Mei Jing, Wu Yifan, Hu Jie, Li Min
Department of Nursing, Jiujiang First People's Hospital, Jiujiang, China.
Thoracic Surgery, Jiujiang First People's Hospital, Jiujiang, China.
Contrast Media Mol Imaging. 2022 Aug 13;2022:1810573. doi: 10.1155/2022/1810573. eCollection 2022.
The purpose of this study was to explore the clinical application value of group sharing nursing management based on a case analysis. The archive data of 90 nurses in 15 nursing units of our hospital were analyzed retrospectively. A total of 90 nurses from 15 nursing units in our hospital were retrospectively analyzed: the nurses before the implementation of the "case study-based group shared care management" program from January 2019 to January 2020 were set up as the control group, and the same nurses after the implementation of the program from January 2020 to January 2021 were set up as the study group. The nurses in the study group and the control group corresponded to 9759 and 8973 clinical inpatients, respectively. The overall incidence of medication-related, falling, tube-related, exam-related, and other types of adverse events was lower in the study group (0.52% vs. 1.29%) than those in the control group ( < 0.05); the overall nursing adverse event rating was lower in the study group than that in the control group ( < 0.05). Nurses in the study group scored higher than the control group on the following scales: Perceived Occupational Benefit Scale, General Self-Efficacy Scale, and Karlausk/Miller Satisfaction Scale ( < 0.05). The case study-based group-shared care management model can reduce the risk and harm of adverse events in hospitals and improve nurses' sense of professional benefit and self-efficacy.
本研究旨在通过病例分析探讨小组共享护理管理的临床应用价值。对我院15个护理单元的90名护士的存档数据进行回顾性分析。对我院15个护理单元的90名护士进行回顾性分析：将2019年1月至2020年1月实施“基于案例研究的小组共享护理管理”方案前的护士设为对照组，将2020年1月至2021年1月实施该方案后的同组护士设为研究组。研究组和对照组的护士分别对应9759例和8973例临床住院患者。研究组中与用药、跌倒、管路、检查及其他类型不良事件相关的总体发生率低于对照组（0.52%对1.29%，P<0.05）；研究组的总体护理不良事件评级低于对照组（P<0.05）。研究组护士在以下量表上的得分高于对照组：职业获益感量表、一般自我效能量表和卡氏/密氏满意度量表（P<0.05）。基于案例研究的小组共享护理管理模式可降低医院不良事件的风险和危害，提高护士的职业获益感和自我效能感。
