摘要
目的分析故障树分析法应用于呼吸内科护理管理效果以及护理质量的改善效果。方法选取2020年1月—2022年2月湖南省职业病防治院呼吸内科工作的20名护理人员为研究对象,根据时间先后的顺序将2020年1月—2021年1月设定为对照组,实施临床常规管理方式;2021年2月—2022年2月设定为观察组,实施故障树分析法管理模式。分析两组护理技能、患者对护理的满意度、医生对护理工作的满意度、护理不良事件发生率以及护理人员的工作态度。结果观察组护理人员的日常护理、无菌操作、健康教育和应急操作技能分值高于对照组,差异有统计学意义(P<0.05);观察组患者对护理工作满意度分值高于对照组,差异有统计学意义(P<0.05);观察组的医生对护理工作满意度高于对照组,差异有统计学意义(P<0.05);观察组护理管理不良事件发生率明显低于对照组,差异有统计学意义(P<0.05)。结论故障树分析方法在呼吸内科护理管理中的应用价值较高,通过构建故障树来发现问题并进行预防,能够提高工作效率以及临床护理安全性,还能有效降低护理不良事件的发生率,充分调动护理人员工作积极性以及风险意识。
Objective To analyze the effectiveness of fault tree analysis applied to the management of respiratory care and the improvement of quality of care.Methods From January 2020 to February 2022,20 nursing staff in the Department of Respiratory Medicine of Hunan Provincial Occupational Disease Control and Prevention Hospital were selected as the research objects.According to the order of time,January 2020 to January 2021 was set as the control group to implement routine clinical management.From February 2021 to February 2022,the observation group was set up to implement the fault tree analysis management mode.The nursing skills,patients´satisfaction with nursing,doctors´satisfaction with nursing work,the incidence of nursing adverse events and the working attitude of nursing staff were analyzed in the two groups.Results The scores of daily nursing,aseptic operation,health education and emergency operation skills of nursing staff in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The score of nursing job satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The doctors´satisfaction with nursing work in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of nursing management adverse events in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of fault tree analysis in respiratory care management is of high value.By constructing a fault tree to identify and prevent problems,it can improve efficiency,promote clinical care safety,and also effectively reduce the incidence of nursing adverse events,fully motivate nursing staff to work and improve risk awareness.
作者
陈芳
熊文静
吴婷婷
CHEN Fang;XIONG Wenjing;WU Tingting(Hunan Provincial Occupational Disease Control Hospital,Changsha,Hunan Province,410007 China)
出处
《中国卫生产业》
2023年第11期41-44,共4页
China Health Industry
关键词
故障树分析法
呼吸内科
护理管理
护理质量
Fault tree analysis
Department of respiratory medicine
Nursing management
Nursing quality
