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安全的患者搬运与移动:一项大规模教育项目的开发与实施

Safe Patient Handling and Mobility: Development and Implementation of a Large-Scale Education Program.

作者信息

Lee Corinne, Knight Suzanne W, Smith Sharon L, Nagle Dorothy J, DeVries Lori

机构信息

Professional Development and Education, University of Michigan Health System, Ann Arbor, MI.

出版信息

Crit Care Nurs Q. 2018 Jul/Sep;41(3):253-263. doi: 10.1097/CNQ.0000000000000204.

DOI:10.1097/CNQ.0000000000000204
PMID:29851674
Abstract

This article addresses the development, implementation, and evaluation of an education program for safe patient handling and mobility at a large academic medical center. The ultimate goal of the program was to increase safety during patient mobility/transfer and reduce nursing staff injury from lifting/pulling. This comprehensive program was designed on the basis of the principles of prework, application, and support at the point of care. A combination of online learning, demonstration, skill evaluation, and coaching at the point of care was used to achieve the goal. Specific roles and responsibilities were developed to facilitate implementation. It took 17 master trainers, 88 certified trainers, 176 unit-based trainers, and 98 coaches to put 3706 nurses and nursing assistants through the program. Evaluations indicated both an increase in knowledge about safe patient handling and an increased ability to safely mobilize patients. The challenge now is sustainability of safe patient-handling practices and the growth and development of trainers and coaches.

摘要

本文介绍了某大型学术医疗中心一项关于安全患者搬运与移动的教育项目的开发、实施和评估情况。该项目的最终目标是提高患者移动/转移过程中的安全性,并减少护理人员因抬举/拉动患者而导致的受伤情况。这个综合项目是基于护理现场的前期准备、应用和支持原则设计的。采用在线学习、示范、技能评估以及护理现场指导相结合的方式来实现目标。明确了具体的角色和职责以促进项目实施。共有17名高级培训师、88名认证培训师、176名科室培训师和98名指导人员参与,为3706名护士和护理助理开展了该项目。评估结果显示,护士们在安全患者搬运方面的知识有所增加,安全移动患者的能力也有所提高。目前面临的挑战是安全患者搬运实践的可持续性以及培训师和指导人员的成长与发展。

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