清单式管理在急诊护士床旁交接班中的应用研究  

The application of checklist for nursing handover in emergency department

作　　者：沈霞[1] 代月光 张楠楠[1] 王雷[1] 方萌萌[1] 修麓璐[1] Shen Xia;Dai Yueguang;Zhang Nannan;Wang Lei;Fang Mengmeng;Xiu Lulu(Emergency Department,the Affiliated Hospital of Qingdao Medical University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院市南院区急诊门诊,266000

出　　处：《中国实用护理杂志》2019年第18期1416-1419,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨清单式管理在急诊护士床旁交接班中的实施效果。方法采用便利抽样方法选择青岛大学附属医院急诊科48名护士为研究对象,实施交接班清单4个月,比较实施前后交接班质量、护士对患者病情掌握度及患者满意度情况。结果护士交接班质量总分由实施前的(60.39±3.22)分上升至实施后的(67.73±3.09)分,差异有统计学意义(t=-14.377,P<0.01);护士对患者病情掌握度总分由实施前的(23.89±2.34)分提高至实施后的(27.08±1.82)分,差异有统计学意义(t=-7.287,P<0.01);患者满意度由实施前的91.73%(111/121)上升至实施后的96.67%(116/120),差异有统计学意义(χ^2=10.66,P<0.01)。结论运用床旁交接清单,能降低个体认知缺陷,减少护士病情交班时的信息遗漏,改进护理工作质量,进而保证患者安全。Objective To explore the effects of checklist for nursing handover in emergency department.Methods A total of 48 emergency department nurses were recruited by convenient sampling method.We implemented nursing bedside handover checklist four months,the quality of the nursing handover and nurses′mastery of the patients′condition and the patients′satisfaction were compared before and after the implementation.Results After four-month intervention,the score of the nursing handover quality increased from 60.39±3.22 to 67.73±3.09,the difference was statistically significant(t=-14.377,P<0.01).The score of the nurses′mastery of the patients′condition increased from 23.89±2.34 to 27.08±1.82,and there was significant difference(t=-7.287,P<0.01).Patients′satisfaction improved from 91.163%(111/121)to 96.67%(116/120),the difference was statistically significant(χ^2=10.66,P<0.05).Conclusions Implementation of nursing bedside-handover checklist in emergency department can reduce individual cognitive defects,decrease the information missing of the nursing handover,improve the quality of nursing work and ensure the safety of patients.

关 键 词：清单 急诊 床旁交接班 

分 类 号：R47[医药卫生—护理学]