行为运作管理理论联合问题追踪法在科室护理质量管理中的应用  

Application of behavioral operations management theory combined with problem tracking method intervention in quality management of departmental nursing care

作　　者：马虹颖 杨存美 王杰 赵海英 龚竹云[2] MA Hongying;YANG Cunmei;WANG Jie;ZHAO Haiying;GONG Zhuyun(The Fourth Department of Health Care,The Second Medical Center,Chinese PLA General Hospital,National Clinical Research Center for Geriatric Diseases,Beijing,100853,China)

机构地区：[1]解放军总医院第二医学中心保健四科,国家老年疾病临床医学研究中心,北京市100853 [2]解放军总医院门诊部,北京市100853

出　　处：《中国护理管理》2024年第3期437-441,共5页Chinese Nursing Management

摘　　要：目的:评价行为运作管理理论联合问题追踪法在科室护理质量管理中的应用效果,以提高科室护理质量、护士的质量管理能力及认知操作技能水平。方法:采用方便抽样法,选取2021年4月至2022年3月期间某三级甲等医院保健科住院患者及科室一级质控小组护士为研究对象,联合应用行为运作管理理论和问题追踪法进行护理质量管理,比较实施前后科室护士的理论考试及护理操作技能成绩、一级质控护士质量管理能力、科室护理管理质量以及患者满意度。结果:科室实施行为运作管理理论联合问题追踪法后,科室护士理论考试成绩和护理操作技能、一级质控护士的质量管理能力、科室护理质量评价得分以及患者满意度均显著提高(P<0.05)。结论:应用行为运作管理理论联合问题追踪法进行护理质量管理,能明显提高科室护士的理论知识水平及操作技能、质控护士的管理能力、科室护理管理质量以及患者满意度,提高临床护理管理执行力,值得在临床护理管理中应用推广。Objective:Exploring the application effects of behavioral operations management theory combined with problem tracking intervention in departmental nursing quality management,in order to improve departmental nursing quality,enhance the management ability and cognitive operational skills of nurses.Methods:The inpatients of the health care department of a tertiary hospital and the nurses of the first-level quality control team of the department were recruited as the study participants during the period from April 2021 to March 2022;the behavioral operations management theory and the problem tracking method were jointly applied to carrying out the interventions;case control and the before-and-after control methods were adopted to compare the nurses'theoretical examination scores and operation skills scores,the quality control nurses'quality management ability,the quality of nursing management in the department and the patient satisfaction before and after the interventions.Results:After the implementation of behavioral operations management theory combined with problem tracking method in the department,the nurses'theoretical examination scores and operation skills,the nursing quality management ability of the first-level quality control nurses,the nursing quality evaluation score,and the patients'satisfaction were significantly improved(P<0.05).Conclusion:The implementation of the behavioral operations management theory combined with the problem tracking method can significantly improve the quality of nursing management,the management ability of the quality control nurses,the theoretical knowledge level and operational skills of the nurses,and the patient satisfaction,and improve the execution of clinical nursing management,which is worthy of being applied and popularized in the clinical nursing management.

关 键 词：行为运作管理 问题追踪法 护理质量 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]