基层医院建立专业小组参与护理质量管理的实践

Professional groups practice in nursing quality management in basic-level hospital

目的：探讨基层医院建立护理专业小组在护理质量管理中的应用效果。方法建立9个护理专业小组，参与护理质量管理，每组设置组长1名及组员2名，制定小组职责，按照PDCA循环法开展护理质量管理工作。结果建立专业小组参与护理质量管理后，各项护理质量指标包括基础护理、文件书写、消毒隔离、急救物品、危重护理、技术操作合格率逐年提高，2009年基础护理、文件书写、消毒隔离、急救物品、危重护理、技术操作6个项目的合格率分别为90．6％，93．1％，93．7％，95．8％，92．5％，93．0％；2010年分别为95．8％，95．3％，95．0％，98．5％，94．5％，96．5％；2011年分别为97．2％，97．9％，98．3％，99．6％，96．8％，98．9％；2012年分别为98．9％，99．2％，99．2％，99．8，99．0％，99．1％；各年质量指标比较，差异有统计学意义（χ2值分别为8．993，7．391，4．784，6．615，6．584，6．987；P ＜0．05）。结论基层医院建立专业小组参与护理质量管理，有利于护理质量科学持续改进；减轻护理部管理人员工作压力，提高了管理效率；有利于护理质量的提高；提升了护理人员的工作成就感；有利于储备护理管理人才。

Objective To explore the effects of professional groups on the nursing quality management . Methods Totals of 9 nursing groups were established to participate in nursing quality management .One group leader and 2 group members were assigned to each group ,and job responsibilities of group was set up , PDCA circulation method was used to work .Results After professional groups participated in nursing quality management , the nursing quality indicators such as the qualified rate of basic nursing , document writing , disinfection and emergency , critical care and technical operations was improved .From 2009 to 2012, the qualified rate of basic nursing （90.6%, 95.8%,97.2%,98.9%）, document writing （93.1%, 95.3%, 97.9%, 99.2%）, disinfection（93.7%,95.0%,98.3%,99.2%） and emergency（95.8%, 98.5%,99.6%, 99.8%）, critical care（92.5%,94.5%,96.8%,99.0%） and technical operations （93.0%,96.5%,98.9%, 99.1%） was improved year by year , and the differences were statistically significant （χ2 =8.993,7.391, 4.784,6.615,6.584,6.987;P＆lt;0.05）.Conclusions Basic-level hospitals establishing professional group is helpful to nursing quality continuous and scientific improvement , reduce the stress of nursing management , improve the management efficiency , promote the expansion the deep and the breadth of the nursing quality , improve nurses ’ job satisfaction and reserve nursing management personnel .