ADDIE模型在病区血标本采集质量改进中的应用  

Application of ADDIE model in quality improvement program for blood specimen collection in hospital ward

作　　者：张元元 黄华[1] 金婷 赵慧子 彭昕 Zhang Yuanyuan;Huang Hua;Jin Ting;Zhao Huizi;Peng Xin(Department of Pediatric,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院儿科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院肿瘤中心,湖北武汉430022

出　　处：《护理学杂志》2022年第14期72-75,共4页Journal of Nursing Science

摘　　要：目的提高病区静脉血标本采集质量。方法以儿童血液肿瘤2个病区34名护士为研究对象,针对静脉血标本退回率为0.95%(53/5594)的问题,采取ADDIE模式对护士进行培训与静脉血标本采集操作督导。设定改进目标为血标本退回率降至0.49%。结果干预后血标本退回率为0.32%(37/11527),显著低于干预前(P<0.05);护士血标本相关知识考核成绩显著高于培训前(P<0.05);护士对培训满意度为91.18%~100.00%。结论运用ADDIE模型进行培训与督导,可有效提高护士相关知识与技能,从而提高静脉血标本采集质量。Objective To improve the quality of venous blood specimen collection in hematological tumor ward.Methods A total of 34 nurses from 2 wards of pediatric hematological tumor were selected as the research subjects.Aiming at the problem that the venous blood specimen return rate was 0.95%(53/5594),ADDIE mode was adopted to train the nurses and supervise the operation of venous blood specimen collection.The improvement goal was to reduce the return rate of blood specimens to 0.49%.Results The blood specimen return rate was 0.32%(37/11527)after intervention,which was significantly lower than that before intervention(P<0.05).The results of blood specimen knowledge assessment of nurses were significantly higher than before training(P<0.05).Nurses′satisfaction with training ranged from 91.18%to 100.00%.Conclusion Training and supervision with ADDIE model can effectively improve nurses′knowledge and skills,thus improving the quality of venous blood specimen collection.

关 键 词：护士 儿童 血液肿瘤 静脉血标本 标本采集 ADDIE模型 护士培训 

分 类 号：R472[医药卫生—护理学] C931[医药卫生—临床医学]