CAJ | 학술논문

目的：探讨细节管理在急诊科护理管理的措施和效果。方法2011年1至12月本院急诊科接收静脉输液34780人次，将每月随机选择20人进行满意度调查和护理纠纷及护理缺陷例数作为观察组。同时，2010年1～12月在本院急诊科接收静脉输液32830人次，将每月随机选择20人进行满意度调查和全年的护理纠纷及护理缺陷的例数作为对照组，观察组实施细节管理和护理干预，对照组实施常规的护理管理。结果2010年发生护理不良事件38例，护理缺陷7例；2011年发生护理不良事件22例，护理缺陷2例，两组比较差异有统计学意义（ P＜0.05），满意度由79.6％提高至97.9％。结论急诊科实施细节管理有利于调动护士的积极性及责任感，有利于对护理纠纷的预见性，有利于创造和谐的护患关系，从而提高护理质量。
목적：탐토세절관리재급진과호리관리적조시화효과。방법2011년1지12월본원급진과접수정맥수액34780인차，장매월수궤선택20인진행만의도조사화호리규분급호리결함례수작위관찰조。동시，2010년1～12월재본원급진과접수정맥수액32830인차，장매월수궤선택20인진행만의도조사화전년적호리규분급호리결함적례수작위대조조，관찰조실시세절관리화호리간예，대조조실시상규적호리관리。결과2010년발생호리불량사건38례，호리결함7례；2011년발생호리불량사건22례，호리결함2례，량조비교차이유통계학의의（ P＜0.05），만의도유79.6％제고지97.9％。결론급진과실시세절관리유리우조동호사적적겁성급책임감，유리우대호리규분적예견성，유리우창조화해적호환관계，종이제고호리질량。
Objective To explore the details of management in the department of emergency nursing manage-ment measures and effect.Methods 34 780 people received intravenous injection from January to December in 2011 and 20 persons were selected randomly into observation group for satisfaction survey and nursing dispute and nursing de-fect every month.32 830 people received intravenous injection from January to December in 2010 and 20 persons were selected randomly into control group for satisfaction survey and nursing dispute and nursing defect every month.Details of management and nursing intervention were used in the observation group, routine nursing management was used in the control group.Results There were 38 cases of nursing adverse events, 7 cases of nursing defects in 2010.There were 22 cases of nursing adverse events, 2 cases of nursing defects in 2011.There were significant differences between the two groups ( P<0.05) .Satisfaction rate was increased from 79.6% to 97.9%.Conclusion Emergency department implementing the detail management is propitious to mobilize nurses'enthusiasm and sense of responsibility, in favor of nursing disputes in foresight, facilitates the creation of a harmonious relationship between nurses and patients, thus to improve the nursing quality.