电子手术配合常规在手术室护士定向能力轮训中的应用

Application of electronic intraoperative cooperation conventions in cultivating operating room nurses′ specialty

目的促进低年资手术室护士尽快掌握专科手术配合方法,提高手术配合质量。方法各专科手术间相对固定,设立专科组长,由专科组长利用手术间计算机信息系统,录入专科手术配合常规,包括手术体位、物品和器械准备、手术配合步骤、仪器设备使用指南等内容。采取术前阅读、术后修订、老师指导、护理配合过程中提问等形式,对19名轮训护士进行系统化培训。结果应用电子专科手术配合常规后,轮训护士的护理质量、专科手术配合准确率及手术医生满意度显著高于应用前(P<0.05,P<0.01)。结论电子手术配合常规用于低年资护士定向能力轮训,指导性强,能提高手术配合质量。

Objective To boost junior operating room nurses to master intraoperative cooperation in certain specialty surgeries,and to improve quality of intraoperative nursing care.Methods Specialty surgeries were conducted in relatively fixed operating rooms,and a group leader of nurses was established to construct the intraoperative cooperation conventions for a certain specialty surgery by using computer in the operating room.The contents of the conventions included body position for operation,preparation of materials and equipments,procedures of intraoperative cooperation and instruction of equipment use,etc.Nineteen junior nurses were trained by using the following methods： they were asked to read the conventions before operation and to revise the conventions after operation under teachers′ tutelage,and they were questioned during nursing process.Results The nursing quality and accuracy rate of intraoperative cooperation of the 19 nurses,the satisfaction of surgeons were significantly improved after implementation of the electronic intraoperative cooperation conventions（P0.05,P0.01）.Conclusion The electronic intraoperative cooperation conventions for cultivating junior operating room nurses′ specialty,can provide strong instruction and promote quality of intraoperative cooperation.