臺灣博碩士論文加值系統

轉送急重症病人進行檢查或治療被認為是高度危險的工作，將挑戰醫療團隊人員的合作與緊急應變能力。本研究目的在探討加護病房護理人員對急重症病人之院內轉送知識及設備需求的認知情形。依據目的及查證相關資料擬定研究架構，設計自擬問卷包括「護理人員對急重症病人轉送知識」、「護理人員對急重症病人轉送設備需求」及「護理人員之基本資料」三部分，於101年8月01日至101年8月31日，調查中部某醫學中心7個加護病房共200位護理人員。所收集資料以SPSS 17.0進行統計分析，結果顯示護理人員之ICU年資、過去工作經驗、過去工作年資、職級、曾接受急重症訓練及轉送急重症病人經驗皆與轉送知識總分有顯著差異(P< .05)。護理人員年齡越長者及過去工作年資越多者，其對轉送知識得分越高。擔任陪同轉送護理人員的特質為：(1)具備至少一年以上的臨床或急重症工作經驗;(2)接受過ICU或ACLS或IABP訓練課程;(3)熟悉操作急救的相關技術;(4)熟悉操作攜帶型儀器。本研究結果可提供醫療機構舉辦ICU護理人員的在職教育之參考，以達到安全轉送急重症病人的目的。

The purpose of the research is to explore ICU nursing staffs’ cognition of knowledge and equipment demands on transport of critically ill patients in a hospital. Based on the purpose and literatures, the study frame was designed. The self-made questionnaire was designed three parts, including “intra-hospital transport knowledge of critically-ill patients”, “intra-hospital transport equipment requirements of critically-ill patients”, and “the personal information”. In 2012, from August 1 to August 31 two hundreds nursing staffs were recruited from 7 ICU in a medical center of central Taiwan. The data were collected and analyzed by SPSS 17.0. The results in the study showed that there were significant differences between the years of ICU job, past work experience, the years of past jobs, job class, the past training of ICU, the experience of safely transporting ICU patients and the total scores of transport knowledge (P< .05). The nurses, having older ages and more years of past jobs, got the higher scores of safe transport knowledge. The characteristics of nurses, who took accompanied transporting, were to (1)have more than one years of clinical or critical job experience, (2)accept the ICU, ACLS or IABP training programs, (3)familiarly do first aid techniques, (4)familiarly do portable machines, The results of this study can make a reference to in-service educations for ICU nurses in the medical institutions. The purpose of safely transporting the critical ill patients will be achieved.

中文摘要 Ⅰ
英文文獻 Ⅱ
目錄 Ⅲ
圖目錄 Ⅵ
表目錄 Ⅶ
第一章 前言
第一節 動機及重要性 1
第二節 研究目的 4
第三節 研究問題 4
第四節 研究假設 5
第五節 名詞解釋 5
第二章 文獻回饋
第一節 急重症病人院內安全轉送之考量 9
第二節 病人安全之維護 10
第三節 病人院內安全轉送概念 11
第四節 院內安全轉送之管理 13
第三章 研究方法
第一節 研究架構 19
第二節 研究場所及對象 20
第三節 研究倫理 21
第四節 研究工具 21
第五節 研究工具之效度與信度 23
第六節 資料統計與分析 27
第四章 研究結果
第一節 加護病房護理人員之基本資料 31
第二節 加護病房護理人員對急重症病人院內安全轉送的知識得分 36
第三節 加護病房護理人員對急重症病人院內安全轉送的設備需求 39
第四節 不同屬性之加護病房護理人員對急重症病人院內安全轉送的知識總分之比較 43
第五節 不同屬性之加護病房護理人員對急重症病人院內安全轉送知識之關係 45
第五章 討論
第一節 加護病房護理人員之基本資料 49
第二節 加護病房護理人員的急重症病人安全轉送知識程度 50
第三節 加護病房護理人員對急重症病人院內安全轉送設備需求的看法 51
第四節 加護病房護理人員之不同屬性與安全轉送知識總分之差異 52
第五節 加護病房護理人員之基本屬性對急重症病人院內安全轉送知識之迴歸分析 53
第六章 結論與建議
第一節 結論 55
第二節 研究限制 56
第三節 建議 56
參考資料
英文部分 57
中文部分 61
附錄一 人體試驗研究計畫同意書 65
附錄二 問卷調查受試者同意書 66
附錄三 原始版問卷 70
附錄四 專家修訂後問卷 77
附錄五 專家效度名單 84


圖目錄
圖3-1 研究架構 20


表目錄
表3-1 問卷之信效度分析 27
表3-2 資料分析的項目及統計方法 30
表4-1 護理人員基本資料（N＝200） 34
表4-2 護理人員對急重症病人院內安全轉送的知識得分情形（N＝200） 37
表4-3 護理人員對急重症病人院內安全轉送知識各題目得分（N＝200） 38
表4-4 護理人員對急重症病人院內安全轉送設備需求分析（N＝200） 41
表4-5 護理人員之不同屬性對急重症病人院內安全轉送知識總分之比較 44
表4-6 護理人員之不同屬性對急重症病人院內安全轉送知識總分之相關性 47
表4-7 不同屬性之加護病房護理人員對急重症病人院內安全轉送的知識之迴歸分析（N＝200） 48

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