整合ADDIE教學模式與經驗學習理論提升外科病房護理人員急救能力

Integrated ADDIE Model and Experiential Learning Program to Enhance CPR Competence among Surgical Ward Nurses

護理師常為首位啟動急救者，若準備不足，將延遲處置並威脅病人生命，故急救能力對臨床護理師至關重要。然單位成立時間短、急救時間長，調查外科病房護理師急救能力偏低。其主因為臨床教師的指導，缺乏共識與一致性、護理師缺乏足夠教育訓練、不清楚急救物品擺放位置及實務急救經驗不足等。為提升外科病房護理師急救能力，以ADDIE教學模式5階段分析（analysis）、設計（design）、發展（development）、實施（implementation）、評值（evaluation）進行整合，如設計心智圖流程與創意口訣，發展教學影片與情境腳本，實施階段結合Kolb經驗學習理論，提供高擬真情境與即時回饋，強化護理師技能與團隊合作。結果呈現經有效的教學模式訓練，可使護理師急救能力由原來的66.5%提升至97.4%，此策略可提供其他單位或新設病房之實務借鏡，以增強護理專業素養並保障病人安全。

CPR competence is essential for clinical nurses, who are often the first to initiate resuscitation. Inadequate preparation can delay interventions and endanger patient safety. In a newly established surgical ward, a baseline survey showed that nurses’CPR competence was poor, and response times were prolonged. Primary contributing factors included a lack of consensus and consistency in guidance among clinical instructors, insufficient education and training for nurses, unfamiliarity with the location of resuscitation supplies and equipment, and limited hands-on CPR experience. To enhance competence, we implemented a multifaceted training program based on the five phases of the ADDIE model: analysis, design, development, implementation, and evaluation. We created mind map workflows and mnemonic aids and developed instructional videos and scenario scripts. During implementation, we integrated Kolb’s Experiential Learning Cycle with high-fidelity simulations and immediate feedback to strengthen nursing skills and teamwork. Evaluation showed that this training model increased nurses’CPR competence from 66.5% to 97.4%. This structured approach may serve as a practical model for similar or newly established wards, strengthening nursing professionalism and enhancing patient safety.