摘要
目的：探讨全员参与质量管理模式对内分泌科护理质量的影响。方法从2012年1月开始实施全员参与护理质量管理模式,将本科室护理人员分成6组,轮流参与护理质量管理,评价全员参与质控实施前（2010年1月—2011年12月）和实施后（2012年1月—2013年12月）内分泌科的护理质量、护理缺陷重复发生率及患者的满意度。结果实施全员参与护理质量管理后患者安置、饮食护理、病情观察、护理实效、健康教育、护士行为、护理记录、效果评价及质量标准评分分别为（28.31±0.82）,（9.56±0.33）,（9.82±0.11）,（28.63±0.82）,（9.86±0.12）,（28.25±1.02）,（9.91±0.08）,（9.58±0.36）,（9.77±0.22）分,分别优于实施前,差异有统计学意义（t值分别为-6.254,-5.236,-3.145,-6.124,-5.412,-2.596,-4.251,-4.315,-4.211；P〈0.05）。实施全员参与治理控制后患者的总满意度由实施前的90.0%提高到实施后的100.0%,差异有统计学意义（χ^2 =6.236,P〈0.05）。实施全员参与治理控制后安置患者、饮食护理不当、记录不全、病情观察不及时、医疗纠纷、用药有误、内分泌疾病注意事项介绍不全发生人数均有所减少,与实施前比较,差异有统计学意义（χ^2 值分别为3.569,4.425,3.885,6.659,4.236,3.805,8.559；P〈0.05）。结论全员参与护理质量控制管理充分调动了全体护士的工作积极性,提高了护士的质量管理意识,同时也提高了护士的管理能力和护理质量,提高了患者对护士的满意度。
Objective To explore the impact of the total participation in quality management on the nursing quality of endocrine department. Methods Since January 2012, all the nurses participated in the nursing quality management mode. The nurses were divided into 6 groups and took turns to participate in nursing quality management and evaluated the nursing quality, nursing defects repetition rate and patients′ satisfaction before （ January 2010 to December 2011 ） and after （ January 2012 to December 2013 ） the intervention of quality control. Results After implementation of the participation in nursing quality management, the scores of patients settlement, diet nursing, symptom observation, nursing effect, health education, nursing behavior, nursing record, effect evaluation and quality standard were （28. 31 ＆#177; 0. 82）, （9. 56 ＆#177; 0. 33）, （9. 82 ＆#177; 0. 11）, （28. 63 ＆#177; 0. 82）, （9. 86 ＆#177; 0. 12）, （28. 25 ＆#177; 1. 02）, （9. 91 ＆#177; 0. 08）, （9. 58 ＆#177; 0. 36） and （9. 77 ＆#177; 0. 22）, which were significantly higher than those before the implementation （ t = -6. 254, -5. 236, -3. 145, -6. 124,-5. 412, -2. 596, -4. 251, -4. 315, -4. 211, respectively;P 〈0. 05）. The satisfaction increased from 90. 0% to 100. 0% after the implementation, which had significant difference （χ^2 =6. 236,P 〈0. 05）. The incidences of improper patients settlement, improper diet nursing, record incomplete, symptom observation not in time, medical dispute, misuse of medication, incomplete of health education decreased significantly （χ^2 =3. 569, 4. 425, 3. 885, 6. 659, 4. 236, 3. 805, 8. 559, respectively;P 〈0. 05）. Conclusions Through the total participation in nursing quality control management, we fully mobilize all the nurses′ working enthusiasm, improve the quality of the nurse management consciousness, and improve the management ability of the nurses and nursing quality, so as the patients′satisfaction of nurses.
出处
《中华现代护理杂志》
2015年第16期1945-1948,共4页
Chinese Journal of Modern Nursing
基金
国家临床重点专科经费资助项目（2012-649）
关键词
卫生保健质量
全员参与
内分泌科
Healthcare quality
Total participation
Endocrine department
