西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
8期
34-35,36
,共3页
安全忧患意识%护理实习生%带教%工作态度
安全憂患意識%護理實習生%帶教%工作態度
안전우환의식%호리실습생%대교%공작태도
safe and crisis sense%probationer nurse%the teaching%working attitude
目的：观察安全忧患意识三步教育法在临床实习护生带教中的应用效果。方法：将90名护理实习生随机分为研究组、对照组各45名。研究组给予安全忧患意识三步教育法，对照组给予常规临床带教。记录2组护生的护理工作情况、护理不良事件发生情况、患者满意度以及仪器使用不良记录。结果：在入科实习6周、12周时研究组护生的主要护理工作情况均优于对照组(P＜0.05)，且随着实习时间的延长服务态度明显好转(P＜0.05)。对照组无菌操作执行情况合格率升高(P＜0.05)，三查七对执行情况合格率下降，服务态度提高，但差异无统计学意义(P＞0.05)。研究组发生护理不良事件2例（4.44%），患者满意率为94.76%（778/821），仪器使用不良2例。对照组发生护理不良事件9例（20.00%），患者满意率为78.81%（647/821），仪器使用不良11例。2组护生护理不良事件发生情况、患者满意率及仪器使用不良记录比较，差异具有统计学意义(P＜0.05)。结论：安全忧患意识三步教育法不仅可促使实习护生自觉加强责任心，端正服务态度，而且可有效降低护患纠纷、提高护理满意度。
目的：觀察安全憂患意識三步教育法在臨床實習護生帶教中的應用效果。方法：將90名護理實習生隨機分為研究組、對照組各45名。研究組給予安全憂患意識三步教育法，對照組給予常規臨床帶教。記錄2組護生的護理工作情況、護理不良事件髮生情況、患者滿意度以及儀器使用不良記錄。結果：在入科實習6週、12週時研究組護生的主要護理工作情況均優于對照組(P＜0.05)，且隨著實習時間的延長服務態度明顯好轉(P＜0.05)。對照組無菌操作執行情況閤格率升高(P＜0.05)，三查七對執行情況閤格率下降，服務態度提高，但差異無統計學意義(P＞0.05)。研究組髮生護理不良事件2例（4.44%），患者滿意率為94.76%（778/821），儀器使用不良2例。對照組髮生護理不良事件9例（20.00%），患者滿意率為78.81%（647/821），儀器使用不良11例。2組護生護理不良事件髮生情況、患者滿意率及儀器使用不良記錄比較，差異具有統計學意義(P＜0.05)。結論：安全憂患意識三步教育法不僅可促使實習護生自覺加彊責任心，耑正服務態度，而且可有效降低護患糾紛、提高護理滿意度。
목적：관찰안전우환의식삼보교육법재림상실습호생대교중적응용효과。방법：장90명호리실습생수궤분위연구조、대조조각45명。연구조급여안전우환의식삼보교육법，대조조급여상규림상대교。기록2조호생적호리공작정황、호리불량사건발생정황、환자만의도이급의기사용불량기록。결과：재입과실습6주、12주시연구조호생적주요호리공작정황균우우대조조(P＜0.05)，차수착실습시간적연장복무태도명현호전(P＜0.05)。대조조무균조작집행정황합격솔승고(P＜0.05)，삼사칠대집행정황합격솔하강，복무태도제고，단차이무통계학의의(P＞0.05)。연구조발생호리불량사건2례（4.44%），환자만의솔위94.76%（778/821），의기사용불량2례。대조조발생호리불량사건9례（20.00%），환자만의솔위78.81%（647/821），의기사용불량11례。2조호생호리불량사건발생정황、환자만의솔급의기사용불량기록비교，차이구유통계학의의(P＜0.05)。결론：안전우환의식삼보교육법불부가촉사실습호생자각가강책임심，단정복무태도，이차가유효강저호환규분、제고호리만의도。
Objective:To investigate the results of safe and crisis sense three-step method applied to the teach-ing of probationer nurses. Methods:Ninety nurses were randomly allocated to the study group and the control group. The study group received safe and crisis sense three-step method, and the control group routine clinical teaching. The conditions of nursing, adverse event of nursing, satisfactory degree of the patients and bad records of using in-struments were observed in both groups. Results:Main nursing work of the probationer nurses in the study group was superior to that of the control group in six and 12 weeks after entering the department (P<0.05), the attitude was improved remarkably as internship time was prolonged (P<0.05). The implementation of pass rate aseptic tech-nique in the control group was improved notably (P<0.05), the implementation pass rate of three inspections and seven verifications was decreased, working attitude was improved, but the difference indicated no statistical meaning (P>0.05). There were two cases of nursing adverse event in the study group (4.44%), satisfactory rate of the patients reached 94.76%(778/821), two cases of instrument improper use. There were nine cases of nursing adverse event in the control group (20.00%), satisfactory rate of the patients reached 78.81% (647/821), 11 cases of instrument im-proper use. The difference showed statistical meaning in the incidence rate of nursing adverse event, satisfactory rate of the patients and instrument improper use (P<0.05). Conclusion:Safe and crisis sense three-step method could not only enhance the sense of responsibility, correct the service attitude, but also effectively decrease the disputes be-tween nurse and the patients, improve nursing satisfactory degree.
