摘要
目的：探讨护士短板修复方案对手术室护理质量的影响。方法选取62名手术室护士,通过短板评估量表获得护士的短板,实施护士短板修复方案。结果年龄越小、职称越低、文化程度越低的护士越容易出现短板。护士短板修复方案实施后,护士整体的综合能力都有明显提升。其中N0、N1、N2、N3、N4级护士综合能力由实施前的（70.36±5.38）,（74.86±7.25）,（76.38±6.86）,（82.35±4.72）,（86.97±2.35）分提高到实施后的（79.58±3.61）,（83.69±3.45）,（85.31±3.11）,（90.56±2.45）,（96.48±2.33）分,差异有统计学意义（t值分别为9.846,9.012,9.327,8.742,11.356；P〈0.01）。62名护士实施护士短板修复方案前接错患者出现的比例为14.52%,手术体位安置方向有误为19.35%,器械准备不全为16.13%,清点有误为20.97%,仪器使用不当为17.74%,用药有误为9.68%,术中标本保存不当或丢失为27.42%,实施后仅有手术体位安置方向有误和清点有误各有1名护士出现护理失误,其余6项均未出现护理失误。结论通过对护士工作中的短板进行修复,减少了护理差错的发生率,提高了手术室整体护士的综合能力,减少了手术过程中护理事故的发生,提高了手术室的护理质量。
Objective To explore nurse′s shortcoming repair scheme （ NSRS ） impacting on nursing quality in Operating Room （ OR） . Methods A total of 62 OR nurses had been chosen as sampling received NSRS after utilizing nurse′s shortcoming scale to acquire shortcomings. Results Nurses had the more younger, lower occupational title and educational background, the easier acquired shortcomings. After application of NSRS, the total comprehensive abilities of nurses improved apparently, of which the comprehensive ability of grade N0, N1, N2, N3 and N4 nurses were （70. 36 ± 5. 38）, （74. 86 ± 7. 25）, （76. 38 ± 6. 86）, （82. 35 ± 4. 72）, （86. 97 ± 2. 35） scores before NSRS implementation improved to （79. 58 ± 3. 61）, （83. 69 ± 3. 45）, （85.31 ±3.11）, （90.56 ±2.45）, （96.48 ±2.33） after NSRS implementation （t=9.846, 9.012, 9.327, 8. 742, 11. 356;P 〈0. 01）. Before NSRS implementation, the rates were 14. 52%, 19. 35%, 16. 13%, 20. 97%, 17. 74%, 9. 68 % and 27. 42% for taking wrong patents, arranging wrong operative position, incomplete operative equipment preparation, counting mistake, improper use of equipment, medicine error, specimen improper preservation; after NSRS used, there were just one cases for arranging wrong operative position and count error, and the other 6 parts had no nursing error. Conclusions Through repairing nurse′s shortcoming, the incidence of nursing error reduces and the overall OR nurses′comprehensive abilities improve. It also can reduce the surgical care in the process of the accident, and improve the nursing quality of OR.
出处
《中华现代护理杂志》
2015年第10期1193-1195,共3页
Chinese Journal of Modern Nursing
关键词
手术室
护理质量审核
短板修复方案
Operating room
Nursing quality audit
Shortcoming repair scheme
