PDCA管理应用于脊柱外科实习护生操作教学中对减少护理差错的效果分析  

Effect analysis of PDCA management applied in the teaching of the operation of spinal surgery practice nurses to reduce nursing errors

作　　者：张娟[1] 

机构地区：[1]山东省菏泽市立医院脊柱外科,274000

出　　处：《中国实用护理杂志》2017年第8期570-573,共4页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金（81171851）

摘　　要：目的 研究脊柱外科实习护生带教过程中应用PDCA管理模式对减少护理差错的应用效果.方法 对脊柱外科2014年3月至2015年3月接收的35例实习护生实施常规实习生带教模式,设为对照组;对2015年4月至2016年4月接收的35例实习护生实施PDCA管理模式,设为干预组.观察2年度期间出现护理不良事件发生率,总结实习护生对于临床带教模式质量评价及满意度,总结实习护生出科考试成绩.结果 对照组护理不良事件发生率为22.86%（8/35）,干预组为2.86%（1/35）,2组比较差异有统计学意义（χ2=17.85,P=0.00）.对照组实习护生对于临床教学内容安排、老师教学态度、细节指导及技能培训指标评分分别为（15.46±1.03）、（14.18±1.06）、（14.61±1.11）、（13.30±1.07）分,干预组分别为（18.26±1.00）、（18.48±0.51）、（19.43±0.21）、（19.16±0.28）分,2组比较差异有统计学意义（t=11.54~31.34,均P〈0.01）.对照组实习护生出科理论、技能考试成绩分别为（80.15±1.61）、（85.16±1.02）分,均低于干预组的（93.10±2.01）、（91.06±2.03）分,差异有统计学意义（t=29.75、15.36,均P=0.00）.对照组实习护生对于临床带教满意度为57.14%（20/35）,干预组为80.00%（28/35）,2组比较差异有统计学意义（χ2=12.12,P=0.00）.结论 将PDCA管理模式应用于临床骨科实习带教过程中,可有效提高实习护生理论知识及操作技能掌握能力,大部分实习护生出科考核结果较为乐观,且对于此种管理模式评价较高,对于带教过程感到满意,在带教老师悉心教导下,实习护生护理不良事件发生率转低,此种方法值得临床推广.Objective To study the application effect of PDCA management mode in the teaching process of practice nurses in spine surgery to reduce the occurrence of nursing errors. Methods A total of 35 practice nurses in spine surgery from March 2014 to March 2015 received the routine teaching mode were set as control group, and 35 practice nurses from April 2015 to April 2016 implemented PDCA management mode were set as intervention group. The occurrence rate of nursing adverse events in two years was observed, and the interns for clinical teaching evaluation model of quality and satisfaction and the intern examination results were summarized. Results The incidence of nursing adverse events was 22.86% （8/35） in control group, and 2.86% （1/35） in intervention group, the difference was statistically significant （χ2= 17.85, P = 0.00）. The intern teacher for clinical teaching content arrangement, teaching attitude, detail guidance and skills training indicators evaluation score were （15.46±1.03）, （14.18±1.06）, （14.61±1.11）, （13.30±1.07） points in control group, and （18.26±1.00）, （18.48±0.51）, （19.43±0.21）, （19.16± 0.28） points in intervention group, the differences were statistically significant （t = 11.54- 31.34, P 〈0.01）. The interns given theory and skills examination results were （80.15±1.61）, （85.16±1.02） points in control group, and （93.10±2.01）, （91.06±2.03） points in intervention group, the difference was statistically significant （t = 29.75, 15.36, all P = 0.00）. The clinical teaching satisfaction was 57.14% （20/35） in control group, and 80.00% （28/35） in intervention group, the difference was statistically significant （χ2=12.12, P=0.00）. Conclusions PDCA management model applied to clinical practice in department of orthopedics teaching process, can effectively improve the intern theory knowledge and skills to master the ability, most of the interns examination results are more optimistic, and for this kind of management

关 键 词：PDCA管理模式 脊柱外科 实习带教 护理操作失误 

分 类 号：G642[文化科学—高等教育学] R47-4[文化科学—教育学]