多元化干预模式对护理人员护理不良事件报告认知及行为的影响  

Influence of Diversified Intervention Model on Cognition and Behavior of Nursing Staff in Reporting Nursing Adverse Events

作　　者：黄昌惠 HUANG Chang-hui(The people＇s Hospital of Dazhu County,Dazhu,Sichuan 635100,China)

机构地区：[1]四川省大竹县人民医院,四川大竹635100

出　　处：《医学临床研究》2018年第8期1539-1541,共3页Journal of Clinical Research

摘　　要：[目的]探讨多元化干预模式对护理人员护理不良事件报告认知及行为的影响.[方法]选择本院2017年1-6月的护理人员365名为研究对象,均采用完善护理不良事件管理体系、护理不良事件报告＂知信行＂培训、构建激励上报护理不良事件制度等多元化干预模式,比较干预前（2016年7-12月）与本次干预后护理人员护理不良事件报告认知及行为评分、护理不良事件发生情况及报告情况.[结果]干预后,护理人员护理不良事件报告认知维度、行为维度评分均明显高于干预前（P〈0.05）;护理不良事件发生率为0.1064％明显低于干预前的0.1551％（P〈0.05）,上报率、上报正确率明显高于干预前（75.00％vs 59.30％,93.75％vs 80.39％）（P〈0.05）.[结论]多元化干预模式有助于促进护理人员护理不良事件报告认知及行为能力的养成,减少护理不良事件发生率,提高护理不良事件识别能力及报告的积极性.[Objective]To investigate the influence of diversified intervention model on cognition and behavior of nursing staff in reporting nursing adverse events. [Methods]A total of 365 nurses who served in our hospital from January 2017 to June 2017 were selected as the research objects. The management system of nursing adverse events was adopted and the ＂knowledge-attitude-practice（NAP）＂ training of nursing adverse event reporting was carried out, the incentive system for reporting nursing adverse events was constructed and other diversified intervention models were adopted. The scores of cognition and behavior of nursing staff in reporting nursing adverse events, and the occurrence and reporting situations before and after intervention were compared. [Results] After the intervention, the scores of cognitive and behavior dimensions of nursing staff in reporting nursing adverse events were significantly higher than those before intervention （P〈0.01）; the incidence rate of nursing adverse events was 0. 1064M and significantly lower than that before intervention 0.1551% （ P 〈0.05）, and the reporting rate and reporting accuracy were significantly higher than those be- fore intervention （75.00% vs 59.30%, 93.75N vs 80.39%）（ P 〈0.05）. [Conclusion]Diversified intervention model can help to promote the development of cognitive and behavioral abilities of nursing staff in reporting nursing adverse events, reduce the incidence rate of nursing adverse events, and improve the recognition capability of nursing adverse events as well as the reporting enthusiasm.

关 键 词：护理人员 医院/组织与管理 护理质量审核 病人医疗护理计划 

分 类 号：R47[医药卫生—护理学]