Summary: | 碩士 === 國立臺北護理健康大學 === 醫護教育暨數位學習研究所 === 106 === Extracorporeal membrane oxygenation (ECMO) is a cardiopulmonary assist device. Caring for paients on ECMO require numerous technical, cognitive and non-technical skills, such as effective communication skills. Furthermore, regular practice, familiarity with the ECMO machine and continual in-service education are necessary to ensure the safe care of patients on ECMO. This study investigated the needs of intensive care unit (ICU) nurses regarding in-service education and teaching approaches for the care of patients on ECMO.
Purposive sampling was employed to investigate the needs of 108 ICU nurses. Research data were collected through a self-administered questionnaire and cross-sectional study. Frequency distribution, percentage, mean, and standard deviation were used in descriptive statistics, and an independent t test, One-Way ANOVA, a chi-squared test, and Pearson Correlation coefficient were adopted for inferential statistics. The results revealed a high level of need for in-service education regarding the knowledge and skills in caring for patients on ECMO, of which a higher need was found in young nurses (r = ˗.20). The preferred teaching approach for knowledge associated with ECMO care was classroom teaching (P < .00), whereas the majority of nurses preferred to acquire the relevant skills through clinical practice.
The results also revealed that in-service education for clinical staff should be divided into basic and advanced courses and that medical units should purchase simulators of patients on ECMO, collaborate with ECMO experts to develop training courses, and hold regular certification examinations to ensure the care capacity of their nurses.
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