对院级护理质控组实施目标管理的效果分析  

Efficacy of applying management-by-objectives in the hospital-level nursing quality control group

作　　者：吴利平[1] 郑显兰[1] 李平[1] 

机构地区：[1]重庆医科大学附属儿童医院护理部,400014

出　　处：《中华医学教育探索杂志》2014年第5期529-533,共5页Chinese Journal of Medical Education Research

基　　金：国家临床重点专科建设项目

摘　　要：目的 探讨对院级护理质控组实施目标管理的效果.方法 年初由护理部与各质控组组长共同制定目标管理内容并细化考核指标、分值、考核标准与方法、考核部门、考核期限,质控组对照标准履行各项职能,按时完成质控检查.年底由组长向院级护理质量委员会及全院护士长、助理护士长汇报小组工作.比较实施目标管理前后的护理质量指标平均得分,管理创新、流程再造及护理投诉、纠纷数.采用SPSS 17.0软件进行数据的统计与分析,计量资料采用配对资料t检验,计数资料采用r检验.结果 改进后全院护理质量各项评分均高于改进前,其中优质护理、危重护理、急救管理、护理技能等关键指标得分改进前分别为（93.6±2.5）、（93.0±2.6）、（96.2±1.3）、（89.3±4.5）,改进后提高到（98.1±2.2）、（97.7±2.7）、（99.6±0.6）、（96.1±2.1）,改进前后比较差异有统计学意义（P=0.009、0.009、0.000、0.000）.与改进前相比,管理创新、流程再造件数增加,护理投诉、纠纷发生例数下降（x2=8.884,P=0.031）.结论 对院级护理质控组采用目标管理,能促进护理质量的持续改进.Objective To discuss the efficacy of applying management-by-objectives（MBO） in the hospital-level nursing quality control group.Methods Goals of objective management and assessment details were set by leaders of quality control groups along with the nursing department at the beginning of the year.The nine subordinate groups performed upon the required criteria,completed the quality inspection on time and recorded group activities.At the end of the year,group leaders reported to the hospital-level nursing quality committee and head nurses about their performances,where several major honors were rewarded to the best performing groups.SPSS 17.0 software was used for data statistics.The measurement data were analyzed by paired t test data while enumeration data by chi-square test.Results Scores of assessment items were significantly raised after implementing MBO（P〈0.05）.Scores of key items,such as high quality care,emergency management,nursing skill,were increased to （98.1 ± 2.2）,（97.7 ±2.7）,（99.6±0.6）,（96.1 ±2.1）from （93.6 ±2.5）（P=0.009）,（93.0 ± 2.6） （P=0.009）,（96.2 ± 1.3） （P=0.000） and （89.3 ± 4.5） （P--0.000）,respectively.Care complaints were sharply dropped for all inpatient wards while numbers of management innovationand process reengineering were greatly increased （x2=8.884,P=0.031）.Condusion Introduction of MBO in the hospital-level nursing quality control group does facilitate the continuous improvement of care quality.

关 键 词：护理质量控制 院级护理质控组 目标管理 

分 类 号：R47[医药卫生—护理学]