赋予护士在麻醉后护理单位提高认证率:一个协作团队方法
Diala Epstein1, Patricia Maria Lavin1, Jennifer Withall1
1NYU Langone Orthopedic Hospital, PACU, New York, NY.
概括
一项由临床护士领导的倡议通过解决考试费用和考试焦虑等障碍,成功提高了麻醉后护理单位 (PACU) 专科护理认证率. 该计划将认证护士人数提高到60%,超过了目标,并培养了持续学习的文化.
科学领域:
- 护理专业发展 护理专业发展
- 改善医疗保健质量 改善医疗保健质量
- 临床的卓越 临床的卓越
背景情况:
- 骨科医院的麻醉后护理单位 (PACU) 注册护士 (RN) 的认证率低于组织的基准.
- 一项由临床护士领导的倡议被实施,以弥补这一差距,并改善专业护士认证.
研究的目的:
- 描述旨在支持,奖励和认可PACU RN获得和保持专业护理认证的战略和干预措施.
- 提高经过认证的PACU RNs达到或超过组织基准的百分比.
主要方法:
- 一个绩效改进项目利用了计划-做-研究-行动 (PDSA) 循环.
- 通过差距分析和基于网络的匿名调查,在符合条件的PACU RN中发现了认证障碍.
- 项目团队包括PACU护士领导,认证RN,护理专业发展专家和跨学科专家.
主要成果:
- 确定的主要障碍是认证考试的费用 (73%),测试过程的不适 (66%) 和需要更好地获得审查材料 (61%).
- 实施策略包括同行对同行考试准备小组和增强的奖励/认可计划.
- 该计划从基准水平大幅提高了PACU RN专业认证率,达到60%,超过了51%的项目目标.
结论:
- 同行教育和与护理领导层的合作努力有效地提高了PACU认证率.
- 信息和认可策略对护士追求认证的兴趣产生了积极的影响.
- 预计建立的支持系统将维持并进一步提高PACU的认证率.
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