基于"知识-行动"框架和循证护理的电子护理交接班表在骨科护理中的应用  

Application of electronic nursing hand-over schedule based on"knowledge-to-action"frame and evidence-based nursing in orthopedics nursing

作　　者：陈华苹[1] 孙惠萍[1] 夏晶晶[1] 朱艳丽[1] 徐肖[1] Chen Huaping;Sun Huiping;Xia Jingjing;Zhu Yanli;Xu Xiao(Department of Orthopedics,Hangzhou First People's Hospital,Hangzhou 310006,China)

机构地区：[1]杭州市第一人民医院骨科,310006

出　　处：《中华现代护理杂志》2020年第23期3226-3229,共4页Chinese Journal of Modern Nursing

摘　　要：目的:探讨基于"知识-行动"框架和循证护理的电子护理交接班表在骨科护理中的应用效果。方法:选取杭州市第一人民医院骨科2018年5—10月收治的150例患者为对照组,采取传统交接班形式;2018年11月—2019年4月收治的150例患者为干预组,采用基于"知识-行动"框架和循证护理的电子护理交接班表。比较两组护理交接班质量。结果:干预组护理交接时间为(2.45±1.05)min,对照组为(5.17±1.26)min,差异有统计学意义(t=11.726,P<0.05)。干预组护理交接班无漏项发生,护理风险事件发生率1.33%(2/150),护理措施执行合格率98.0%(147/150),均优于对照组,差异有统计学意义(χ^2值分别为4.252、4.624、4.795;P<0.05)。结论:基于"知识-行动"框架和循证护理的电子护理交接班表可改善骨科患者的护理交接质量。Objective To explore the effects of electronic nursing hand-over schedule based on"knowledge-to-action"frame and evidence-based nursing in orthopedics nursing.Methods We selected 150 patients of the Department of Orthopedics at the Hangzhou First People's Hospital from May to October 2018 in control group with the traditional handover,and selected 150 patients from November 2018 to April 2019 in intervention group with the electronic nursing hand-over schedule based on"knowledge-to-action"frame and evidence-based nursing.We compared the quality of nursing hand-over between two groups.Results The nursing hand-over time of intervention group and control group was(2.45±1.05)min and(5.17±1.26)min respectively with a statistical difference(t=11.726,P<0.05).In intervention group,there were no missing items in the nursing hand-over,and the incidence of nursing risk events was 1.33%(2/150),and the qualified rate of nursing measures was 98.0%(147/150)which were better than those in control group with statistical differences(χ^2=4.252,4.624,4.795;P<0.05).Conclusions The electronic nursing hand-over schedule based on"knowledge-to-action"frame and evidence-based nursing can improve the quality of nursing hand-over for orthopedics patients.

关 键 词：骨科 护理交接班 知识-行动 循证护理 信息化 

分 类 号：R473.6[医药卫生—护理学]