CAJ | 학술논문

目的：探讨应用 PDCA 管理法持续改进儿科护士静脉穿刺技术的方法和效果。方法应用 PDCA 管理法进行儿科护士静脉穿刺技术的现状调查、原因分析、改进对策研讨并组织有效实施和效果评价，通过6个月的整改，比较改进前后一次性穿刺成功率、患者满意度、发生护患争议和转院事件例次情况。结果改进后一次性穿刺成功率、患者满意度均提高，因穿刺发生护患争议和因穿刺技术因素导致转院事件例次减少，两组比较，差异具有统计学意义( P <0.05)。结论 PDCA 管理法用于儿科护士穿刺技术质量持续改进中，能有效的提高儿科护士一次性穿刺成功率，提高患者满意度。
목적：탐토응용 PDCA 관리법지속개진인과호사정맥천자기술적방법화효과。방법응용 PDCA 관리법진행인과호사정맥천자기술적현상조사、원인분석、개진대책연토병조직유효실시화효과평개，통과6개월적정개，비교개진전후일차성천자성공솔、환자만의도、발생호환쟁의화전원사건례차정황。결과개진후일차성천자성공솔、환자만의도균제고，인천자발생호환쟁의화인천자기술인소도치전원사건례차감소，량조비교，차이구유통계학의의( P <0.05)。결론 PDCA 관리법용우인과호사천자기술질량지속개진중，능유효적제고인과호사일차성천자성공솔，제고환자만의도。
Objective To explore the methods and results of continuous improvement of pediatric nurses’ venipuncture technique using PDCA management . Methods To investigate the current situation of pediatric nurses’venipuncture technique, to analyze its reason, to make plans and to conduct effective execution and effect evaluation, using PDCA management. To com-pare the one-time venipuncture success rates, the patient complacence, the occurrencefrequency of nurse-patient dispute and hos-pital transfer before and after a 6-month improvement. Results After the 6-month improvement, the one-time venipuncture suc-cess rates and the patient complacence have been all enhanced, and the occurrencefrequency of nurse-patient dispute and hospital transfer has been reduced. The compare and difference between the two test groups have statistical significance. Conclusion U-sing PDCA management in of continuous improvement of pediatric nurses’ venipuncture technique can effectively enhance the one-time venipuncture success rate and the patient complacence.