品管圈在优质护理病房降低陪护率中的应用

目的：探索品管圈在优质护理病房降低住院患者陪护率中的应用。方法：成立品管圈活动小组,讨论分析陪护率高的原因并采取相应措施。结果：住院病人平均陪护率从65.6%降低到38.8%（P〈0.01）。结论：品管圈方法的应用降低了陪护率,提高了科室人员的团队精神,增强了护理人员参与护理管理的意识和工作满足感,发挥出护理人员的积极性、创造性、主动性。     

浅谈创建优质护理服务示范病房的方法与效果

目的 探讨创建优质护理示范病房的方法和应用效果.方法 通过优化护理服务理念、改变护理工作模式,简化护理文书的书写、降低呼叫器的使用率、提高专科护理服务内涵、强化专科健康教育指导、重新分配绩效考核等措施并观察其效果.结果 患者的满意度由实施前的90％上升至98％,患者的基础护理得到更多满足;医疗护理质量安全得到保障;患者对专科健康知识的知晓率提高;床头呼叫器使用率明显下降;护士自身价值得到应有体现.结论 创建优质护理服务示范病房,确实行之有效,既能提高护理质量,确保护理安全,又可提高患者的满意度,融冾医患关系,真正体现“以人为本”的护理服务理念,充分发挥广大护士的主观能动性和工作积极性,值得临床推广.     

品管圈活动在降低护士静脉穿刺失败发生率中的应用

目的：通过采用品管圈的方法,降低护士静脉穿刺失败的发生率。方法：我科品管圈小组于2013年7月13日成立,通过品管圈活动,运用品管手法对我院特需病房病人静脉穿刺失败率进行调查分析,找出静脉穿刺失败的原因,并进行分析,拟定实施对策,比较实施前后的效果。结果：实施品管圈活动后,失败率由8%下降到3.3%。经过解决静脉穿刺中存在的问题,特需病房护士静脉穿刺失败率降低,提高了护士自信心。结论：品管圈活动的实施降低了特需病房患者静脉穿刺失败的发生率,促进了病区临床护理质量持续改进。     

呼叫器在医院病房合理配置的研究

目的：呼叫器是医院基础设备,在医护人员的监护过程中占有重要地位,为提高医院病区医护人员的护理水平,本文研究如何针对不同病房特点配置呼叫器。方法通过对当前呼叫器性能以及医院病区病房规模和应用特点的分析,对呼叫器和病区进行系统分类,研究如何科学合理地针对医院病房结构以及功能特点安置呼叫器。结果根据对呼叫器在病区的应用特点的分析,医院病区可分为具有较大流动性、稳定型和包含监护特殊环节三类,呼叫器可分为包含附加功能和移动便携式两种类型,为呼叫器的配置提供了一定的依据。结论为提高医院病房的监护能力,需要详细分析医院病区的特点,并且结合病房类型和呼叫器特点进行科学合理的安排。     

品管圈活动在降低护理体温单书写缺陷率中的应用

目的：探讨品管圈活动在降低体温单书写缺陷率的应用效果。方法：成立品管圈活动小组,确定＂以降低体温单书写缺陷率＂为活动主题,把握现状,设定目标,分析原因及制定对策并实施。结果：通过品管圈活动,体温单书写缺陷率由活动前的36.66%下降到10.00%,目标达标率96.59%,改善幅度72.6%,圈员自评6项素质能力均正向成长。结论：运用品管圈活动,进一步规范护理体温单的规范书写,提高护理文件书写水平,提高护理质量,避免因护理记录不当引发的医疗纠纷。     

品管圈活动在妇产科优质护理中的应用价值探析

目的:对品管圈活动在妇产科优质护理中的应用价值进行研究分析。方法:从我院妇产科中选取82例患者进行研究分析,并按照患者护理方法将其分为治疗组(采用品管圈活动的优质护理)和对照组(采用常规临床护理),均为41例,对比两组患者对护理总满意度和患者知晓率。结果:治疗组患者对操作技术满意度高达95.12%,对服务态度满意度高达92.68%,对护理整体满意度高达97.56%,对优质护理活动知晓率高达97.56%,对责任护士知晓率高达97.56%,对健康知识掌握率高达95.12%同对照组患者的60.98%、63.41%、68.29%、70.73%、85.36%和80.49%相比,P<0.05。结论:在妇产科优质护理中品管圈活动具有良好作用。     

优质护理服务模式在降低五官科病房红灯率中的应用分析

目的:探讨优质护理模式在降低五官科病房红灯率中的应用效果。方法:选取2016年1月~2016年12月五官科住院患者2205例,根据随机分组的方式,分为实验组与对照组,对照组1102例,实验组1103例。对照组给予常规护理模式,实验组患者给予优质护理模式,护理干预结束后,比较两组患者红灯情况、红灯原因及对护理的满意度。结果:实验组在红灯次数和人均红灯次数两方面均显著低于对照组,尤其在红灯次数方面,实验组为772次,对照组为2534次,差距明显(P0.05);对照组亮红灯原因中输液所占比例最大,其次为饮食,实验组亮红灯原因中健康咨询所占比例最大,其明显高于对照组(P0.05);实验组满意度人数明显高于对照组,同时实验组的不满意明显低于对照组组,实验组与对照组满意率分别为96.73%、78.68%,实验显著高于对照组,具有可比性(P0.05)。结论:优质护理模式在降低五官科病房红灯率中效果明显,值得在临床中推广应用。     

品管圈活动在降低护士静脉穿刺失败发生率中的应用

目的:通过采用品管圈的方法,降低护士静脉穿刺失败的发生率。方法 :我科品管圈小组于2013年7月13日成立,通过品管圈活动,运用品管手法对我院特需病房病人静脉穿刺失败率进行调查分析,找出静脉穿刺失败的原因,并进行分析,拟定实施对策,比较实施前后的效果。结果 :实施品管圈活动后,失败率由8%下降到3.3%。经过解决静脉穿刺中存在的问题,特需病房护士静脉穿刺失败率降低,提高了护士自信心。结论 :品管圈活动的实施降低了特需病房患者静脉穿刺失败的发生率,促进了病区临床护理质量持续改进。     

品管圈活动在降低出院患者在第三方调查中对护理服务不满意率的应用

目的运用品管圈方法,探索降低出院患者在第三方调查中对护理服务不满意率。方法由十名护士组成水滴圈,通过第三方调查2015年出院患者在住院期间对护理服务不满意的原因并设计查检表,运用品管工具、按照品管圈活动步骤开展工作。结果通过品管圈的活动,出院患者对护理服务不满意率由活动前6.27%降低至1.69%。结论开展品管圈活动有效降低了出院患者对护理服务不满意率,使优质护理服务在临床更深入地开展。     

品管圈活动在降低住院患者输液外渗发生率中的应用

目的：探讨品管圈活动在降低静脉输液外渗发生率中的运用效果。方法：成立品管圈小组,分析影响输液外渗的原因及因素,制订相应的活动计划及实施对策,将活动前后的输液外渗发生率、护理人员的责任心、工作积极性等进行对比。结果：品管圈活动前后输液外渗发生率分别为10.5%、2.9%,差异具有统计学意义(P<0.01);同时通过品管圈活动,提高了护士的责任心、工作积极性等。结论：品管圈活动的开展降低了静脉输液外渗的发生率,提升了护士的责任心、工作积极性等,规范了输液操作流程,在保障护理安全的同时,为患者提供了更优质的护理服务。     

品管圈活动在提高住院患者对护理工作满意度的作用

目的探讨品管圈活动前后住院患者对护理工作满意度的作用。方法发放问卷调查开展品管圈活动前后妇科住院患者对护理工作的满意程度。由本病区10位护士组成品管圈,采用头脑风暴法分析存在的问题,采取相应解决措施。结果品管圈活动可发现并解决护理工作中存在的重要问题,品管圈活动后住院患者对护理工作的满意度大幅提高。结论品管圈活动是改善住院患者对护理工作满意度的有效方法。     

"品管圈"活动降低点眼药水漏点率的效果观察

目的:运用品管圈活动方法,探索降低点眼药水漏点率.方法:由8名护士组成品管圈,回顾分析发生的漏点眼药水事件原因,制定对策,进行效果评价.结果:通过品管圈的活动,眼药水的漏点率活动后明显下降;患者满意度提高.结论:开展品管圈活动保证了用药安全,并提高了护理质量.     

在体检中心应用品管圈减少医患纠纷的效果分析

目的探讨在体检中心应用品管圈减少医患纠纷的效果,为加强体检中心管理,提高服务质量提供依据。方法组织体检中心全体护理人员组成品管圈小组,进行现状调查、原因分析,制定相应防范措施并组织实施,定期对已进行的活动进行效果检查,提出建议并及时改进。结果品管圈活动前4个月,医患纠纷共发生65例;自开展品管圈活动以来,体检中心纠纷明显减少,4个月中仅发生2例医患纠纷,受检者满意度明显提高。结论品管圈活动能明显减少体检中心医患纠纷的发生,改善医疗服务质量。     

提高干部病房护士素质的方法

分析了影响医院干部病房护士素质提高的问题；提出了提高护士素质的方法；即：净化小环境、培育小名星、凝聚小集体、培养小教员、搞活小课堂。     

Quality and continuity of care in Dutch nurse clinics for people with rheumatic diseases.

OBJECTIVE: Recently a new form of nurse clinic for people with rheumatic diseases has been introduced into Dutch health care. This study gives insight into: (i) patients' perceptions about the quality and continuity of care given at these (transmural) nurse clinics; and (ii) specialized rheumatology nurses' and rheumatologists' perceptions about the quality and continuity of care in the clinics. DESIGN: Validated measurement tools (QUOTE and QCC) were used, before and after patients visited a clinic, to determine patient perceptions about the quality and continuity of care. Semi-structured interviews with professionals were used to gather information about their perceptions. SETTING: The study was carried out at five locations in The Netherlands where a home care organization and a general hospital collaborated closely and had joint responsibility for a transmural rheumatology nurse clinic. STUDY PARTICIPANTS: A total of 128 patients, six specialist rheumatology nurses and four rheumatologists. INTERVENTION: Transmural nurse clinics for people with rheumatic diseases. RESULTS: In general, patients were positive about the quality and continuity of care given at the clinics. Some continuity aspects, like the presence of a locum nurse and providing the locum with sufficient information could be improved. Professionals were positive about the information given at the clinics, which is additional to the information given by a rheumatologist. Professionals were less positive about some of the clinics' preconditions. CONCLUSION: In this study, a control group (e.g. patients who received standard rheumatologist care) was not available. However, in comparison with patients' experiences of standard medical care in other (comparable) research, patients' experiences in this study were very positive. It was concluded that Dutch transmural nurse clinics, to a large extent, meet patients' and professionals' expectations and were a positive development in the care of rheumatic patients.     

运用品管圈活动提高患者床头抬高依从率

目的探讨实施品管圈活动(QCC)对护理人员呼吸机相关肺炎(VAP)相关知识掌握情况、患者床头抬高依从性及VAP发生率的影响。方法采用随机抽样的方法,抽取某院重症监护室(ICU)使用呼吸机患者100例,其中实施QCC前(2013年1—6月)和实施QCC后(2013年7—12月)各50例。对实施QCC前后ICU护理人员、使用呼吸机患者进行调查。结果实施QCC后,护理人员对VAP发生原因、危害,以及患者床头抬高意义、标准,确定床头抬高≥30°相关知识的评分均高于实施QCC前;总评分为(18.32±3.14)分,高于实施QCC前的(7.98±1.12)分,差异均有统计学意义(均P0.05)。实施QCC后,患者床头抬高依从率为96.00%(48例),高于实施QCC前的44.00%(22例);VAP发生率为4.00%(2例),低于实施QCC前的36.00%(18例),差异均有统计学意义(均P0.05)。结论开展QCC活动能有效提高ICU护理人员VAP相关知识水平和患者床头抬高依从率,降低患者VAP发生率,有利于提高ICU医院感染管理质量。     

开展品管圈活动 降低电子护理文书缺陷

目的降低电子病历护理文书书写缺陷。方法通过开展品质管理圈活动分析导致电子病历护理文书书写缺陷的原因,通过筛选找出主要原因并进行改进。结果电子病历护理文书书写缺陷减少82.2%,95分以上护理文书由96%提高至100%。培养了护理人员发现问题解决问题的能力,增加了护理人员的责任心和自信心,提高了团队凝聚力。结论品管圈活动提高了护理质量,提高了护理人员的专业水平。     

Callers' ability to understand advice received from a telephone health-line service: comparison of self-reported and registered data

OBJECTIVE: To validate users' perception of nurses' recommendations to look for another health resource among clients seeking teleadvice. To analyze the effects of different users' and call characteristics on the incorrectness of the self-report. DATA SOURCES/STUDY SETTING: This study is a secondary analysis of data obtained from 4,696 randomly selected participants in a survey conducted in 1997 among users of Info-Santé CLSC, a no-charge telenursing health-line service (THLS) available all over the province of Québec. STUDY DESIGN/DATA COLLECTION: Self-reported advice from follow-up survey phone interviews, conducted within 48 to 120 hours after the participant's call were compared to the data consigned by the nurse in the computerized call record. Covariables concerned characteristics of callers, context of the calls, and satisfaction about the nurses' intervention. Association between these variables and inaccurate reports was identified using multinomial logistic regression analyses. PRINCIPAL FINDINGS: Advice to consult were recorded by the nurse in 42 percent of cases, whereas 39 percent of callers stated they had received one. Overall disagreement between the two sources is 27 percent (12 percent by false positive and 15 percent by false negative) and kappa is 0.45. Characteristics such as living alone (adjusted OR = 2.5), calls relating to psychological problems (OR = 2.8), perceived seriousness (OR = approximately 2.6), as well as others, were associated with inaccurate reports. CONCLUSIONS: Telephone health-line providers should be aware that many callers appear to interpret advice to seek additional health care differently than intended. Our findings suggest the need for continuing quality control interventions to reduce miscommunication, insure better understanding of advice by callers, and contribute to more effective service.