CAJ | 학술논문

目的探讨为患者提供安全、优质、满意护理服务的护理质量管理方法.方法建立“双三级”结合的护理质量网格化管理模式,比较实施前后护士主动报告安全事件、落实护理会诊情况、不良事件发生情况及患者对护理服务的满意度.结果护理质量网格化管理建立与实施后住院患者、门急诊患者和出院患者对护理服务满意度评分分别为(98.22±1.12),(91.97±1.67),(97.16±2.41)分,均高于实施前的(91.59±1.67),(87.92±1.98),(87.89±1.81)分,差异均有统计学意义(t分别为3.57,2.69,4.72;P ＜0.05)；护士落实安全事件报告、护理会诊、查对等核心制度较实施前有明显变化；给药错误、跌倒和压疮等护理不良事件发生相对减少.结论护理质量网格化管理的建立能保障护理核心工作制度的落实,增强护士的风险意识,提高护理服务质量和患者满意度.
목적 탐토위환자제공안전、우질、만의호리복무적호리질량관리방법.방법 건립“쌍삼급”결합적호리질량망격화관리모식,비교실시전후호사주동보고안전사건、락실호리회진정황、불량사건발생정황급환자대호리복무적만의도.결과 호리질량망격화관리건립여실시후주원환자、문급진환자화출원환자대호리복무만의도평분분별위(98.22±1.12),(91.97±1.67),(97.16±2.41)분,균고우실시전적(91.59±1.67),(87.92±1.98),(87.89±1.81)분,차이균유통계학의의(t분별위3.57,2.69,4.72;P ＜0.05)；호사락실안전사건보고、호리회진、사대등핵심제도교실시전유명현변화；급약착오、질도화압창등호리불량사건발생상대감소.결론 호리질량망격화관리적건립능보장호리핵심공작제도적락실,증강호사적풍험의식,제고호리복무질량화환자만의도.
Objective To explore the methods of nursing quality management in order to provide safety,high quality and satisfactory nursing for patients,Methods To establish one grid management model of nursing quality combined with " double three-level".Then,the report of security events,the implemention of nursing consultation,the incidence of adverse events,and patients' satisfaction were observed and compared before and after the management model.Results Mter implementing the grid management model of nursing quality,satisfaction average scores of hospitalized patients,emergency department patients,discharged patients were ( 98.22 ± 1.12 ),( 91.97 ± 1.67 ),(97.16 ± 2.41 ) respectively,and before it was implemented the average scores respectively were ( 91.59 ± 1.67 ),( 87.92 ± 1.98 ),( 87.89 ± 1.81 ),and the differences were statistically significant ( t =3.57,2.69,4.72,respectively ; P ＜ 0.05 ).There was a significant change in the report of security events,implemention of nursing consultation and checking.The incidence of administration errors,falling down and pressure sores were significantly reduced.Conclusions Construction of the grid management system of nursing quality can ensure the implemention of nursing core institution,improve risk awareness of nurses,improve the nursing quality and increase patients' satisfaction.