利用行为阶段管理模式提高品管圈活动开展质量

目的采用跨理论模型的行为阶段管理模式对品管圈活动进行干预，提高了工作效率和工作质量。方法随机选取某三甲医院2019年3月-11月自愿开展品管圈活动的16个圈，采用简单随机分组法分为对照组与试验组，每组8个圈。对照组采用集中培训、分散开展的方法，试验组基于跨理论模型的行为阶段管理模式开展活动。结果两组护理人员干预前一般自我效能感比较无统计学意义（P>0.05）；干预1个月、3个月、6个月后试验组一般自我效能感评分均高于对照组，差异有统计学意义（P<0.01）。两组护理人员的品管圈知识掌握程度、品管圈活动各维度评分比较差异均有统计学意义（P<0.05）。结论基于跨理论模型的行为阶段干预能够提升护理人员运用质量管理工具的信心和积极性，使品管圈活动持续有效开展。

Using Behavior Stage Management Mode to Improve the Quality of Quality Control Circle Activities

ObjectiveThe behavior stage management mode of transtheoretical model was adopted to intervene the activities of quality control circle to improve work efficiency and quality. MethodsSixteen quality control circles were randomly selected from a tertiary hospital from March to November 2019 and divided into control group and experimental group by simple random group method, with eight circles in each group. The control group adopted the method of centralized training and decentralized implementation, and the experimental group carried out activities based on the behavior stage management mode of transtheoretical model.ResultsThere was no significant difference in general self-efficacy between the two groups before intervention (P>0.05). At 1 month, 3 months and 6 months after intervention, the scores of general self-efficacy in the experimental group were higher than those in the control group (P<0.01). There were statistically significant differences in the level of knowledge mastery and the scores of each dimension of quality control circle activities between the two groups (P<0.05). Conclusion The behavior stage management mode based on the transtheoretical model can improve the confidence and enthusiasm of nurses in using quality management tools, and make quality control circle activities continue to carry out effectively.