晨间床边查房在神经内科护理安全管理中的应用

Application of morning bedside rounds in nursing safety management in department of neurology

目的探讨晨问床边查房在神经内科护理安全管理中的应用效果。方法每天早交班后，由护士长主持，围绕病区患者的情况进行30—40min的床边查房。观察实施前后主要护士病情知晓率、专科知识掌握率、护理质量、不良事件发生率、患者满意度。结果神经内科晨间床边护理查房实施前总体护理质量合格率为93．55％，实施后为97．40％，实施前后比较差异有统计学（X^2=6056，P〈0．05）；实施前患者满意度为90．35％，实施后为95．58％，实施前后比较差异有统计学意义（x^2=4．98，P〈0．05）；基础护理、特、一级护理的合格率实施前后比较差异均有统计学意义（P〈0．05）；护士病情知晓率较实施前升高，差异有统计学意义（95．45％比86．16％，x^2=6．56，P〈0．01），护士专科知识掌握率较实施前升高，不良事件发生率较实施前降低，差异均有统计学意义（P〈0．05）。结论神经内科护士长晨间护理查房对提高护士业务水平、临床护理质量、患者的满意度、降低不良事件发生率起到积极的促进作用，有利于构建科学有效的患者安全保障体系。

Objective Application of morning bedside rounds in nursing safety management in department of neurology. Methods After the daily morning shifting report, 30 to 40 minutes bedside rounds was carried out lead by the head nurse. Quality of primary care, nurse disease awareness, specialist knowledge, incidence of adverse events and patient satisfaction was observed. Results After the implementation of bedside nursing rounds in department of neurology, qualification rate of overall care rose from 93.55% to 97.40%, the difference was statistically significant （X^2 = 6056, P 〈 0. 05）. Patient satisfaction increased from 90.35% to 95.58%, the difference was statistically significant （X^2 = 4.98, P 〈 0. 05）. There were significant differences in terms of qualification rate of primary care, special care and senior care （P 〈 0. 05）. Nurse disease awareness showed an increase （from 86. 16% to 95.45% ）, there was significant difference （X^2 = 6.56, P 〈 0. 01 ）. Specialist knowledge increased and incidence of adverse events declined, the differences were statistically significant （P 〈 0. 05） . Conclusions Morning bedside nursing rounds plays a positive role in improving the quality of clinical care, nurse specialist level and patient satisfaction and declining incidence of adverse events. It contributes to the building of a scientific and effective security system for patients.