PDCA循环在心血管内科护士管理中的应用方法及效果分析  

Application Method and Effect Analysis of PDCA Cycle in the Management of Cardiovascular Nurses

作　　者：黄美玉 HUANG Meiyu(Department of Integrated Traditional Chinese and Western Medicine,the People′s Hospital of Huaiyin,Jinan City,Shandong Province,Jinan Shandong 250118,China)

机构地区：[1]山东省济南市槐荫人民医院中西医结合内科,山东济南250118

出　　处：《中国卫生标准管理》2024年第24期181-185,共5页China Health Standard Management

摘　　要：目的 探讨在心血管内科护士的日常管理中实施计划-执行-检查-处理(plan-do-check-action,PDCA)循环管理的效果。方法 选取2022年7月—2023年7月山东省济南市槐荫人民医院心血管内科护士40名,采用随机取样法分为2组,各20名。对照组接受常规管理,观察组开展PDCA循环管理。观察2组的管理质量、管理成效及护理工作质量、护理不良事件发生率。结果 观察组理论考试、实操训练、病历书写、沟通能力、综合表现、基础能力、业务兴趣、独立思考能力、学习效率、自主学习能力评分分别为(7.54±2.17)分、(7.31±1.22)分、(7.13±0.91)分、(7.40±0.53)分、(7.80±1.15)分、(86.15±8.23)分、(89.45±7.58)分、(90.15±5.14)分、(88.58±7.22)分、(92.51±5.58)分,高于对照组的(6.05±2.00)分、(6.36±1.02)分、(6.53±0.56)分、(6.32±0.54)分、(6.33±0.52)分、(80.11±6.15)分、(80.14±5.22)分、(85.15±1.38)分、(78.14±5.45)分、(88.44±4.47)分,差异均有统计学意义(P <0.05)。观察组基础护理、安全管理、一级护理、文书记录、总分评分分别为(23.11±1.36)分、(23.15±1.22)分、(23.33±1.03)分、(23.11±0.36)分、(92.56±1.55)分,均高于对照组的(20.15±1.02)分、(20.33±1.14)分、(20.15±0.36)分、(21.36±0.22)分、(81.33±1.45)分,差异均有统计学意义(P<0.05)。观察组护理不良事件发生率为0,低于对照组的30.00%,差异有统计学意义(P<0.05)。结论 在心血管内科护士的日常管理中实施PDCA循环管理取得显著效果,不仅提升了护士的管理质量和管理成效,还降低护理不良事件,明显提升了护理工作质量。Objective To explore the effect of circulatory management of plan-execution-check-treatment(plan-do-checkaction,PDCA)in the daily management of cardiovascular medicine nurses.Methods From July 2022 to July 2023,40 nurses from the department of cardiovascular,the People′s Hospital of Huaiyin,Jinan,Shandong Province,were randomly divided into two groups of 20 each.The control group received conventional management,while the observation group implemented plan-do-check-action(PDCA)cycle management.The management quality,management effectiveness,nursing work quality,and incidence of nursing adverse events were observed in both groups.Results Theoretical examination,practical training,medical record writing,communication ability,comprehensive performance,basic ability,business interest,independent thinking ability,learning efficiency,and independent learning ability were(7.54±2.17)points,(7.31±1.22)points,(7.13±0.91)points,(7.40±0.53)points,(7.80±1.15)points,(86.15±8.23)points,(89.45±7.58)points,(90.15±5.14)points,(88.58±7.22)points,and(92.51±5.58)points,respectively,which were higher than(6.05±2.00)points,(6.36±1.02)points,(6.53±0.56)points,(6.32±0.54)points,(6.33±0.52)points,(80.11±6.15)points,(80.14±5.22)points,(85.15±1.38)points,(78.14±5.45)points,(88.44±4.47)points of the control group,the differences were statistically significant(P<0.05).The basic care,safety management,primary care,document records,and total score were(23.11±1.36)points,(23.15±1.22)points,(23.33±1.03)points,(23.11±0.36)points,and(92.56±1.55)points,respectively,which were higher than(20.15±1.02)points,(20.33±1.14)points,(20.15±0.36)points,and(21.36±0.22)points,(81.33±1.45)points of the control group,the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was 0,which lower than 30.00%of the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of PDCA cycle management in the daily management of cardiovascular medicine

关 键 词：心血管内科 护士 PDCA循环 管理质量 护理质量 不良事件 

分 类 号：R197[医药卫生—卫生事业管理]