急诊危重症患者OEC护理管理模式的构建与实践  

Construction and practice of OEC nursing management model for emergency critically ill patients

作　　者：李东倩 刘彩霞 沙美容 LI Dongqian;LIU Caixia;SHA Meirong(Department of Emergency Internal Medicine,Shanxi Bethune Hospital,Taiyuan 030032,Shanxi,China;School of Nursing,Shanxi Datong University,Datong 037009,Shanxi,China)

机构地区：[1]山西白求恩医院急诊内科,山西太原030032 [2]山西大同大学护理学院,山西大同0370091

出　　处：《中国现代医生》2024年第25期61-65,共5页China Modern Doctor

摘　　要：目的构建并探究急诊危重症患者OEC护理管理模式的临床应用效果。方法将海尔OEC管理理念与急诊危重症患者护理管理进行整合,从目标体系、日清体系、激励机制三方面入手,构建急诊危重症患者OEC护理管理模式;比较实施OEC护理管理模式前后护士的危急症护理核心能力、危重症患者护理质量控制结果、护士的工作积极性及患者和医生对护士工作的满意度。结果项目实施后,护士危急症护理核心能力测评问卷各维度评分及总分均显著高于实施前(P<0.05);除分级护理落实维度外,护士危重患者护理质量控制各维度评分及总分均显著高于实施前(P<0.05);护士的工作积极性显著高于实施前(P<0.05);患者和医生对护士的满意度均显著高于实施前(P<0.05)。结论急诊危重症患者OEC护理管理模式可提升护士的危急症护理核心能力,提高危重症患者的护理质量,激发护士的工作积极性,提升患者和医生对护士工作的满意度。Objective To construct and explore the clinical application effect of OEC nursing management model for emergency critically ill patients.Methods Haier’s OEC management concept is integrated with the nursing management of emergency critically ill patients,and the OEC nursing management model for emergency critically ill patients is constructed from three aspects:goal system,daily cleaning system and incentive mechanism.Before and after the implementation of OEC nursing management model,the core abilities of nurses in critical cases,the results of nursing quality control for critically ill patients,the enthusiasm of nurses and the satisfaction of patients and doctors on nurses’work were compared.Results After the implementation of the project,the scores of all dimensions and total scores of the questionnaire of core abilities of nurses in critical cases were significantly higher than those before the implementation(P<0.05).In addition to the implementation dimension of graded nursing,the scores of all dimensions and total scores of nursing quality control for critical ill patients were significantly higher than before implementation(P<0.05).The working enthusiasm of nurses was significantly higher than before implementation(P<0.05).Both patients and doctors’satisfaction with nurses was significantly higher than before implementation(P<0.05).Conclusion OEC nursing management model for emergency critically ill patients can improve the core abilities of nurses in critical care,improve the quality of nursing for critically ill patients,stimulate nurses’work enthusiasm,and enhance patients’and doctors’satisfaction with nurses’work.

关 键 词：OEC管理模式 急诊 危重症患者 护理管理 

分 类 号：R471[医药卫生—护理学]