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加强急诊综合管理 提高急诊救护质量

【摘要】 目的 探讨急诊护理的综合管理,提高急诊护士整体素质,全面提升急诊护理质量。方法 规范管理,设计操作流程图,规范护士的行为;加强培训考核力度,使护士熟练掌握急救技能,制定急救护理考核标准,并在急救护理管理中实施全面考核,提高急救护理管理质量。结果 通过实施急诊急救护理的全面考核,规范了急救护理的管理,护理质量明显提高。结论 加强急诊综合管理,提高急诊护理质量,提高患者满意度,树立医院良好形象。

Construction of quality standards for joint surgery specialist nursing based on three-dimensional quality evaluation model

Objective To explore the nursing quality standards of joint surgery based on “structure-process-outcome” three-dimensional quality evaluation model, and provide a reference for improving the quality of joint surgery nursing. Methods From March to July 2023, based on the “structure-process-outcome” three-dimensional quality structure model as the theoretical framework, combined with systematic literature review and semi-structured interviews, the quality standards of joint surgery specialist nursing were preliminarily formulated. The Delphi method was used for screening, demonstration, and correction, then the analytic hierarchy process was used to determine the weights. Results The recovery rates of the two rounds of expert letter consultation were 93.75% and 100.00%, respectively. The expert authority coefficients of both rounds were 0.95. The positive coefficients of experts in the two rounds were 0.93 and 1.00, respectively. The coefficients of variation after the second round of correspondence were 0-0.20. In the second round of correspondence inquiry, the Kendall harmony coefficients of primary standards, secondary standards and tertiary standards were 0.156, 0.115 and 0.285, respectively, with statistical significance (P<0.05). Finally, the quality standards of joint specialty nursing included 3 primary standards, 23 secondary standards and 99 tertiary standards. Conclusion The construction process of nursing quality standards of joint surgery specialty based on “structure-process-outcome” three-dimensional quality structure model is scientific and reliable, the index evaluation results are less volatile, and the opinions are concentrated, which can provide a basis for comprehensively, accurately and pertinently improving the quality of joint surgery specialty nursing.

Research progress on nursing quality sensitive indicators for day surgery

In the context of the burgeoning development of day surgery, the shortened hospital stay has led to a relative reduction in the professional care that patients receive. As a result, more stringent requirements for nursing quality management have emerged. Scientific and objective sensitive indicators can provide quantitative standards for monitoring and evaluating nursing quality. This article comprehensively reviews the definition, classification, construction steps, and methods of nursing quality sensitive indicators. Additionally, it delves into the current status of the construction and application of such indicators for day surgery both at home and abroad. Those insights can offer a scientific foundation for the management of nursing quality in day surgery settings.

Attribution Analysis and Management of Nursing Quality Control

目的　探讨提高临床护理质量的管理方法。 方法　利用归因理论，对2009年12月－2010年11月护理部3级综合质量检查、午夜间及节假日2级护理质量检查、科室1级护理质量自查存在的128项问题进行回顾性归因分析。 结果　危重患者护理、病房规范化管理、5年内护士、午间时段为扣分项目多发点。 结论　护理人力资源合理配置、质控归因分析会、低年资护士培训、抓重点时间段、注重人性化管理等有望改变现状。

非惩罚性护理不良事件上报对护理质量的影响

目的探讨实施非惩罚性护理不良事件上报对护理质量的影响。 方法2012年1月建立非惩罚性护理不良事件上报制度，对出现护理不良事件的科室及当事人的上报行为采取非处罚的处理原则，并从组织形式、制度、流程上对护理不良事件进行防范和处置；并就2012年1月－12月与2011年1月－12月护理不良事件的上报率、护理质量和患者满意度进行比较。 结果2012年与2011年比较，主动上报率显著提升（97.1%，56.1%；χ2=33.931，P＜0.001），护理质量[（98.56±0.19）、（98.88±0.14）分；t=-4.727，P＜0.001]及患者满意度（99.4%，99.6%；χ2=9.335，P＜0.001）明显提高。 结论非惩罚性不良事件上报制度的建立，能够促进护理质量的持续改进，营造和谐安全的护理文化。

Effect of Clinical Nursing Pathway on Rehabilitation of Patients after Prostate Resection

ObjectiveTo explore the effect of clinical nursing pathway on rehabilitation indicators in patients who had undergone transurethral resection of prostate (TURP). MethodsA total of 241 patients underwent TURP between July 2010 and March 2014 were randomly divided into path group (121 cases) and control group (120 cases). The nursing results of the two groups were observed. ResultsThe complication rate of bladder spasm, secondary hemorrhage, urethral stricture in path group were lower than those in the control group with significant differences (P<0.05). ConclusionThe performance of clinical nursing pathway on TURP patients may reduce the complications rate, and promote the health economics indicators and quality of care.

Application of Personalized Health Education in Patients Undergoing Day Surgery

ObjectiveTo carry out health education to day surgery patients, assist the smoothness of their operation, promote early recovery of patients and improve the quality of nursing and patients' degree of satisfaction. MethodsA total of 1 888 operations from January to May, 2013 were chosen to be the control group; and 2 136 operations from January to May, 2014 were regarded as the trail group. Patients in the control group accepted routine nursing and health education, while patients in the trail group accepted health education before and after surgery, and through telephone during the follow-up period. ResultsThe rate of failure to keep the appointment, the readmission rates, and the satisfaction rate to the nursing work were 0.28%, 0.94% and 94.71% respectively in the trial group, while were 3.50%, 3.07%, and 90.20%, respectively in the control group. the differeces between the two groups were significant (P<0.05). ConclusionPersonalized health education can ensure the smooth operation of day surgery, advance wound healing of the patients, and improve the day surgery ward care quality and patient satisfaction.

防范体检中的护理纠纷

【摘要】　目的　总结体检工作中防范护理纠纷发生的经验，进一步提高护理质量。　方法　对体检中心2006年12月—2010年12月发生的11例体检人员就护理方面的投诉原因进行回顾性分析，总结应对护理纠纷的防范对策。　结果　11例体检护理纠纷中因护理人员服务态度欠佳的5例，占护理纠纷投诉45.45%，其余与护理人员业务素质不高、体检秩序紊乱、医疗收费不合理等因素有关。　结论　改善服务态度，提高业务素质，优化体检流程，严格执行收费标准，可有效控制体检护理纠纷的发生。

有声服务在优质护理中的应用

【摘要】　目的　将有声服务融入到到优质护理服务中以提高护理质量、减少护患纠纷、提高患者满意度。　方法　2010年3-9月在三个护理单元提倡有声服务，通过对减少红灯呼叫管理、护士定岗定点管理、加强床旁护理服务、进一步落实核心制度等措施，将优质服务工作深入化细致化，以积极、主动、热情的工作态度为患者提供护理服务。　结果　护理人员主动服务意识增强，红灯呼叫频率由原来的90%下降至目前的0%～5%，患者家属满意率由原来95%提高到98.58%。　结论　有声服务在“优质服务示范工程活动”中，优化了护患关系，提高了患者的满意度和护理质量，保障了医疗安全。

华生人性照护理论在多发性大动脉炎患者护理中的应用