非惩罚性护理夜查房模式在护理质量持续改进中应用效果的研究  

Application effect of non-punitive nursing night round mode in continuous nursing quality improvement Nursing Department, Huai′an First People′s Hospital, Nanjing Medical University, Huai′an 223300, China

作　　者：孙春霞[1] 王正梅[1] 纪晓娟[1] 苗艳飞 丁涟沭[1] 

机构地区：[1]南京医科大学附属淮安第一医院护理部,223300

出　　处：《中华现代护理杂志》2015年第21期2492-2494,共3页Chinese Journal of Modern Nursing

基　　金：基金项目：江苏省医学重点人才基金（RC2007029）

摘　　要：目的：探讨非惩罚性护理夜查房模式在临床护理持续质量改进中的应用。方法选取2013年1—7月采用常规护理夜查房模式和2013年8月—2014年4月实施非惩罚性夜查房模式的资料,利用护理部三级质量管理体系动态监控护理质量。比较实施前后夜班护理质量、临床护士长、夜值班护士满意度。结果实施非惩罚性夜查房模式在持续质量改进方法后,临床护士长、护士满意度从（91.7±3.24）,（91.3±0.20）分提高到（97.2 ±2.56）,（98.6±1.10）分,差异有统计学意义（t =-8.9349,-110.0000,P 〈0.01）。夜查房护理质量总分从（92.14±2.54）分提高到（97.79±1.85）分,差异有统计学意义（t =-26.6693,P〈0.01）。结论在护理夜查房中对存在问题实施非惩罚性质量改进,可提高临床护理人员满意度,保证患者安全,使护理质量得到提高。Objective To explore the application of non-punitive night nursing ward round model on continuous improving the clinical nursing quality. Methods Night routine nursing rounds mode was utilized from January to July 2013 and non-punitive night nursing ward round model were carried out from August 2013 to April 2014. On the basis of the comprehensive quality control, we made dynamic monitoring of nursing quality with three-level quality management system in the process of night nursing ward round and compared the night nursing quality and degree of satisfaction of clinical head nurse, the night nurse with before. Results After applying non-punitive night nursing ward round model, clinical head nurse and night shift nurse satisfaction were improved from （91. 7 ± 3. 24） and （91. 3 ± 0. 20） to （97. 2 ± 2. 56） and （98. 6 ± 1. 10） （t = - 8. 934 9,- 110. 000 0;P 〈 0. 01）. Nursing quality scores of night nursing ward round were improved from （92. 14 ± 2. 54） to （97. 79 ± 1. 85） （t = - 26. 669 3,P 〈0. 01）. Conclusions The non-punitive night nursing ward round model can improve the satisfaction of clinical nursing staff, enhance nursing quality and ensure the safety of patients.

关 键 词：非惩罚性 护理夜查房 护理质量 满意度 

分 类 号：R47[医药卫生—护理学]