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目的:探究量化考核对提升急诊科输液室护理管理质量的价值。方法:研究时间为2014~2015年,研究对象为该期限内所有收治患者及急诊护士,自2015年1月起实施量化考核管理,根据按时到岗、护理工作量、工作效率三个方面进行量化考核,根据量化考核结果进行评级、薪酬的分配,同时对特殊情况进行奖惩,以2014年全年工作情况为对照,比较实施量化考核前后的护理质量、护理差错发生率及医生、患者满意度情况。结果:实施量化考核后,输液室管理、护理操作、文书记录、健康宣教四个方面的护理质量评分均显著高于实施前(P<0.05);实施量化考核后护理差错率0.94%,护理纠纷发生率1.21%,与实施前的5.31%、6.05%相比存在显著差异(P<0.05);实施量化考核后医生护理满意度评分平均为(96.43±2.25)分,患者护理满意度评分平均为(97.49±0.93)分,显著高于实施前的(86.25±4.10)分和(88.51±3.39)分,差异显著(P<0.05)。结论:采用量化考核管理模式能够有效的提高急诊科护士的工作积极性,减少护理差错及护理纠纷事件的发生,提高了医生及患者的护理满意度。
Objective: To explore the value of quantitative assessment in improving the quality of nursing care of infusion room in emergency department. Methods: The study period was from 2014 to 2015. The research object was all admitted patients and emergency nurses during this period. Since January 2015, the quantitative examination and management have been carried out. The quantitative examination and management has been carried out on the basis of on time, nursing workload and work efficiency Assessment, according to the results of quantitative assessment of ratings, the distribution of salaries, while rewards and punishments in special cases, with 2014 annual work as a control, compare the quality of care before and after the quantitative assessment, the incidence of nursing errors and the satisfaction of patients and patients . Results: After the quantitative assessment, the nursing quality scores of infusion room management, nursing operation, paperwork record and health education were all significantly higher than those before the implementation (P <0.05); nursing error rate was 0.94% after implementing quantitative examination, nursing disputes (1.21%), which was significantly different from that of pre-implementation (5.31%, 6.05%) (P <0.05). After the quantitative assessment, the average score of nursing satisfaction was (96.43 ± 2.25), and the average of patient satisfaction was (97.49 ± 0.93) points, which was significantly higher than that before (86.25 ± 4.10) points and (88.51 ± 3.39) points (P <0.05). Conclusion: The quantitative assessment management mode can effectively improve the work enthusiasm of emergency department nurses, reduce nursing errors and nursing disputes, and improve the satisfaction of doctors and patients.