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  • 年资论文 关于年资论文范文参考资料

    此文是一篇年资论文范文,为你的毕业论文写作提供有价值的参考。

    持续质量改进对提高低年资护士专科水平效果评价

    摘 要:目的 探讨持续质量改进对提高低年资护士专科护理水平的应用效果.方法 2011年1月开始对低年资护士持续质量改进,在原有的低年资规范化培训基础上实施 护理查房和专科讲座.回顾2010年低年资护士专科护理质量检查结果进行比较.结果 实施持续质量改进后低年资护士在专科知识、技术操作、应急能力、健康教育方面比实施前都有显著提高,P<0.05具有统计学意义.结论 持续质量改进不仅可以提高低年资护士的专科知识水平,同时提高了她们的技术操作、应急能力和沟通交流能力,从而提高了护理质量,使病人获得安全、优质、满意的护理.

    关键词:持续质量改进 低年资护士 专科护理水平 护理查房 专科讲座

    持续质量改进(CQI)是在全面质量管理基础上发展起来的,更注重过程管理和环节质量控制的一种新的质量管理理论【1】.为了适应社会的发展,护士需要不断提高护理服务水平,从而达到真正地提高护理质量.随着医院的扩建,近3年来我院新招了护士78名,在2010年护理部组织的专科护理质量检查中成绩不理想,主要存在专科知识模糊、技术操作不熟练、应急能力差、对病情掌握不全面等问题.我院于2011年1月开始在低年资规范化培训的基础上实施持续质量改进,在原有低年资规范化培训基础上实施 护理查房和专科讲座,提高了护士专科护理水平,增强了护患之间的沟通,在提高护理质量方面取得一定的效果.现报道如下.

    1临床资料

    1.1 一般资料 取2011年1月 ~ 2011年12月全院工作1 ~ 3年护士78名为实验组.取2010年1月 ~ 2010年12月全院工作1 ~ 3年护士51名为对照组.护理部定期对全院低年资护士进行专科护理质量检查和病人满意度调查.

    1.2 方法

    1.2.1 组织计划 成立由护理部主任为组长,各科护士长为组员的质量改进小组.制定CQI计划,确定项目负责人、小组人员、提出问题、分析原因、讨论并拟定预期目标、实施方案和评价标准.

    1.2.2 收集资料,确定存在的问题 对2010年1月~12月全院专科护理检查结果从病情掌握、专科护理、专科操作、应急能力、病人满意度五个方面收集资料发现存在的问题.(1)护士专科理论知识不足,护理措施落实不到位.(2)专科操作不规范,操作过程中人文关怀不够.(3)护理体格检查顺序错、手法不正确.(4)应急能力欠缺.(5)年轻护士和病人及家属沟通不和谐,病人对年轻护士的满意度低.

    1.2.3 分析问题产生的原因 (1)护士因素:低年资护士理论基础差;主动学习意识差,学习方法不对;缺乏敬业精神.(2)带教因素:带教老师专科知识欠缺,带教方法片面,未理论联系实际.(3)护士长因素:护士长自身专科知识欠扎实,检查方法片面性.(4)管理因素:专科护理检查方法有偏向性,疾病查房及业务查房方法有弊端.

    1.2.4 改进方法 (1)提高护士长自身素质 各科护士长带头学习本科室疾病专科理论知识,归纳总结本科室常见疾病的专科理论知识,包括从病因、病理到出院健康指导,抓要点,简单、扼要概括后供低年资护士学习.(2)疾病查房转变为 护理查房 护理查房在病房内进行,由责任护士进行病史汇报、体格检查,提出相关的护理问题及护理措施并进行健康教育,责任组长进行补充并点评,护士长根据病种进行专科知识提问、考核.(3)加强带教老师的专科知识,灵活应用带教方法 各科带教老师认真学习本科室新制订的专科知识内容,由护士长监督、考核.带教时重视理论联系实际,多问为什么,多解释为什么,加强对专科知识的带教.(4)开展专科讲座 采用PPT形式,由低年资护士制作、主讲,全科室护士共同点评.内容以科内常见病、多发病为主,结合临床病例进行.从病因、病理、临床表现、诊断、护理问题、护理措施到健康教育进行全方位讲解.低年资护士讲解完后,护士长可根据讲座内容进行提问并就重点内容组织讨论,最后全科护士共同点评,指出本次讲座存在的问题或不足.要求工作一年内的护士完成专科讲座2次/年,工作2 ~ 3年的护士完成专科讲座4次/年.(5)改变护理部专科护理质量检查方式 进行专科护理质量检查前,检查者先学习相关的专科理论知识.检查时注重护理措施落实情况,重点检查护理要点、护理措施落实的原因.

    1.2.5 预期目标 通过持续质量改进,从思想上认识到专科知识的重要性,通过不同形式学习专科护理知识,改进检查方法,促进专科知识的掌握,规范护理措施的落实,提高专科护理质量.护理部组织的专科护理质量检查中得分率≥90%,病人满意度≥90%.

    1.3 评价标准

    1.3.1根据我院护理部制定的专科护理检查标准,总分100分,其中病情掌握占20分,专科护理占40分,技术操作占20分,应急能力占10分,健康教育占10分.

    1.3.2 根据我院护理部制定的病人满意度调查表.

    1.4 统计学方法

    把所获得的数据录入SPSS16.0统计软件包,应用t、ⅹ2检验进行统计学分析.

    2结果

    2.1 两组一般项目比较尚属均衡,见表1

    2.2 效果评价

    3讨论

    3.1 持续质量改进有利于提高低年资护士的专科知识水平 通过实施“责任护士—责任组长—护士长”式 查房模式,可以总结出低年资护士工作中存在的不足,提出预防性护理措施并积极落实,有效地控制了护理质量的薄弱环节,防止护理不良事件和并发症的发生,使患者获得更为安全、优质的护理.同时,随着查房次数的增多,护士接触的病例种类越来越多,拓宽了护士的学习范围【2】.专科讲座能帮助低年资护士加深对科内常见病、多发病的病因、病理、临床表现、护理问题、护理措施、健康教育的认识,而且促使低年资护士主动运用书籍、专业网站查询、求助专科医生等多种方式扩大知识储备【3】,专科理论知识明显提高.专科知识由原来的31.64±5.25分上升到37.14±1.53分(p<0.05).

    年资论文范文结:

    关于年资方面的论文题目、论文提纲、年资是什么意思论文开题报告、文献综述、参考文献的相关大学硕士和本科毕业论文。

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