摘要
目的探讨品管圈(QCC)活动在提高神经外科护士瞳孔观察准确率的应用效果。方法成立品管圈,根据迫切性、圈能力等选定本次活动主题,拟定活动计划书,进行现况调查,依据改善重点及圈能力设定目标、原因解析、拟定可行性对策、实施对策,比较品管圈活动前后瞳孔观察的准确率,确认品管圈实施后的效果。结果有形成果方面,开展QCC活动前,全科护士专科理论知识测试为(83.11±4.55)分,活动后为(90.59±3.57)分,开展QCC活动前后比较,全科护士专科理论知识明显提高,差异有统计学意义(P<0.05)。开展QCC活动前,瞳孔观察准确率为47.50%,活动后为90.83%,开展QCC活动前后比较,瞳孔观察准确率显著提高,差异有统计学意义(P<0.05)。在无形成果方面,开展品管圈活动后,圈员的解决问题能力、责任心、协调沟通能力、团队凝聚力、自信心、积极性、品管圈手法的运用能力及幸福感8个方面自我评分均高于活动前,差异有统计学意义(P<0.05)。结论 QCC活动能提高神经外科护士专科护理知识水平,提升全科护士科研能力及对QCC的认识、运用能力、执行力等,提高瞳孔观察准确率。
Objective To explore the application effects of quality control circle （QCC） on improving accuracy of pupil observation for nurses in the department of neurosurgery. Methods Quality control circle was established. The theme of the activity was determined according to urgency and circle capacity, and activity proposal was decided. Investigation on current situation was carried out, and objective was set according to the focus on improvement and circle capacity. Reasons were analyzed, and feasible strategies were proposed and implemented. Accuracy of pupil observation before and after the QCC activity was compared, and the effects after the implementation of QCC was confirmed. Results As for tangible results, the scores of examination on specialized theoretical knowledge for nursing practitioners was （83.11 ~4.55） before the QCC activity, and the scores were （90.59~3.57） after the activity, the specialized theoretical knowl- edge for nursing practitioners significantly improved, and the difference was statistically significant （P〈0.05）. Accuracy of pupil observation was 47.50% before the QCC activity, and the accuracy was 90.83% after the activity, the accuracy of pupil observation after the activity significantly improved compared to that before the activity, and the difference was statistically significant （P〈0.05）. As for intangible results, self scores from the circle members in 8 aspects including a- bility of solving problems, responsibility, ability of coordination and communication, team coherence, confidence, enthu- siasm, ability of applying quality control circle and happiness were all higher than those before the activity, and the differences were statistically significant （P〈0.05）. Conclusion The activity of QCC is able to improve the level of spe- cialized nursing knowledge for nurses in the department of neurosurgery, enhance the ability of scientific research, un- derstanding of QCC, application ability and execution for nursing practitioners, and improve the accuracy of pupil ob- servation.
出处
《中国现代医生》
2015年第15期136-139,共4页
China Modern Doctor
关键词
品管圈
瞳孔观察
专科护理
执行力
Quality control circle
Pupil observation
Specialized nursing
Execution
