晨间护理质量评分管理模式对患者满意度的影响

Numerical scoring system for assessing quality of morning care:effectiveness on inpatients' satisfaction

目的探讨晨间护理质量评分管理模式对住院患者护理满意度的影响。方法选择2009年6～11月住院的438例患者为对照组,2009年12月至2010年5月住院的456例患者为观察组。对照组在晨间护理后,由护士长或责任组长采用晨间护理质量考核标准进行检查;观察组在晨间护理质量考核标准基础上制定具体分值及扣分标准,包括护士自评和护士长评分,将晨间护理工作内容具体化、程序化,以客观评分的方法评估晨间护理质量。结果观察组护理满意度、晨间护理质量检查合格率显著优于对照组(均P<0.01)。结论运用晨间护理质量评分管理模式使晨间护理质量显著提高,为患者创造了良好的诊疗环境,提高了住院患者的满意度。

Objective To explore the effect of a morning care scoring system on patient satisfaction with nursing care. Methods A total of 438 patients admitted in June to November of 2009 were treated as the control group and 456 inpatients hospitalized in December 2009 to May 2010 as the observation group.Head nurse or team leader used standardized quality evaluation criteria to check after control group patients received morning care.For the observation group,the quality of morning care was evaluated by a numerical scoring system： specific scores and details for deduction were established including nurses′ self-evaluation and head nurse′s evaluation based on the standardized quality evaluation criteria which were used in the control group,the contents of morning care were detailed and programmed,and the quality of morning care was assessed with objective scores. Results Patient satisfaction and qualified rate of morning care in the observation group were significantly higher than those in the control group（P0.01 for both）. Conclusion Implement of the numerical scoring system for assessing quality of morning care can improve nursing quality,provide comfortable treatment environment for inpatients,and promote patient satisfaction.