中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
11期
1320-1323
,共4页
罗运莲%刘庆%陈华丽%张静荣
囉運蓮%劉慶%陳華麗%張靜榮
라운련%류경%진화려%장정영
临床路径%护理%满意度%责任包干制整体护理
臨床路徑%護理%滿意度%責任包榦製整體護理
림상로경%호리%만의도%책임포간제정체호리
Clinical care path%Nursing%Satisfaction degree%Responsibility group
目的 探讨责任包干制整体护理模式联合临床护理路径在优质护理服务示范病房实践中的应用效果.方法 选取150名护士进行自身前后对照,比较实施责任包干制整体护理模式联合临床护理路径前后护士专业成就感、考试成绩、护理质量、护理投诉、护理缺陷及患者满意度.结果 实施责任包干制整体护理联合临床护理路径工作模式后,150名责任包干护士专业成就感分数由(6.91±1.79)分提高至(11.92±2.39)分,理论考试成绩由(89.04±8.34)分提高至(95.17±5.45)分,技术操作成绩由(86.03±11.01)分提高至(94.25±12.15)分,差异均有统计学意义(t分别为10.41,6.33,6.89;P<0.05);1年中护理投诉由0.22%降低到0.09%,护理缺陷由0.43%降低到0.25%,患者满意度由92.31%上升至98.25%,差异均有统计学意义(x2分别为28.871,1.190,17.419;P <0.05);实施后护理质量中基础护理、病房管理、护理文书、消毒隔离4方面得分均较实施前提高,差异均有统计学意义(P<0.05).结论 责任包干制整体护理联合临床护理路径应用于优质护理服务示范病房,激发了护士的工作热情,提高了护理工作质量,提高了患者满意度,降低了护理投诉及护理缺陷,促进了优质护理的落实.
目的 探討責任包榦製整體護理模式聯閤臨床護理路徑在優質護理服務示範病房實踐中的應用效果.方法 選取150名護士進行自身前後對照,比較實施責任包榦製整體護理模式聯閤臨床護理路徑前後護士專業成就感、攷試成績、護理質量、護理投訴、護理缺陷及患者滿意度.結果 實施責任包榦製整體護理聯閤臨床護理路徑工作模式後,150名責任包榦護士專業成就感分數由(6.91±1.79)分提高至(11.92±2.39)分,理論攷試成績由(89.04±8.34)分提高至(95.17±5.45)分,技術操作成績由(86.03±11.01)分提高至(94.25±12.15)分,差異均有統計學意義(t分彆為10.41,6.33,6.89;P<0.05);1年中護理投訴由0.22%降低到0.09%,護理缺陷由0.43%降低到0.25%,患者滿意度由92.31%上升至98.25%,差異均有統計學意義(x2分彆為28.871,1.190,17.419;P <0.05);實施後護理質量中基礎護理、病房管理、護理文書、消毒隔離4方麵得分均較實施前提高,差異均有統計學意義(P<0.05).結論 責任包榦製整體護理聯閤臨床護理路徑應用于優質護理服務示範病房,激髮瞭護士的工作熱情,提高瞭護理工作質量,提高瞭患者滿意度,降低瞭護理投訴及護理缺陷,促進瞭優質護理的落實.
목적 탐토책임포간제정체호리모식연합림상호리로경재우질호리복무시범병방실천중적응용효과.방법 선취150명호사진행자신전후대조,비교실시책임포간제정체호리모식연합림상호리로경전후호사전업성취감、고시성적、호리질량、호리투소、호리결함급환자만의도.결과 실시책임포간제정체호리연합림상호리로경공작모식후,150명책임포간호사전업성취감분수유(6.91±1.79)분제고지(11.92±2.39)분,이론고시성적유(89.04±8.34)분제고지(95.17±5.45)분,기술조작성적유(86.03±11.01)분제고지(94.25±12.15)분,차이균유통계학의의(t분별위10.41,6.33,6.89;P<0.05);1년중호리투소유0.22%강저도0.09%,호리결함유0.43%강저도0.25%,환자만의도유92.31%상승지98.25%,차이균유통계학의의(x2분별위28.871,1.190,17.419;P <0.05);실시후호리질량중기출호리、병방관리、호리문서、소독격리4방면득분균교실시전제고,차이균유통계학의의(P<0.05).결론 책임포간제정체호리연합림상호리로경응용우우질호리복무시범병방,격발료호사적공작열정,제고료호리공작질량,제고료환자만의도,강저료호리투소급호리결함,촉진료우질호리적락실.
Objective To observe the effect of combination of group responsibility system and clinical care path for creating high-quality ward.Methods 150 nurses were collected and conducted their own before and after comparison,Nursing professional sense of accomplishment,testing score,nursing quality,nursing complaint,nursing deficiency,and patients' satisfaction degree were compared before and after the application of combination of group responsibility system and clinical care path.Results After application of combination of group responsibility system and clinical care path,professional sense of accomplishment increased from(6.91 ±1.79 ) to( 11.92 ± 2.39 ) ; theory testing score increased from ( 89.04 ± 8.34 ) to ( 95.17 ± 5.45 ) ; Technical operation results increased from (86.03 ± 11.01 ) to(94.25 ± 12.15); and the all the differences were statistically significant (t =10.41,6.33,6.89,respectively; P < 0.05 ).Complaint rate decreased from 0.22% to 0.09%,nursing deficiency reduced from 0.43% to 0.25%,satisfaction degree increased from 92.31% to 98.25%,and the differences were significant (x2 =28.871,1.190,17.419,respeetively;P <0.05).Basic nursing,ward management,nursing document and the disinfection and isolation were increased significantly (P <0.05).Conclusions Group responsibility system combined with clinical care path for creating high-quality ward is helpful to adjust the team structure,and may arise the enthusiasm of nurses and improve the quality of nursing.