提升急診病人傷口護理指導滿意度

Patients and their family members of emergency room (ER) are not taking good care of their wounds, and repeated ER visits have led to a waste of medical resources. According to the study in 2017, the number of emergency patients who returned to the ER visit within 3 days due to wound infection, among total 162 patients, there were 26 persons (16%) who were stranded in ER or admitted for further observation. After analyzing the current situation, we found that nurses have low awareness of wound care, lack of wound care education and training, lack of nursing guidance tool, as well as lack of nursing guidance standard operation procedure (SOP) and too much interference in the ER. The proposed improvement measures include: holding on-the-job training courses, revising the nursing guidance leaflet, establishing nursing guidance SOP, making creative plaster wound models, nursing guidance posters and videos. After implementation, the accuracy rate of the nurses' awareness of wound care has increased from 75.8% to 96.7%. Wound care nursing guidance completion rate has increased from 77.6% to 97.8%. Patient satisfaction with wound care guidance increased from 64% to 92.3%. The project goal had been achieved.