急診護理人員運送空中後送患者停機坪至急診交接階段之教育需求分析

Educational Needs Assessment of Emergency Nurses During Air-to-Ground Patient Handoff to Emergency Department

背景： 隨著全球災難事件頻傳與偏遠地區醫療資源需求上升，空中醫療服務在近年獲得高度關注，然有關停機坪至急診的空中患者交接流程之教育訓練較少被探討，恐影響患者安全與護理人員應變表現，極需深入了解急診護理人員教育需求與訓練重點。

目的： 本研究旨在探討急診護理人員在執行「停機坪至急診交接階段」空中患者轉送能力教育訓練之需求與優先順序。

方法： 本研究以自擬之「急診護理人員之空中患者轉送教育訓練需求評估問卷」進行橫斷式問卷調查法，共有63位急診護理師參與。以重要性績效表現分析及Borich需求評估模型進行教育需求的分析。

結果： 研究結果顯示，護理人員在現行的停機坪至急診之空中患者轉送中，「前置準備」、「過程監控」、「角色職責」的重要性和自覺表現間皆存在顯著差異（p < .001）。Borich需求排名的結果則以「各角色在空轉任務中的職責」為第一優先的學習需求。

結論/實務應用： 急診護理人員對於「直升機安全」、「病患轉移方法」與「團隊職責」等具高風險特性的任務具高度學習需求，建議未來教育訓練應強化此三大面向，以提升空中患者轉送實務應變與團隊協作能力。

Background: With the increasing frequency of global disasters and the growing demand for medical resources in remote areas, aeromedical services have received heightened attention in recent years. However, limited emphasis has focused on training and education related to the handoff process from the helipad to the emergency department, which may compromise patient safety and affect nurses’ performance during critical transitions of care. A clear understand-ing of emergency nurses’ educational needs and training priorities is therefore essential.

Purpose: The study aimed to assess the educational needs and priorities of emergency nurses regarding competencies required during air-to-ground patient handoff from the helipad to the emergency department.

Methods: A cross-sectional survey design was employed using a self-developed Education and Training Needs Assessment Questionnaire for Air-to-Ground Patient Handoff Among Emergency Nurses. A total of 63 emergency nurses participated. Educational needs were analyzed using Importance–Performance Analysis and the Borich Needs Assessment Model.

Results: Significant gaps were identified between perceived importance and self-rated performance across three do-mains of air-to-ground patient handoff: pre-transfer preparation, process monitoring, and role responsibilities (all p < .001).According to Borich’s analysis, role-specific responsibilities during air-to-ground patient handoff were ranked as the highest educational priority.

Conclusions/Implications for Practice: Emergency nurses demonstrated substantial learning needs in high-risk task domains, including helicopter safety, patient transfer techniques, and team roles and responsibilities. Future training programs should prioritize these core competencies to enhance patient safety, improve transfer efficiency, and strengthen interprofessional teamwork during aeromedical patient handoff.