床边护理流程对NICU护士护理安全认知和行为的影响  

Influence of bedside nursing program on nursing safety cognition and behavior of NICU nurses

作　　者：林迦密 丁文雯 朱凤 魏丽 杨丽黎[2] LIN Jiami;DING Wenwen;ZHU Feng;WEI Li;YANG Lili(Neonatal Intensive Care Units,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou,310004,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院新生儿重症监护室,杭州市310004 [2]浙江大学医学院附属邵逸夫医院护理部,杭州市310004

出　　处：《中国护理管理》2025年第2期289-294,共6页Chinese Nursing Management

摘　　要：目的:探究基于线性视觉流程的床边护理流程对NICU护士护理安全认知和行为的影响,为护理管理提供依据,促进护士临床护理安全。方法:采用便利抽样法选择2022年12月—2023年2月入住NICU的29例患儿为对照组,2022年3月—2023年5月的32例为观察组,均为使用有创呼吸机辅助通气的重症患儿,通过现况调查及证据引入,观察组运用基于线性视觉流程的床边护理流程方案巡查,对照组进行常规床边巡查,比较NICU护士培训前后安全认知和行为、患儿不良事件发生率的差异。结果:基于线性视觉流程的床边护理流程实施后,护士相关知识的掌握程度、安全胜任力各项目评分均高于实施前,差异有统计学意义(P<0.05);观察组重症患儿压力性损伤和输液外渗发生率均低于对照组,差异有统计学意义(P<0.05)。结论:基于线性视觉流程的床边护理流程可有效提高护士的护理安全认知和行为,降低NICU重症患儿压力性损伤、输液外渗和非计划拔管的发生率,提升护理质量管理,保障临床护理安全。Objective:To explore the impact of bedside nursing program based on linear visual flow on nurses'cognitive and behavioral perceptions of nursing safety in the Neonatal Intensive Care Unit(NICU),and to provide evidence for promoting nurses'clinical nursing safety.Methods:Twenty-nine patients admitted from December 2022 to February 2023 were recruited in the control group,while 32 patients admitted from March 2022 to May 2023 were assigned to the observational group by convenience sampling method,and the control group used the linear visual inspection supervision scheme.A linear visual diagram and a linear visual inspection checklist were drawn up for critically ill patients,and basic knowledge training and practical training were conducted to,while the control group was on routine bedside rounds,evaluate the differences in safety cognition and behavior,as well as the incidence of adverse events in infants before and after the training of NICU nurses.Results:After the implementation of bedside nursing program based on the linear visual process,the knowledge and scores of safety competence of nurses were higher than those before the training(P<0.05).The incidences of pressure injury and infusion extravasation in critically infants in the observational group were lower than those in the control group(P<0.05).Conclusion:Bedside nursing program based on linear visual process can effectively improve nurses'cognitive and behavior of safety,reduce the incidence of pressure injury,infusion extravasation and unplanned extubation in NICU critically infants,improve nursing quality management,and ensure clinical safety.

关 键 词：视觉流程 护理流程 护士 认知 安全胜任力 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]