| Summary: | 碩士 === 國立台北護理學院 === 醫護教育研究所 === 98 === ABSTRACT
The purpose of nursing shift report task is to protect patient safety and continuity of care, essential to effective communication. Ability to practice nursing shift report is one of the necessary practice competency, but the literature still lacks the competency-based curriculum and instruction. Therefore, this study based on the theory of effective communication, the study aims to: (a) Construction and standardization of surgical ward nursing shift change process, (b) design competency of nursing shift repots modular curriculum and teaching materials. To achieve this two studies, the research literature review, clinical interviews and focus group interviews to collect information on three methods, after three stages, 11 steps. Findings of the study include: (a) complete the standardization of the "nursing shift reports," the implementation process, (b) confirm that "nursing shift reports," the implementation process must possess the competency, (c) competency to complete four modules to practice nursing shift reports curriculum ( nursing shift reports task prior knowledge, nursing shift reports process, nursing shift reports situational awareness and determine decision-making, nursing shift reports issues including patient safety), (d) medical and surgical nursing shift reports modular curriculum of study manual.
Based on the results and literature review, and make two conclusions ：(a) the nursing shift reports is based on the theory of communication, but also to achieve effective communication requires nursing shift reports the conditions of prior knowledge on the nursing shift report situational understanding and decision-making process competency to determine the nursing shift repors the message for accuracy and completeness.Nursing shift reports can therefore use the correct record of the shift reports and there is a single,as well as effective communication skills,effective time management,and facilitate continuity of care. (B) nursing shift reports by the full competency of modular curriculum , strengthening communication skills between nurses and learn way of doing things with the attitude, the shift reports to correct, to establish the organizational culture of patient safety.
Finally, this study offers new pre-clinical training institution or school training competency of nursing students practice nursing shift reports reference.
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