骨科跨病房團體護理指導改善方案

The purpose of this paper was to increase the attention rate of across-ward group education for total knee arthroplasty patients. Only 38% of patients joined the group education at the orthopedic ward of the medical center in 2005. Analysis showed that some causes were that the dates of operation changed, the patients were admitted too late, and they lacked the standard process of across-ward group education, thus the nurses had less cooperation. Based on these causes, we established an action team to plan some interventions. These included adjusting the time and date of across ward group education, having a specified member leading the patient education class, and standardizing the process. The outcome showed that the attention rate increased to 76.3%. The goal- reached rate was 148.4%, and the promotion rate was 100.8%. The result also indicated that less time was spent in group education, saving about 2230 minutes during four months. Finally patient satisfaction was increased from 97 to 99.5%.