护理人员自行开发临床护理操作考核评分系统之可行性研究  

Study on the feasibility of Scoring System of Clinical Nursing Operation Examination developed by nursing staff

作　　者：王李莉 王建芬[1] 何华[1] 李琳[2] 高利亚 王立学[3] 李蕾瑾 Wang Lili;Wang Jianfen;He Hua;Li Lin;Gao Liya;Wang Lixue;Li Leijin(Department of Intensive Care Unit,Shanxi Provincial People＇s Hospital,Taiyuan 030012,China)

机构地区：[1]山西省人民医院重症医学科,太原030012 [2]山西省人民医院肿瘤科,太原030012 [3]山西省人民医院神经外科,太原030012 [4]山西省人民医院普外三病区,太原030012

出　　处：《中国实用护理杂志》2018年第25期1993-1997,共5页Chinese Journal of Practical Nursing

摘　　要：目的分析目前临床护理操作考核的流程，由护理人员自行设计出临床护理操作考核评分系统（SSCNOE），并探讨其临床应用效果。方法使用作业流程程序分析图分析山西省人民医院目前临床护理操作考核的流程，寻找可以优化的改善重点，并基于Microsoft Visual Basic技术以临床护理15项常用操作技术为考核项目，开发SSCNOE，便利抽取102名护士为研究对象，使用随机数字表分为试验组和对照组，每组51名，试验组接受SSCNOE考核，对照组采用传统纸质考核方式，比较2组完成心肺复苏基本生命支持技术考试所需总时间、所需总体花费的差异。结果试验组完成心肺复苏基本生命支持技术考试所需总时间为（202．13±24．69）min，对照组为（347．67±6．51）min，2组比较差异有统计学意义（t=12．99，P〈0．01）。试验组完成心肺复苏基本生命支持技术（成年人CPR）考试所需总体花费为（948．13±72．47）元，对照组为（1689．12±126．72）元，2组比较差异有统计学意义（t=13．56，P〈0．01）。结论SSCNOE简化了临床护理操作考核流程，节约了大量的人力、物力和财力，该系统的研发和应用提高了护理操作考核的效率，节约了考核成本，提升了医院护理信息化建设水平。Objective To analyze the process of clinical nursing operation assessment in a third- grade class-A hospital in China, and design the scoring system of clinical nursing operation examination （SSCNOE）, and discuss its clinical application effect. Methods Through operation process analysis chart to analyze the flow of current clinical nursing operation assessment of shanxi provincial people＇ s hospital to look for improvement priorities that can be optimized, and based on Microsoft Visual Basic technology and 15 commonly used clinical nursing operation, we developed SSCNOE. A total of 102 nurses were selected as subjects and were randomly divided into the experimental and control groups using random numbers. The experimental group accepted SSCNOE examination, while the control group received the traditional paper test. The differences in the examination time and examination cost between the two groups were compared. Results SSCNOE simplified the examination process of clinical nursing operation and saved a lot of manpower, material and financial resources. The time required to use SSCNOE was （202.13±24.69）min, shorter than the traditional assessment （347.67±6.51）min （t=12.99, P〈0.01）, and the overall cost was （948.13±72.47）yuan, lower than the traditional test （1 689.12 ± 126.72）yuan （t=13.56, P〈0.01）. Conclusion The research and application of SSCNOE can improve the efficiency of the assessment of nursing operation, save the cost of examination and improve the level of hospital nursing information construction.

关 键 词：护理 操作 考核 无纸化 终端使用者开发模式 作业流程程序分析 

分 类 号：R47[医药卫生—护理学]