台灣中心醫護人員被期待具備的院內急救能力

論文名稱(中/英文)	研究生	指導教授
台灣中心醫護人員被期待具備的院內急救能力 Emergent Nursing Competencies Expected in Medical Centers in Taiwan	藍章杰	徐曼瑩博士
[ 摘要 ]
提供病患安全的治療環境，是現今提昇病患服務品質的重要指標，本研究目的在描述醫學中心院內個案需急救之情境和探討醫學中心護理人員被期待具備的院內各種急救情境之急救能力。本研究先採用訪談和文獻分析兩種方法，修正傳統的德懷術，再邀請我國12家醫學中心院內急救小組的20位成員擔任專家提供三回合問卷意見。三回合問卷回收率均達100%，資料包含質性與量性，經過分析後共獲得醫學中心院內急救情境八類73項和急救能力八類126項。情境及能力項目均進一歩交叉分析其重要性與常見性;情境方面，重要性及常見性皆高度者有25項，重要性高度而常見性中度者40項，重要性高度而常見性低度者8項。急救能力方面，重要性及常見性皆高度表達有錯誤者112項，重要性高度而常見性中度者9項，重要性高度而常見性低度者4項，重要性和常見性皆中度者1項;急救能力在雇用期、起始及後續發展期三段時間的分析，結果發現;雇用期急救能力被期待具備者有59項、起始期60項、後續發展期52項，有2項尚待進一歩確認。研究結果可提供學校急救模組護理課程設計之參考，醫療機構遴選新進護理人員在指標急救能力方面，甚至護理人員自我評量急救能力、醫院在職教育訓練課程的參考。
[ Abstract ]
To provide safety treatment environment for the admitted patients is the most important indicator to promote the quality of patient health. In order to understand the true meaning of patient safety, the study not only explored the emergent situations of admitted patients in medical centers, but also confirmed the clinical nurses’ emergent competencies in medical center to meet the emergent situations. The modified Delphi technique was adopted and 20 emergency experts were selected from the code blue team of 12 medical centers. All experts participated 3-rounded questionnaires with a return rate of 100%. The result indicates that eight categories and 73 items emergent situations and 126 items emergent competencies were confirmed. The importance and occurrence of these situations and competences were cross analyzed. The situations which valued highly in both importance and occurrence among all have 25 items, while the ones valued highly in importance but moderate occurring situations have 40 items. The ones valued highly in importance but low occurring situations have 8 items. The emergent competences in the medical centers valued highly in both importance and occurring among all eight categories 126 items have 112 items, while the ones valued highly in importance but moderate occurring have nine items, the ones which valued highly in importance and low occurring have four items. the ones which valued moderate in both importance and occurring have one item. Meanwhile, the medical centers nursing staffs also be expected to possess competencies by career stages (hire, initial and ongoing stages), 59 items of hire competences, 60 items of initial competences, and 52 items of ongoing competences. Yet two items of emergent competences in medical centers are not to be categories owing to reach less 50% consensus between the experts . The conclusion can be provided not only as the foundation of modular course for nursing colleges but also as a criterion to select the new nurses. Furthermore, it could be a tool of self-evaluation and the foundation of nurse continue education.