Development and Implementation of a Focus-Charting-Based Nursing

美國學者Aiken, L. H等人曾發於期刊JAMA上表示，而護理人員承受過高的工作負荷便是造成每年兩萬名病人死亡的主因，然以台灣地區而言，根據2006年8月中華民國護理師公會與醫改會發表等文獻指出，目前護理人員照顧病人數是國外先進國家的一到六倍，極易影響醫療品質與病人照顧，造成病人住院時間延長，併發症、死亡率及可預防之意外事件增加。為提供更優質的全人健康照護，發展行動式的護理資訊系統，應是未來發展方向。本年度行動護理站計畫發展的行動式護理資訊系統，將提供護理人員在護理過程所遭遇的問題輔助，給予提示，並包含電子式記錄單張，避免檢索資料與重複抄寫的工時浪費，進而減低護理人員工作焦慮與煩惱，期望本計畫的實施與導入後，可降低護理人員工作負荷，增加護理人員直接照護病人時間，協助提升照護品質，保障就醫安全，且對於日後院內進行成本控管分析應有幫助。
Aiken etc all, represented in JAMA that nursing staffs exceeded high stress will bring about nearly 20,000 patients dead. According to studies from National Union of Nurses Associations and Taiwan Hospital Reform Foundation (THRF) in 2006, the number of patients cared per nurse staff is three to six times as many as those in other advanced
countries. Thus, it can be predicted that this problem will degrade the quality of inpatients nursing-care such as prolonged time of hospitalization, complication, increasing rate of dead and adverse events. To provide better healthcare service and quality care to inpatients, developing a mobile point-of-care focus nursing information system is the best solution to assist nursing staffs during the entire nursing process. With the aids of this system, clinical decision support can be suggested and prompted and so that dramatically decrease the loading of nurse staffs. We hope that this project can help to increase the healthcare quality, improve the inpatients safety, and contribute to further invention control issues in hospital management.