提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性.

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  • Additional Information
    • Affiliation:
      高雄醫學大學附設中和紀念醫院護理部護理師
      高雄醫學大學護理系助理教授
      高雄醫學大學附設中和紀念醫院護理部護理長
      高雄醫學大學附設中和紀念醫院護理部督導
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Therapeutic hypothermia can reduce infant mortality caused by perinatal asphyxia. According to the current statistics, the number of cases receiving hypothermia therapy using cold cap is low, but each case is significant, as the future application of the device is likely to increase. The integrity of the cold cap therapy was only 62% due to limited number of cases available and the nursing staff lacking experience. To ensure the process integrity of cold cap therapy in nursing staff, the following interventions were implemented from April 10th to Nov. 30th, 2013: establishing standard operating procedure (SOP), develop a flow chart to reduce processing time, generate a QR code linked to the SOP to facilitate a continual, convenient, and consistent education, hold on-the-job training, set probationary system to increase nursing experience, and implement checklists and monitoring program. The implementation of SOP significantly reduced preparation and installation time, improved the process flow of cold cap installation, and increased the integrity of cold cap therapy from 66.2% to 100%, which is a clear indication of improved care ability and quality in our nursing staff.
      低溫療法可降低周產期窒息所造成新生兒死亡率。統計目前冷卻帽低溫療法人數雖少 但重要性大且未來使用性可能會逐漸增加。因個案數少、護理人員照護經驗不足導致作 業流程完整性僅66.2%。為提升人員執行冷卻帽照護完整性,於2013年04月10日-11月30 日改善:1.建立作業標準化。2.制定檢視表減少裝置耗時。3.將其標準作業設置QR code以 增進持續、便利及一致性教學。4.舉辦在職教育。5.訂定見習制度增加照護經驗。6.制定 作業審核表及監測計劃。結果:藉由標準化實施縮短了備物及裝置時間,提升冷卻帽裝 置作業之流程,冷卻帽照護作業流程完整性由66.2%提升為100%,顯示人員已提升照護 能力與品質。
    • Journal Subset:
      Asia; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed
    • ISSN:
      1683-1624
    • MEDLINE Info:
      NLM UID: 101216490
    • Publication Date:
      20190112
    • Publication Date:
      20190308
    • Accession Number:
      134018730
  • Citations
    • ABNT:
      陳淑芬 et al. 提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性. Tzu Chi Nursing Journal, [s. l.], v. 17, n. 5, p. 89–100, 2018. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=134018730&authtype=sso&custid=s5834912. Acesso em: 7 ago. 2020.
    • AMA:
      陳淑芬, 魏秀芳, 謝秀芬, 范惠珍, 劉春卿. 提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性. Tzu Chi Nursing Journal. 2018;17(5):89-100. Accessed August 7, 2020. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=134018730&authtype=sso&custid=s5834912
    • APA:
      陳淑芬, 魏秀芳, 謝秀芬, 范惠珍, & 劉春卿. (2018). 提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性. Tzu Chi Nursing Journal, 17(5), 89–100.
    • Chicago/Turabian: Author-Date:
      陳淑芬, 魏秀芳, 謝秀芬, 范惠珍, and 劉春卿. 2018. “提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性.” Tzu Chi Nursing Journal 17 (5): 89–100. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=134018730&authtype=sso&custid=s5834912.
    • Harvard:
      陳淑芬 et al. (2018) ‘提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性’, Tzu Chi Nursing Journal, 17(5), pp. 89–100. Available at: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=134018730&authtype=sso&custid=s5834912 (Accessed: 7 August 2020).
    • Harvard: Australian:
      陳淑芬, 魏秀芳, 謝秀芬, 范惠珍 & 劉春卿 2018, ‘提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性’, Tzu Chi Nursing Journal, vol. 17, no. 5, pp. 89–100, viewed 7 August 2020, .
    • MLA:
      陳淑芬, et al. “提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性.” Tzu Chi Nursing Journal, vol. 17, no. 5, Oct. 2018, pp. 89–100. EBSCOhost, widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=134018730&authtype=sso&custid=s5834912.
    • Chicago/Turabian: Humanities:
      陳淑芬, 魏秀芳, 謝秀芬, 范惠珍, and 劉春卿. “提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性.” Tzu Chi Nursing Journal 17, no. 5 (October 2018): 89–100. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=134018730&authtype=sso&custid=s5834912.
    • Vancouver/ICMJE:
      陳淑芬, 魏秀芳, 謝秀芬, 范惠珍, 劉春卿. 提升新生兒加護病房護理人員 冷卻帽照護作業流程之完整性. Tzu Chi Nursing Journal [Internet]. 2018 Oct [cited 2020 Aug 7];17(5):89–100. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=134018730&authtype=sso&custid=s5834912