvement rate of 100%. Awareness of family members after receiving guidance improved to 94.1%. Complete admission nursing orientation allows family members earlier familiarity with the ICU environment, and reduces their anxiety and nervousness.