基于格林模式提高骨科中心护士安全注射的管理实践  

Management Practices to Improve Safe Injection for Orthopaedic Center Nurses Based on the Grimm Model

作　　者：孙冉 冯哲 蔡永婕 龚晓丽 刘俊 

机构地区：[1]国药东风茅箭医院普外科,湖北 十堰 [2]湖北医药学院护理学院,湖北 十堰 [3]湖北医药学院附属人民医院,湖北 十堰

出　　处：《护理学》2024年第6期819-823,共5页Nursing Science

摘　　要：目的:了解三甲医院骨科中心护理人员安全注射的认知水平、依从性现状,提升安全注射的管理质量。方法:以格林模式为指导依据,实施前后通过问卷星调查、安全注射知识考核及现场访谈等方式对三甲医院骨科中心69名护理人员的安全注射知识知晓率、一针一管一用执行率、手卫生执行率、医疗废物处置情况、干预医生安全注射行为主动率、护士长对洗手设施配备执行率进行调查。结果:实施后护理人员安全注射知识知晓率、一针一管一用执行率、干预医生安全注射行为的主动率、手卫生执行率、医疗废物处置规范率显著高于实施前(P < 0.05, P < 0.01)。结论:将格林模式用于骨科中心安全注射管理,有效提高了护理人员安全注射的正确执行率,规范了护士个人手卫生及一针一管一用执行率,并提升了护理管理者对职业防护的干预能力和专科安全设施配置的执行率,全面强化了骨科中心护理人员的感控防范能力。Objective: To understand the current status of nursing staff's awareness level and compliance of safe injection in orthopedic centers of tertiary hospitals, and to improve the management quality of safe injection. Methods: Taking the Greene model as the guiding basis, before and after the implementation, through questionnaire star survey, safe injection knowledge assessment and on-site interviews, the 69 nursing staff of orthopedic center of tertiary hospitals were surveyed on the knowledge rate of safe injection, the execution rate of one needle, one tube, one use, the execution rate of hand hygiene, the disposal of medical wastes, the intervention of the doctor’s initiative rate of safe injection behaviors, and the execution rate of the head nurse on the provision of hand- washing facilities. Results: The knowledge rate of nursing staff about safe injection, the execution rate of one needle, one tube, one use, the initiative rate of intervening doctors’ safe injection behavior, the execution rate of hand hygiene, and the standard rate of medical waste disposal were significantly higher after the implementation than before the implementation (P < 0.05 and P < 0.01). Conclusion: The use of Green’s model for safe injection management in orthopedic centers effectively improved the correct execution rate of safe injections by nursing staff, standardized the execution rate of nurses’ personal hand hygiene and one-needle, one-tube, one-use, and enhanced the nursing managers’ ability to intervene in the occupational protection and the execution rate of the configuration of specialized safety facilities, which comprehensively strengthened the sense- control precautionary ability of the orthopedic center’s nursing staff.

关 键 词：骨科中心 安全注射 格林模式 医院感染 

分 类 号：R47[医药卫生—护理学]