基于敏感指标的骨科护士护理质量个体化管理。
Individualized Management of Quality of Care in Orthopedic Nurses Based on Sensitive Indicators.
机构信息
The First Affiliated Hospital, Sun Yat-sen University, China.
出版信息
Comput Math Methods Med. 2023 Feb 20;2023:1950220. doi: 10.1155/2023/1950220. eCollection 2023.
BACKGROUND
Sensitive indicators of nursing quality focus on the core elements of nursing quality management. Nursing-sensitive quality indicators will play an increasingly important role in the macro and micro management of nursing quality in my country.
OBJECTIVE
This study were aimed at formulating the sensitive index management of orthopedic nursing quality based on individual nurses for improvement of the quality of orthopedic nursing.
METHODS
Based on the previous literature, the existing challenges in the early application of the orthopedic nursing quality evaluation index were summarized. Moreover, the management system of the orthopedic nursing quality-sensitive index based on individual nurses was devised and implemented, including monitoring the structure and result indices of individual nurses on duty and sampling the process indicators of patients managed by individual nurses. At the quarter-end, the data analysis was performed and fed back to determine the key points of the changes in the quality of specialized nursing affecting the individual, and the PDCA method was utilized for persistent improvement. The changes of sensitive indices of orthopedic nursing quality before (July-December 2018) and 6 months after implementation (July-December 2019) were compared.
RESULTS
There were significant differences in other indices (accuracy of limb blood circulation assessment/accuracy of pain assessment/postural care pass rate/accuracy of rehabilitation behavioral training/satisfaction of discharged patients) ( < 0.05).
CONCLUSION
The formulation of an individual-based orthopedic nursing quality-sensitive index management system modifies the traditional quality management model, improves the specialized nursing level, contributes to the accurate core competence training of specialized nursing, and improves the quality of specialized nursing of individual nurses. Consequently, there is an overall improvement in the specialized nursing quality of the department, and fine management is attained.
背景
护理质量敏感指标聚焦于护理质量管理的核心要素，护理敏感质量指标在我国护理质量的宏观和微观管理中将会发挥越来越重要的作用。
目的
旨在为提高骨科护理质量，制定基于个体护士的骨科护理质量敏感指标管理。
方法
基于前期文献，总结骨科护理质量评价指标在早期应用中存在的挑战，设计并实施基于个体护士的骨科护理质量敏感指标管理体系，包括监测个体护士当班的结构和结果指标，以及抽取个体护士管理的患者的过程指标。在每季度末进行数据分析，反馈确定影响个体护理质量变化的关键点，运用 PDCA 方法持续改进。比较实施前（2018 年 7 月-12 月）和实施后 6 个月（2019 年 7 月-12 月）骨科护理质量敏感指标的变化。
结果
其他指标（肢体血液循环评估准确率/疼痛评估准确率/体位护理合格率/康复行为训练准确率/出院患者满意度）差异有统计学意义（ < 0.05）。
结论
制定基于个体护士的骨科护理质量敏感指标管理体系，改变了传统的质量管理模式，提高了专科护理水平，有助于对专科护理的精准核心能力进行培训，提升个体护士的专科护理质量，从而使科室专科护理质量得到全面提升，实现精细化管理。
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