呼吸照護中心裡充滿著長時間依賴呼吸器、臥床的患者。他們的眼前多是一片白花花的天花板。在呼吸照護中心裡工作六年的佳昀，照護著如此的患者，肩上扛著重重的責任，讓我們的病患活得更好，無論是生理、心理，還是靈性上，用一股滿腔的熱忱來照護我們的病患。
有位年約70多歲的病患，因腦中風而長期臥床，平時病患大大小小的事都由女兒照顧，此次因腦血管再度嚴重栓塞，而住進呼吸照護中心，其病況一直都不樂觀，僅能維持病人的生命徵象，在接近臨終時，醫師表示只能盡人事並與其討論是否要施行心肺復甦術，他女兒因無法接受病患即將離開，決定積極急救，而在佳昀與其女兒會談的過程中，了解到母女間彼此依賴著對方，女兒沒有結婚，生活重心都在母親身上，現在即將失去心裡的支柱，當佳昀一一回答女兒的問題，了解了女兒的困境，協助其在有限時間及空間中，營造母女相聚的時光，為病患設想出一些提高舒適度的措施，護病關係從此建立起。經多次的溝通，她了解到「既然無法改變就試著放下吧!如果只因不捨，讓母親在最後要離開的階段，受那麼多的折磨，放手或許對病患也是一種慈悲的解脫」。最後，她選擇放手了，病人在家人的陪伴下，安靜、祥和有尊嚴的離開，女兒接受了病患的離開。
佳昀從事護理工作的理念，是以維護病患的尊嚴及舒適為中心，以個人最大的力量為半徑，又涵蓋了家屬的立場，來照護病患。她的表現符合了敏盛體系的核心價值:
■『誠信』：
1.達成病患或家屬要求。
2.可自我要求於時限內完成單位業務。
3.堅持遵守單位內規定與制度。
■『創新』：
1.擔任單位護品組組長，制定單位各項品質監測計劃，協助監測及推動各項護理品質計劃。
2.擔任單位副護理長，制定單位年度各項在職教育，推動各項護理在職教育。
3.擔任護理部護理教育委員，推動各項護理部在職教育及進階業務。
■發展：
1.於在職期間完成元培科技大學之學業。
2.99年主動參與護理部舉辦行政訓練課程，99年晉升為單位副護理長。
■卓越：
1.與病患及家屬建立起良好護病關係，發現病患及其家庭之困難，提供適當資源。
■分享：
1.擔任單位臨床教師、輔導新進人員、護生，具教學熱忱與耐心，協助適應。
2.能配合護理部之臨時人力調度，主動協助支援其他單位人力。
Nurse Wu Jai-Yun worked on the ventilator care unit for 6 years. The patients are all long term chronic respiratory dependent patients. Most of these patients are unresponsive and they stare blindly in the white ceiling every day and that may be the only thing they see day in and day out. Typically the nurse's duty can also be mundane and repetitious. But to nurse Wu, she sees her job is to not only take good care of the patients physically with compassion and enthusiasm but also provide emotional and spiritual support to the patients and their family.
She once had to attend to a 70 years old female patient who was ventilator dependent, and bed ridden after a severe stroke. Her condition wasn’t stable and the outlook was not too optimistic. The patient relied on machines to maintain her vital signs, and her primary caregiver was her daughter. When the physician discussed the DNR option for her mother, her daughter refused and insisted on aggressive resuscitation instead.
While interacting with the patient’s daughter, Nurse Wu Jia-Yun realized that there was a strong bond between the daughter and her mother. The daughter was not married and her mother was her life’s only focus. Losing her mother would mean lose her motivation for other things. Understanding the situation, Nurse Wu Jia-Yun made exception to the visiting-hours limitation, hence increasing the time available to the daughter to care for the patient. Ms. Wu also made efforts to improve the comfort level of the patient, by relieving her pain and providing spiritual support. Through interaction, she soon developed a very good relationship with the patient’s daughter. Ms. Wu helped the daughter cope and grieve. The patient’s daughter began to understand that since nothing could be done that would improve her mother’s condition, letting go may be the best way to relieve her mother from suffering. She eventually accepted the DNR option for her mother, and the patient passed away surrounded by her family in peace and dignity.
For Nurse Wu Jia-Yun, the core of good patient care is to maintain the patient’s dignity and improve his or her comfort during illness. The scope of care is also extended to the patient’s relatives. She demonstrated the core values of Min-Sheng Healthcare Network in:
■ Honesty：
1. Complete duties within timeframe.
2. Follow hospital and department policies and procedures.
■ Originality：
1.Involved in quality indicator monitoring, and in various quality improvement projects.
2. Involve in developing nursing continuous education.
■ Progression：
1. Pursued further academic degree while working at the same time.
2. Voluntarily attended nursing administration training course and was promoted as the deputy head nurse of the respiratory care center in 2010.
■ Excellence：
1. Proactively identifies patient and family needs/difficulties and provides recourses and support.
2. Patient and family satisfaction.
■ Sharing：
1. Is a clinical mentor and teaches new staff and nursing students; she is viewed by others as enthusiastic and a patient mentor.
2. Willing to cover extra shifts and support other units when there’s a staffing shortage.
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