护理安全预警值在低年资护士护理安全管理中的应用效果及对护理不良事件的影响
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摘要
目的:观察护理安全预警值在低年资护士护理安全管理中的应用效果及对护理不良事件的影响。方法:选取2015-2017年本院急诊科的低年资护士70例为研究对象。按照随机数字表法将其分为研究组和对照组,各35例。对照组采用常规护理安全管理,研究组在对照组基础上应用护理安全预警值。比较两组护士考核成绩、护理不良事件发生情况、临床医师及患者满意度。结果:研究组选择题、简答题、实际操作及考核总分均高于对照组,比较差异均有统计学意义(P<0.05);研究组识别错误、操作失误、管道滑脱、导管堵塞发生率均少于对照组,比较差异均有统计学意义(P<0.05);急诊医师、患者对研究组的总满意度分别为100%、97.1%,均高于对照组的88.6%、82.9%,比较差异均有统计学意义(P<0.05)。结论:在低年资护士护理安全管理过程当中,应用护理安全预警值能够显著提高急诊低年资护士的护理质量,增强其对患者的评估能力,降低不良事件的发生率,因此临床上应当进一步的推广与应用。
Objective:To observe the application effect of nursing safety early warning value in nursing safety management of junior nurses and its influence on nursing adverse events.Method:A total of 70 junior nurses in emergency department of our hospital from 2015 to 2017 were selected.According to the random number table method,they were divided into study group and control group,35 cases in each group.The control group adopted routine nursing safety management,while study group applied nursing safety early warning value on the basis of control group.The nurses' assessment results,occurrence of adverse nursing events,satisfaction of clinicians and patients between two groups were compared.Result:The scores of choice questions,short answers,practical operation,and total scores in study group were higher than those of control group,the differences were statistically significant(P<0.05).The incidence of identification errors,operation errors,pipeline slippage and duct blockage in study group were less than those of control group,the differences were statistically significant(P<0.05).The satisfaction of clinicians and patients were 100% and 97.1% respectively,which were higher than 88.6% and 82.9% of control group,the differences were statistically significant(P<0.05).Conclusion:In the process of nursing safety management of junior nurses,the application of nursing safety early warning value can significantly improve the nursing quality of junior nurses in emergency department,enhance their ability to assess patients and reduce the incidence of adverse events,so it should be further promoted and applied in clinic.
Objective:To observe the application effect of nursing safety early warning value in nursing safety management of junior nurses and its influence on nursing adverse events.Method:A total of 70 junior nurses in emergency department of our hospital from 2015 to 2017 were selected.According to the random number table method,they were divided into study group and control group,35 cases in each group.The control group adopted routine nursing safety management,while study group applied nursing safety early warning value on the basis of control group.The nurses' assessment results,occurrence of adverse nursing events,satisfaction of clinicians and patients between two groups were compared.Result:The scores of choice questions,short answers,practical operation,and total scores in study group were higher than those of control group,the differences were statistically significant(P<0.05).The incidence of identification errors,operation errors,pipeline slippage and duct blockage in study group were less than those of control group,the differences were statistically significant(P<0.05).The satisfaction of clinicians and patients were 100% and 97.1% respectively,which were higher than 88.6% and 82.9% of control group,the differences were statistically significant(P<0.05).Conclusion:In the process of nursing safety management of junior nurses,the application of nursing safety early warning value can significantly improve the nursing quality of junior nurses in emergency department,enhance their ability to assess patients and reduce the incidence of adverse events,so it should be further promoted and applied in clinic.
引文
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[15]王彦艳,刘延锦,娄小平,等.113例老年住院患者跌倒不良事件原因分析及预防对策[J].护理学报,2017,24(17):68-71.
[16]汪淼芹,苏霖,汪爱茹,等.柯氏四级评估法在内科低年资护士培训效果评价中的应用[J].中国实用护理杂志,2016,32(2):90-93.
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[18]徐海红,边亚滨,邱敏莲,等.低年资护士人文关怀能力现状及其影响因素调查分析[J].护理研究,2016,30(16):1985-1988.
[19] Almost J M,Vandenkerkhof E G,Strahlendorf P,et al.A study of leading indicators for occupational health and safety management systems in healthcare[J].BMC Health Serv Res,2018,18:296.
[20]郭海玲,田君,田润溪,等.中医院低年资护士规范化培训管理模式的应用[J].中华现代护理杂志,2016,22(35):5164-5167.
[2]白倩,黄珊,赵玲霞,等.扁平化护理模式下对低年资护士承担责任制护士风险把控对策研究[J].湖南中医药大学学报,2016,36(6):48.
[3] Douw G,Huisman-De Waal G,Van Zanten A R H,et al.Capturing early signs of deterioration:the dutch-early-nurseworry-indicator-score and its value in the Rapid Response System[J].J Clin Nurs,2017,26(17-18):2605-2613.
[4]郭潇,代艺,闻曲,等.巴林特小组训练法在低年资护士关怀能力培训中的应用[J].现代临床护理,2017,16(11):45-50.
[5]沈辉,蒋银芬,黄庆红,等.查检表结合情景模拟培训在提升低年资护士安全输血能力中的应用[J].中国实用护理杂志,2016,32(9):711-712.
[6]谢拉,黄素芳,吴前胜.血气分析酸碱失衡三步判断法在急诊科低年资护士培训中的应用效果评价[J].中国护理管理,2016,16(1):108-111.
[7]李凡,孙朋霞,史冬雷.年级制教学在急诊科低年资护士培训中的实践与效果[J].护理管理杂志,2016,16(7):493-495.
[8]刘于,张文艳,于明峰.微课联合操作技能直接观察法在低年资护士静脉留置针操作培训中的应用[J].护理学杂志,2017,32(22):71-74.
[9] Higgins A,Doyle L,Downes C,et al.There is more to risk and safety planning than dramatic risks:Mental health nurses’ risk assessment and safety-management practice[J].Int J Ment Health Nurs,2016,25(2):159-170.
[10]乔秋阁,高永平,张玲玲,等.QCC管理工具在提升低年资护士防压疮健康教育能力中的应用[J].河北医科大学学报,2016,37(5):597-600.
[11]刘万芳,郑姣,韦珊珊,等.压疮评分表在不同年资护士工作中应用的差异性[J].中国急救复苏与灾害医学杂志,2016,11(2):189-190.
[12]敬洁,顾凤娇,王帆,等.跨专业合作情景模拟教学在手术室低年资护士岗位培训中的应用与效果评价[J].中国组织工程研究,2016,(B05):179-181.
[13] Downey C L,Tahir W,Randell R,et al.Strengths and limitations of early warning scores:A systematic review and narrative synthesis[J].Int J Nurs Stud,2017,76:106-119.
[14]万霞,陆群,陈蓉,等.团体积极心理干预对低年资护士主观幸福感和工作满意度的影响[J].中国护理管理,2017,17(7):929-932.
[15]王彦艳,刘延锦,娄小平,等.113例老年住院患者跌倒不良事件原因分析及预防对策[J].护理学报,2017,24(17):68-71.
[16]汪淼芹,苏霖,汪爱茹,等.柯氏四级评估法在内科低年资护士培训效果评价中的应用[J].中国实用护理杂志,2016,32(2):90-93.
[17] Zografakis-Sfakianakis M,De Bree E,Linardakis M,et al.The value of the Modified Early Warning Score for unplanned Intensive Care Unit admissions of patients treated in hospital general wards[J].International Journal of Nursing Practice,2018,24(3):e12632.
[18]徐海红,边亚滨,邱敏莲,等.低年资护士人文关怀能力现状及其影响因素调查分析[J].护理研究,2016,30(16):1985-1988.
[19] Almost J M,Vandenkerkhof E G,Strahlendorf P,et al.A study of leading indicators for occupational health and safety management systems in healthcare[J].BMC Health Serv Res,2018,18:296.
[20]郭海玲,田君,田润溪,等.中医院低年资护士规范化培训管理模式的应用[J].中华现代护理杂志,2016,22(35):5164-5167.