能力素质冰山模型管理在手术室护理管理中的应用效果  

Application effects of competence iceberg model management in operating room nursing management

作　　者：栗娟[1] 王燕[1] 赵海威 LI Juan;WANG Yan;ZHAO Haiwei(Operating Room of Zhengzhou People’s Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州人民医院手术室,河南郑州450000

出　　处：《中国民康医学》2024年第20期129-131,135,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察能力素质冰山模型管理在手术室护理管理中的应用效果。方法:选取2022年1—6月该院手术室76名护理人员实施常规手术室护理管理,选取2022年7—12月该院手术室76名护理人员实施能力素质冰山模型管理。比较两组护理管理质量[服务质量量表(SERVQUAL)]评分、管理前后护理人员核心能力[注册护士核心能力量表(CIRN)]评分、手术室不良事件发生率和患者满意度。结果:观察组有形性、可靠性、响应性、保证性、移情性等SERVQUAL各维度评分均高于对照组,差异有统计学意义(P<0.05);管理后,观察组批判性思维与科研、临床护理、领导能力、人际关系、法律与伦理实践、专业发展、教育与咨询等CIRN各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组患者手术室不良事件发生率为3.00%(3/100),低于对照组的10.00%(10/100),差异有统计学意义(P<0.05);观察组患者满意度为97.00%(97/100),高于对照组的90.00%(90/100),差异有统计学意义(P<0.05)。结论:能力素质冰山模型管理应用于手术室护理管理可提高护理管理质量评分、护理人员核心能力评分和患者满意度,降低手术室不良事件发生率,效果优于常规手术室护理管理。Objective:To observe application effects of competence iceberg model management in operating room nursing management.Methods:From January to June 2022,76 nursing staff in the operating room of the hospital were selected to implement routine operating room nursing management.From July to December 2022,76 nursing staff in the operating room of the hospital were selected to implement the competence iceberg model management.The scores of nursing management quality[service quality scale(SERVQUAL)],the core competence of nursing staff[competency inventory for registered nurse(CIRN)]before and after the management,the incidence of adverse events in the operating room,and the patient satisfaction were compared between the two groups.Results:The scores of each dimension of SERVQUAL such as tangibility,reliability,responsiveness,assurance and empathy in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the management,the scores of CIRN dimensions such as critical thinking and scientific research,clinical nursing,leadership,interpersonal relationship,legal and ethical practice,professional development,education and consultation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events in the operating room of the observation group patients was 3.00%(3/100),which was lower than 10.00%(10/100)of the control group,and the difference was statistically significant(P<0.05).Further,the patient satisfaction degree in the observation group was 97.00%(97/100),which was higher than 90.00%(90/100)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The competency iceberg model management in the operating room nursing management can improve the nursing management quality scores,the core competence scores of nursing staff and the patient satisfaction,and reduce the incidence of adverse events in the operating room.Moreove

关 键 词：能力素质冰山模型 护理管理 手术室 管理质量 核心能力 不良事件 满意度 

分 类 号：R472.3[医药卫生—护理学]