满意度调查表在护理服务质量评价中的体会

通过满意度调查使护理人员从单纯的疾病护理转变为以病人为中心的身心护理;从单一注重病人的治疗转变为以注重病人的感受为中心,使病人的满意度上升,充实＂以人为本＂的整体护理。满意度调查约束了护理人员的不良行为,增强了护理人员主动服务的意识,从而提高了临床护理服务质量。     

糖尿病专科护理门诊工作现况调查分析

目的了解糖尿病专科护理门诊现况,为优化流程提供依据。方法采用自制糖尿病专科护理门诊患者满意度问卷对在糖尿病专科护理门诊就诊的200例患者进行调查;对4名糖尿病专科护士进行现场观察与访谈了解工作现况。结果患者满意度总体均分为(4.21±0.49)分,6个维度评分(3.45±0.78)~(4.36±0.64)分;专科门诊护理内容包括健康教育、胰岛素笔使用、检测血糖等13项,每个工作日实施0~48.00次;患者等待就诊时间(14.69±8.00)min。专科护理访谈提炼出工作职责不明确、工作时间未建立预约制、门诊导诊护士配合欠佳及患者健康档案登记欠全面4个主题。结论患者对糖尿病专科护理门诊就诊流程和就诊时间等方面满意度较低,专科护士健康教育工作受到影响,应改进流程,以促进健康教育的效果,提高患者满意度。     

参与救治新发急性呼吸道传染病医护人员心理健康影响因素及应对策略

  目的  分析新疆援鄂抗击新型冠状病毒肺炎医护人员心理健康状况。  方法  2020年1月28日 — 2月29日,新疆援鄂分三批次累计派出386名医护人员。研究以问卷星为载体,采用Zung氏焦虑自评量表（SAS）对调查对象的心理现状进行调查,并与中国常模对比分析。采用一般性统计描述、单因素分析、回归分析方法。  结果  有效调查表361份,有效率93.5 %。新疆援鄂医护人员心理健康程度低于全国常模,主要心境障碍为焦虑,检出焦虑者共285人（78.95 %）：轻度焦虑187人（51.80 %）,中度焦虑87人（24.10 %）,重度焦虑11人（3.05 %）。恐惧评分、隔离区累积工作时长、民族、是否进入隔离区、病房类别,是医护人员心理健康的影响因素（P < 0.05）。  结论  隔离区环境是医护人员产生不同程度心理应激反应的主要原因,隔离区累计工作时长5～8 d者心理健康受影响程度较重,援鄂人员心理受疫情影响总体情况较轻。     

精神科护理管理中的以人为本理念探讨

目的探讨"以人为本"的护理理念在精神科护理中的应用价值。方法选取自2016年6月-2018年5月期间该院收治的100例精神病患者作为实验研究对象,随机将100例患者分为实验组与对照组,对照组患者采用常规方法进行护理,护理人员在"以人为本"的理念的指导下对实验组患者进行护理。6个月后比较两组患者的疗效及IPROS评分。结果经过一段时间的护理,采用住院精神病患者康复疗效评定量表(IPROS)对两组患者治疗前后的评分进行比较分析。护理前,两组患者的评分对比差异无统计学意义(P>0.05)。护理后,两组患者的评分明显低于对照组患者的评分。实验组中,33例对护理满意,15例基本满意,不满意2例,护理满意度为96.00%;对照组中,20例对护理满意,17例基本满意,不满意13例,护理满意度为74.00%。护理满意度方面实验组明显高于对照组,两组差异有统计学意义(P<0.05)。结论在精神病患者的临床护理中,遵循"以人为本"的护理理念,能够在很大程度上改善精神病患者的临床护理效果,大大提升护理满意度,从而达到满意的治疗效果,因此,"以人为本"的护理理念值得在临床实践中进行推广。     

伤口评估卡片联合电子照片在老年科护士伤口专科知识培训中的应用

[目的]探讨伤口评估卡片联合电子照片在老年科护士伤口专科知识培训中的应用效果。[方法]按照随机数字表法将老年科60名护士分为观察组和对照组各30例,对照组采用电子照片对护士伤口专科知识进行培训和指导,观察组采用自制伤口评估卡片联合电子照片对护士伤口专科知识进行培训和指导。比较两组护士伤口专科知识的掌握程度、护士记录伤口病人护理文书的记录质量及护士对伤口病人伤口转归的护理管理能力。[结果]观察组护士伤口专科知识的掌握程度、护士记录伤口病人护理文书的记录质量及护士对伤口病人伤口转归的护理管理能力均优于对照组(P<0.05)。[结论]在老年科护士伤口专科知识培训中应用伤口评估卡片联合电子照片效果显著。     

Improving patient safety: an economic perspective on the role of nurses

Aims  This paper synthesises patient safety research and insights from economic theory to generate guidance for nurse managers. The paper describes the key roles nurses and nurse managers can play in improving patient safety, and explains how insights from health economics can help inform and enhance this role, helping nurse managers to set priorities for improvement and for future research.
Background  Awareness of the need to improve patient safety is high, but insufficient attention has been paid to the cost-effectiveness of safety improvements, leading to difficulty in setting priorities. This paper suggests specific methods that nurses can and should use to prioritize and evaluate safety improvements.
Evaluation  This is a review article, synthesising the results of research on patient safety.
Key issues  Because of their close connection to patients, nurses (and nurse managers in particular) have key roles to play in improving patient safety. Improving patient safety will also benefit nurses and other practitioners directly, because caregivers suffer lasting distress from being involved in incidents that harm patients. Reducing harmful incidents should also reduce attrition and alleviate chronic staffing shortages. Insights from health economics can help nurse managers to set priorities for improvement and to more effectively evaluate the changes made.
Conclusions  Evidence on the costs and effects of most safety improvements is still lacking. Nurses can and should take a leadership role in implementing changes and evaluating their costs and effects.
Implications for nursing management  To lead improvements in patient safety, nurse managers need to learn to use the Plan-Do-Study-Act Improvement Cycle, and need to develop an awareness of and ability to measure the costs and effects of changes. These changes would allow nurse managers to better make the business case for patient safety.     

军队医院护士睡眠和疲劳状况的调查分析

目的了解军队医院护士的睡眠和疲劳状况及其影响因素，并提出干预措施。方法2007年11月，采用问卷调查方式对200名护士的睡眠状况进行分析。结果60％护士存在不同程度的睡眠问题，高于全国常模，差异有统计学意义（P〈0．01）。军队医院护士存在的睡眠问题主要为失眠后反应、睡眠质量差、多梦，不固定的睡眠时间、工作压力、心理压力是护士工作疲劳综合征的最主要因素。结论军队医院护士睡眠质量和疲劳状况相互作用、互相影响，应引起各级部门的重视。     

Nurse education: factors associated with attrition

Title.  Nurse education: factors associated with attrition.
Aim.  This paper is a report of a study to identify the factors having an impact on student completion rates in a preregistration programme.
Background.  Nursing student attrition is an international issue causing concern in many parts of the developed world including Australia, the United States and Europe. In the United Kingdom, nursing student attrition has become a major issue, despite having one of the lowest general university dropout rates in the developed world.
Method.  A retrospective cohort study was conducted in 2007 using routinely-collected demographic and completion data on four cohorts of nursing students (1259 in total) studying at a large English university.
Findings.  Students who were older on entry were more likely to complete the programme than younger students, and those who had only the minimum educational qualifications on entry were less likely to complete than those with higher-level qualifications. There was some evidence of increased risk of resigning from the course in students taking the child branch, and increased risk of discontinuation (involuntary removal) from the course in both male and black/minority ethnic students. There was also some evidence that the healthcare organization responsible for a student's placement could influence completion rates.
Conclusion.  To improve attrition rates on preregistration nursing programmes, higher education institutions should actively target recruitment at mature candidates; increase the level of qualification required to gain entry; examine course structures for flexibility and provide multi-level student support.     

麻醉恢复室规范化护理管理模式的探讨

目的 保障麻醉恢复期患者的安全,减少并发症的发生,便于连台手术的衔接.方法 某院2002年建立了拥有6张监护床位的麻醉恢复室,参照美国麻醉恢复室的先进护理管理模式,同时结合该院恢复室的运作特点,自行制定了一套规范化的管理模式;加强对护理人员基础理论和专业技能知识培训和考核;要求熟练掌握麻醉恢复期的各种急救技术及监护仪器设备的操作使用;充分合理利用麻醉复苏护士的人力资源;配备完善的监护设备及急救物品.结果 2002年5月-2008年5月,通过对24 408例患者麻醉恢复期的监护,及时发现和处理麻醉后并发症,除102例因病情需要转ICU继续监测治疗外,其余患者平稳度过麻醉恢复期,苏醒后转回原病房.结论 麻醉恢复事的设立,减少了患者在手术室的逗留时间,加快了外科手术的进度,提高了手术室的利用率和工作效率.其科学化、程序化、规范化的管理模式,能有效保障麻醉恢复期患者的安全.