护理专案在提高护理分级准确率中的应用  

Application of nursing cases in promoting accuracy of nursing grading

作　　者：高俊香[1] 张丽华[2] 赵滨[2] 赵秀君[1] 张玥[1] 王婷[1] 王静[1] 白敬姗 霍春雨[1] 

机构地区：[1]河北医科大学第二医院内分泌科,石家庄050000 [2]河北医科大学第二医院护理部

出　　处：《中华现代护理杂志》2016年第36期5249-5254,共6页Chinese Journal of Modern Nursing

摘　　要：目的：评价护理专案在提高护理分级的准确率中的应用效果。方法组建护理专案团队,通过专案改善活动步骤,运用质量管理常用工具对护理分级中存在的问题进行改进,并在专案改善前后对对2个病区ADL评分≤60分的84例患者护理分级的准确率进行调查,并对20名住院医师进行护理分级相关知识掌握率、护理分级动态调整意识率以及7名护理专案团队个人能力进行改善前后的比较。结果改善后住院医师护理分级相关知识掌握率、护理分级动态调整意识率、护理分级准确率高于改善前,差异有统计学意义（χ2值分别为42.15,8.09,12.2；P〈0.01）；改善团队成员专案改善手法、沟通协调能力、解决问题能力、团队凝聚力、文献查证能力较改善前均有提高,差异有统计学意义（t值分别为-3.16,-4.90,-2.57,-4.90,-2.93；P〈0.05）。工作责任心维度差异无统计学意义（t=-1.84,P=0.090）。结论运用护理专案手法有效促进了护理分级准确率的提升,也促进专案改善团队主动参与质量管理的意识和能力。Objective To evaluate the effect of applying nursing cases in promoting accuracy of nursing grading . Methods A specialized-group of nursing cases was built to clear up the problems in nursing grading by using quality control system. The researchers surveyed the accuracy of nursing grading of 84 patients with activities of daily living （ ADL） score less than or equal to 60 （ ADL≤60） in two wards before and after the improvement project. The researchers compared the relative knowledge of nursing grading and sense of dynamically＆amp;nbsp;adapting nursing grading of 20 resident doctors, and self-ability of 7 nurses in specialized-group of nursing cases before and after the improvement project. Results The relative knowledge of nursing grading, ability of dynamically adapting classification and accuracy of classification were higher than before （χ2=42. 15, 8. 09,12.2;P〈0. 01）. The abilities of promoting nursing cases, communication, solving problem, reading literatures were significantly higher than before（t=-3.16,-4.90,-2.57,-4.90,-2.93;P〈0.05）. The dimension of responsibility had no significant difference （ t=-1.84,P=0.090） . Conclusions Nursing cases is effective in improving the accuracy of nursing grading, and promoting the ability and sense of improving nursing cases actively.

关 键 词：护理专案 护理分级 准确率 

分 类 号：R47[医药卫生—护理学]