情景模拟测试提高临床护士应急能力的效果与分析

目的:探讨情景模拟测试在临床护士应急能力培养中的应用效果,以提高护理人员对危急症患者救治及突发情况处置能力。方法:采用整群配额抽样方法,抽取临床科室护士50名进行模拟情景测试,比较2012年1~6月份与2012年7~12月份测试结果。结果:2012年7~12月份护士应急状况判断能力、应急处理措施、仪器操作、应急处理反应、急救用药处理情况高于2012年1~6月份,差异有统计学意义(P0.05);物品准备比较差异无统计学意义(P0.05)。结论:通过对临床护士情景模拟测试,可提高科室抢救物品完好率,完善应急急救流程,提高临床护士应急能力水平,提高患者抢救成功率与满意度。

PDCA circulation model in the application of digestive endoscopy nursing risk control

Objective ： To explore the application effect of PDCA model of nursing risk control in gastrointestinal endoscopy, to avoid the occurrence of nurs- ing risk. Methods：The potential nursing risks in gastrointestinal endoscopic examination, by using the PDCA analysis and quality control on the existing problems, the development of effective preventive measures, and continuous improvement. Results： The implementation of PDCA mode control of nursing risk, post management, nursing safety, digestive endoscope disinfection and isolation and instrument, patient satisfaction scores were increased than before the implementation, nursing complaint and nursing errors were less than before, there were statistical significance （ P 〈 0.05 ）. Conclusion ： The implemen- tation of PDCA cycle model to nursing risk effective control of gastrointestinal endoscopy, ensure the quality of care and patient safety, is the effective way of management to reduce nursing risks in gastrointestinal endoscopic examination.