住院病人对护士健康教育满意度的调查分析

目的了解住院病人对健康教育的满意程度，找出存在的问题，提高整体护理质量。方法 采用健康教育满意度调查表对7个模式病房的377名即将出院的住院病人进行问卷调查。结果 入院教育阶段4项内容，3项满意率在90％以上，1项(作息时间、住院制度)满意率为55．7％。住院教育阶段9项内容，6项满意率大于90％，3项(疾病相关知识、特殊检查的意义、用药知识)满意率低于50％。出院教育阶段5项内容，2项满意率大于90％，3项(继续治疗用药的方法及注意事项、自我护理知识、家属护理知识)满意率低于60％。结论 护士应提高对健康教育的认识水平，加大相关知识的培训力度，积极参加在职教育，提高学历水平。医院应全方位开展整体护理和优质服务活动，增加住院费用透明度，提高健康教育满意度。     

住院病人对护理服务质量满意度调查与分析

目的了解住院病人对护理服务质量的满意度情况,探讨提高护理服务质量的应对措施,以适应日益激烈的市场竞争形势。方法采用问卷调查法调查540例住院病人对护理人员护理服务质量满意度情况,内容包括入院教育、对病人态度、提供护理及时、病人感受、病房环境、操作水平、住院教育、出院前教育、护患沟通共9个方面。结果入院教育、护患沟通满意率均<90%,住院教育8项内容中5项满意率<95%、3项满意率>95%,其余各方面满意率均>95%。结论开展人性化护理服务,加强管理,提高护士健康教育能力,确保健康教育质量,并以娴熟的护理操作,良好的护患沟通,舒适的病房环境全面提高病人满意度。     

病人对节假日护理工作满意率的调查分析

目的 探讨节假日护理工作薄弱点,提出改进对策,提高病人满意率.方法 随机选取175例住院病人进行问卷调查,要求同一病人对正常工作日及节假日两个不同时间段护理工作10个项目满意情况分别填写.结果 两个不同时间段护理工作10个项目满意率对比,经x^2检验,其中9项有显著性差异（P＜0.005）,分别为：病区环境主动介绍,疾病知识康复指导,介绍治疗护理的配合要求,主动交谈、了解病人需求,观察饮食、介绍饮食知识,告知药物不良反应及帮助服药到口,主动巡视病房,床单、病员服随脏随换,及时帮助解决所遇问题.结论 持续质量监测,改变传统的思维和管理模式,病人满意度和护理服务质量得到有效改观.     

开放病区精神病患者对护理服务满意度调查与分析

目的:了解开放病区住院精神病患者对护理服务质量的满意度。方法:采用自制的调查问卷,对在开放病区即将出院的116例精神病患者进行调查。结果:入院教育3项内容满意率在90%以上;住院教育6项内容有5项满意率在90%以下,患者感受8项内容有3项满意率在90%以上,5项在90%以下;出院教育3项内容有1项满意率在90%以上,2项在75%以下。结论:强化护士健康教育意识,开展人性化护理服务,营造关爱氛围,加强专科知识培训,做好出院指导可提高患者的满意度。     

精神病住院患者对护理工作满意度调查

目的探讨精神病住院患者对护理工作的满意度,为提高护理服务质量提供依据。方法对120例精神病住院患者采用自行设计的精神病住院患者护理工作满意度调查表进行调查分析,内容包括服务态度、健康教育、病区管理等,共20个项目。结果在调查表的20个项目中,满意度为94．75％。其中5项满意率为100％,10项满意率〉90．0％,5项满意率〈90％;患者对入院护理、服务态度、病区管理满意度较高,对心理护理、健康教育满意度较低。结论患者对护理工作总体满意度高,但对心理护理、健康教育满意度较低。护理工作应针对调查结果予以改进。     

住院病人对护士健康教育满意度的调查分析

目的了解住院病人对健康教育的满意程度,找出存在的问题,提高整体护理质量.方法采用健康教育满意度调查表对7个模式病房的377名即将出院的住院病人进行问卷调查.结果入院教育阶段4项内容,3项满意率在90%以上,1项(作息时间、住院制度)满意率为55.7%.住院教育阶段9项内容,6项满意率大于90%,3项(疾病相关知识、特殊检查的意义、用药知识)满意率低于50%.出院教育阶段5项内容,2项满意率大于90%,3项(继续治疗用药的方法及注意事项、自我护理知识、家属护理知识)满意率低于60%.结论护士应提高对健康教育的认识水平,加大相关知识的培训力度,积极参加在职教育,提高学历水平.医院应全方位开展整体护理和优质服务活动,增加住院费用透明度,提高健康教育满意度.     

心血管内科住院患者护理满意度调查分析

目的了解住院患者对本院心血管内科护理工作的满意程度,寻找护理工作中存在的问题和不足,制定改进措施,为缓解日益紧张的医患关系提供参考依据。方法随机对2012年5月～2012年12月在心血管内科住院的240名患者进行满意度问卷调查,并对相关调查结果进行分析。结果调查问卷所涉及的11项调查内容的满意率均大于90．0％,其中,患者对医疗服务态度的满意度最高,患者对病房的环境、护士操作技能、健康教育的满意度则相对较低。结论加强病房管理,强化医务人员培训,细化健康教育,加强巡视等对提高患者满意度具有重要意义。     

影响病人满意率的因素及对策

目的 了解影响病人满意率的因素，提高病人满意度。方法 由市护理质控中心设计的住院病人征求意见表，内容主要包括：服务态度，医疗技术水平，病区环境卫生，护士的介绍工作，护士长对病人的关心与否。由科护士长每月对10例病员或家属发放一次调查表。结果 共发出120份征求意见表，回收120份。合格率92％，病人满意率92．5％～100％。结论 根据影响病人满意率因素：服务态度，医疗技术水平．病区环境卫生，护士的介绍工作，护士长对病人的关心与否，采取相应措施：加强治疗前解释工作，减少病人痛苦，增强对病人的感情投资，改善生活设施．提高人文素养．提高医疗费用透明度，改进护士长人际关系及管理水平，可以提高病人满意率。     

病人满意度调查方法的改进与探讨

病人满意度是医院管理中的一项重要评价内容,也是对护理工作客观、公正的评价[1],我院护理部2004年从形式和做法上大胆改进了病人满意度调查方法。病人满意度明显提高,护士的服务意识明显加强,有效的减少了护理纠纷,防止了护理事故的发生,护理质量明显提高,最终使病人真正受益。现将做法介绍如下。1方法1.1调查内容护理部根据整体护理的要求和护理中常存在的问题,自行设计新的护理工作病人满意度调查表,见表1。表1患者“优质服务”调查表内容满意基本满意不满意入院时护士站立,热情按待您入院后护士始终微笑服务,“请”字当先健康教育(包括介绍病室情况、病情、用药、治疗情况)对确疑问的一日一清单,护士耐心解释抽血或输液时,护士操作一针见血输血或输液时护士经常巡视护士经常主动去病房了解病人需要并为您解决问题,不推委,不敷衍患者因治疗或检查不能按时进餐时护士为您解决进餐问题1.2调查方法为了获取客观、真实的信息,尽量减少来自外界千扰因素影响,护理部每月下病房向所有住院病人发放调查表,禁止护士接触调查表或以各种形式影响病人的选择。1.3结果评定对调查表的结果统计上,打破以往将“满意”加“基本满意”为该病室的总满意率的计算方法,改为将“基...     

责任大包干制护理在骨科病区的应用

目的 探讨在骨科病区开展责任大包干制护理,提高患医护满意度.方法 领会优质护理服务示范工程精神实质,改革护士排班模式,分层级使用护士、简化护士,加强基础护理等举措,落实责任制大包干护理,责任护士为患者提供全程、连续、无缝隙的护理.结果 患者、护士、医生针对开展责任制护理满意,患者满意度提高,本病区获院四星级护理服务病房.结论 在骨科病区实施责任大包干制护理,有利于提高护理质量和患医护满意度.     

Nursing care at night: an evaluation using the Night Nursing Care Instrument

INTRODUCTION: Night nurses carry overall nursing responsibility for approximately half the time that patients spend in hospital. However, there is a paucity of literature that focuses on nursing care provided at night. AIM: The aim of this study was to evaluate nursing care provided at night from the perspective of both nurses and patients. METHODS: The study, which had an evaluative and a comparative design, was carried out using the Night Nursing Care Instrument at a hospital in southern Sweden. Nurses (n = 178) on night duty were consecutively selected, while the patients (n = 356) were selected by convenience sampling. RESULTS: The results showed a statistically significant difference between nurses' assessments and patients' perceptions of the nursing care provided at night in nursing interventions (P < 0.0001). In the areas of medical interventions and evaluation, no statistically significant differences were found between nurses and patients. For eight of 11 items, patients reported that they were satisfied (> or =80%) with the nursing care provided at night. CONCLUSIONS: These findings suggest that night nurses need to improve their ability to assess patients' needs for nursing care at night. A first step in this direction is for them to become aware of how patients perceive night nursing. As a second step, nurses need to increase their knowledge of which nursing actions promote patients' rest at night.     

A survey on job satisfaction among nursing staff before and after introduction of the NIDCAP model of care in a level III NICU in the Netherlands

PURPOSE: To study the effect of introduction of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on nursing staff job satisfaction. SUBJECTS: Registered nurses, with specialist neonatal qualifications or in training, in a level III neonatal intensive care unit (NICU) in the Netherlands. DESIGN AND METHODS: A survey was performed before 2001 and 6 months after (2003) the introduction of NIDCAP as the new model of care. Job satisfaction was measured by means of the Index of Work Satisfaction (IWS) instrument. PRINCIPAL RESULTS: From the 74 and 70 nurses on the payroll, who participated in the survey before and after the introduction of NIDCAP, respectively 67.6% and 80% responded. No differences were seen in background variables between both groups. Individual components of the IWS on importance and satisfaction were ranked in the same order before and after the NIDCAP introduction. The results on the IWS demonstrated no change in the overall satisfaction rate, respectively 14.4 and 14.5. Only in 1 component, organizational policies, the mean score increased significantly (3.68 and 4.13, respectively, P = .008). The other component scores did not increase significantly. CONCLUSIONS: Major changes in nursing care practice by means of NIDCAP, on our NICU did not affect overall satisfaction. Scores suggested that nursing staff were persistently satisfied with their job.     

住院病人告知书应用时机的探讨

目的 :适时把握住院病人告知书的应用时机 ,指导护士规范而有效地实施告知义务。方法 :重视告知书内容的设计和应用前护士的培训 ,护士做好充分的心理准备和知识准备 ,在病人及家属处于良好心理状况下适时告知住院相关知识。结果 :与告知书应用前相比 ,住院宣教效率和病人对住院制度的依从性提高 ,病人满意率提高 11.5 %,病人住院知识知晓率提高 17.9%,P <0 .0 1,差异有显著意义。结论 :当护士对住院告知有充分的心理准备和知识准备 ,并且病人及家属具有接受知识的良好心态时 ,是住院病人告知书应用的最佳时机     

某二级医院不同年龄阶段护理人员关怀能力的调查分析

目的了解二级医院不同年龄阶段护理人员关怀能力情况。方法采用关怀能力评价量表（caring ability inventory）对141名不同年龄的护理人员关怀能力现状进行调查。结果除认知维度外,二级医院护理人员关怀能力低于某三级医院和常模（均P〈0．01）;〈25岁与25～35岁和〉35岁护理人员比较,差异具有统计学意义（均P〈0．01）。不同年龄阶段的护理人员实施关怀频率比较,差异无统计学意义（均P〉0．05）。结论护理人员整体关怀能力较低,年轻护理人员护理关怀能力较差。应制订激励机制,激励年轻护理人员积极学习,以提高其护理关怀能力。     

我国53 316名专科护士职业发展情况调查研究

目的 调查中国专科护士的工作现状,为进一步完善专科护士培养,加强专科护士使用与管理提供参考依据。方法 采用方便抽样的方法,对全国31个省、自治区、直辖市的53 316名专科护士进行问卷调查。结果 96.5%的专科护士从事临床护理工作,其中专科护理相关工作居多,占97.7%,参与专科护理会诊和护理门诊的专科护士分别占63.6%和59.7%。专科护士认为影响自身发挥作用的主要因素有人力不足、职责不明确、未分层使用和缺少来自管理层的支持,分别占81.1%、56.4%、47.6%和46.5%。专科护士感受方面,对医院的重视和支持、医院提供再培训和学习的机会、职称或职位晋升优先权、专科岗位绩效/津贴4个方面表示非常满意的分别占51.5%、37.7%、31.0%和27.9%。在专科护士需要的支持方面,84.6%的专科护士提出需要提高专科护士待遇;73.4%的专科护士表示需要提供参加专科相关培训的机会;70.2%的专科护士表示需要提供发挥作用的平台;65.8%的专科护士提出需要增加专科护士工作岗位。 结论 中国专科护士的工作内容目前以临床专科护理为主,护理教学、护理管理和护理科研方面的参与度有待进一步加强。人力不足、职责不明确和未分层使用是专科护士认为影响自身发挥作用的主要因素。专科护士对职业发展的满意度亟待提高,建议护理管理者提供专科相关培训和发挥作用的平台,促进专科护士职业发展。     

对非口腔专业新上岗护士在职培训的实践

为了对非口腔专业新上岗护士进行培训,提高护士口腔专科知识与技能,帮助其由专业范围普通护理向口腔专科护理转变,适应口腔医院临床护理工作,针对口腔医院专科性突出,新上岗护士口腔专科知识普遍缺乏的现状,制定了新上岗护士具体培训内容及形式,对新上岗的护士进行系统培训。临床科室反馈良好,医生和护士对新上岗护士的临床工作满意度达到81%和85%。     

Effects of 'pain-advisers': district nurses' opinions regarding their own knowledge, management and documentation of patients in chronic pain

This study investigated whether district nurses' opinions changed after the education and introduction of district nurses as 'pain-advisers' at primary health care centres (PHCCs) regarding working conditions and satisfaction with pain control management at their PHCCs, their own knowledge of pain control and satisfaction with their own pain control management, pain assessment and nursing documentation of patients with chronic pain conditions. A study area (SA) with five PHCCs and a control area (CA) with seven PHCCs were selected. In the SA, 28 and in the CA, 25 district nurses answered a questionnaire both before and after the introduction of the 'pain-advisers' into the SA. The district nurses in both areas in 1996 and 1998 considered many aspects of pain management to be unsatisfactory. According to the district nurses in the SA, several statistically significant improvements were achieved after the introduction of the 'pain-advisers'; more district nurses reported that pain policies or other written information were now available at their PHCCs, that they were more satisfied with present overall routines at their PHCCs, that a better pain control was applied at their PHCCs regarding patients with leg ulcers, that they themselves to a greater extent performed individual pain assessments of the patients and that they more often used pain visual analogue scales to assess the patients' pain and to evaluate the results of the pain treatment. They also reported an increased satisfaction with their own nursing documentation. Although much remains to be done, it must be acknowledged that the 'pain-advisers', with relatively small resources, managed to make significant improvements.