鱼骨图结合PDCA闭环管理在骨科手术室带教中的实践研究

Practical research on fishbone diagram combined with PDCA closed-loop management in orthopedic operating room teaching

目的探讨鱼骨图结合PDCA[计划(plan)、执行(do)、检查(check)、调整(action)]闭环管理对骨科实习生手术室带教的效果。方法将本院2019年1月至2020年8月骨科接收的60名实习生,按照随机数字表法分为常规组和观察组,各30名。常规组采用传统方法带教,观察组采用鱼骨图结合PDCA闭环管理进行带教。比较两组手术室带教前后理论与实践考核成绩及对带教的满意度评价。采用SPSS 22.0进行t检验和卡方检验。结果观察组各项理论考核得分与理论考核成绩总分、实践考核成绩均高于常规组(P<0.05);观察组对带教趣味性、有效性、合理性、可推广性的满意率分别为100.00%、100.00%、96.67%、100.00%,均分别高于常规组的80.00%、83.33%、80.00%、83.33%。结论在骨科手术室带教中应用鱼骨图结合PDCA闭环管理,能够提升实习生考核成绩,且更能提高教学满意度。

Objective To explore the effect of fishbone diagram combined with PDCA(plan,do,check,action)closed-loop management in the teaching of orthopedic interns in operating room.Methods The 60 interns received by the Department of Orthopedics in our hospital from January 2019 to August 2020 were randomly divided into the conventional group and the observation group in average.The conventional group used traditional methods,and the observation group introduced fishbone diagram combined with PDCA closed-loop management.The theoretical and practical assessment scores and the evaluation of satisfaction with the teaching were compared between the two groups before and after the teaching in the operating room.SPSS 22.0 was used for t-test and Chi-square test.Results The scores of each theoretical assessment,the total scores of theoretical assessments,and the scores of practical assessments,in the observation group were higher than those of the conventional group(P<0.05).The satisfaction rates of interest,effectiveness,rationality,and popularization with teaching in the observation group were 100.00%,100.00%,96.67%,and 100.00%respectively,which were higher than those(80.00%,83.33%,80.00%,and 83.33%respectively)in the conventional group.Conclusion The application of fishbone diagram combined with PDCA closed-loop management in orthopedic operating room teaching can improve the performance of interns in the assessment,and can also achieve better teaching satisfaction.