Zhang Xiaohong, Zhang Ya'nan, Bian Meirong, Li Xiao, Yue Zhongjuan, Zhang Cuiling
Nursing Department, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, 030032, People's Republic of China.
College of Nursing, Shanxi Medical University, Taiyuan, People's Republic of China.
J Multidiscip Healthc. 2024 Dec 24;17:6109-6120. doi: 10.2147/JMDH.S493896. eCollection 2024.
When the nursing department of our hospital checked the ward round records of the head nurse, it was found that some problems could not be found during rounds, and most of the problems found were superficial; Some studies have also found that most nursing managers are only going through the motions during rounds or are unable to identify problems due to a mismatch between their professional competence and the supervised department, or fail to identify superficial or deep-seated problems, making the quality of nursing supervision unsatisfactory.
To sort out the ideas and ways for nursing managers to identify problems in on-site supervision of nursing quality and to provide ideas and directions for being able to identify problems, identifying problems quickly, and identifying high-quality problems in the supervision.
A descriptive qualitative study was used to conduct face-to-face semi-structured interviews with 14 nursing managers from Bethune Hospital in Shanxi, China. The current problems of nursing quality supervision were combined with the 5W1H analysis method to form an interview outline, and a total of 8 questions were set up to interview 14 nursing managers to understand how nursing managers identified problems in supervision. Thematic analysis was used to analyze the data and extract themes.
Three views and six ways of problem identification were crystallized: three views were direct access, comparison discovery, and deep excavation; and six ways were listening, looking, asking, checking, visiting, and tracking. The "Pathways for identifying problems in nursing quality on-site supervision" was finally formed.
The pathway for identifying problems in nursing quality supervision is scientific, reliable, and can be used as a guideline for identifying problems in nursing quality supervision.
The connotation of nursing quality supervision can be improved through this pathway, and the development of nursing discipline can be promoted.
The "Pathways for identifying problems in nursing quality on-site supervision" is a clear pathway that helps nursing managers to quickly identify problems, especially during interdepartmental nursing quality inspections.
我院护理部在检查护士长的查房记录时发现，查房过程中存在一些问题未被发现，且发现的问题大多较为表面；一些研究还发现，大多数护理管理者在查房时只是走过场，或者由于其专业能力与被监督科室不匹配而无法发现问题，或者未能识别出表面或深层次的问题，导致护理监督质量不尽人意。
梳理护理管理者在护理质量现场监督中发现问题的思路和方法，为能够发现问题、快速发现问题以及在监督中发现高质量问题提供思路和方向。
采用描述性定性研究方法，对山西白求恩医院的14名护理管理者进行面对面半结构式访谈。将护理质量监督的现存问题与5W1H分析法相结合形成访谈提纲，共设置8个问题对14名护理管理者进行访谈，以了解护理管理者在监督中如何发现问题。采用主题分析法对数据进行分析并提炼主题。
总结出三种观点和六种发现问题的方式：三种观点为直接获取、比较发现和深入挖掘；六种方式为倾听、查看、询问、检查、走访和追踪。最终形成了“护理质量现场监督问题识别路径”。
护理质量监督问题识别路径科学、可靠，可作为护理质量监督问题识别的指南。
通过该路径可提升护理质量监督的内涵，促进护理学科发展。
“护理质量现场监督问题识别路径”是一条清晰的路径，有助于护理管理者快速发现问题，尤其是在跨科室护理质量检查中。
