安全忧患意识三步教育法在临床实习护生带教中的应用效果探析

Application of Safe and Crisis Sense Three-step Method to the Teaching of Clinical Probationer Nurses

目的:观察安全忧患意识三步教育法在临床实习护生带教中的应用效果。方法:将90名护理实习生随机分为研究组、对照组各45名。研究组给予安全忧患意识三步教育法,对照组给予常规临床带教。记录2组护生的护理工作情况、护理不良事件发生情况、患者满意度以及仪器使用不良记录。结果:在入科实习6周、12周时研究组护生的主要护理工作情况均优于对照组(P<0.05),且随着实习时间的延长服务态度明显好转(P<0.05)。对照组无菌操作执行情况合格率升高(P<0.05),三查七对执行情况合格率下降,服务态度提高,但差异无统计学意义(P>0.05)。研究组发生护理不良事件2例(4.44%),患者满意率为94.76%(778/821),仪器使用不良2例。对照组发生护理不良事件9例(20.00%),患者满意率为78.81%(647/821),仪器使用不良11例。2组护生护理不良事件发生情况、患者满意率及仪器使用不良记录比较,差异具有统计学意义(P<0.05)。结论:安全忧患意识三步教育法不仅可促使实习护生自觉加强责任心,端正服务态度,而且可有效降低护患纠纷、提高护理满意度。

Objective： To investigate the results of safe and crisis sense three-step method applied to the teach- ing of probationer nurses. Methods： Ninety nurses were randomly allocated to the study group and the control group. The study group received safe and crisis sense three-step method, and the control group routine clinical teaching. The conditions of nursing, adverse event of nursing, satisfactory degree of the patients and bad records of using in- struments were observed in both groups. Results： Main nursing work of the probationer nurses in the study group was superior to that of the control group in six and 12 weeks after entering the department （P〈0.05）, the attitude was improved remarkably as internship time was prolonged （P〈0.05）. The implementation of pass rate aseptic tech- nique in the control group was improved notably （P〈0.05）, the implementation pass rate of three inspections and seven verifications was decreased, working attitude was improved, but the difference indicated no statistical meaning （P〉0.05）. There were two cases of nursing adverse event in the study group （4.44%）, satisfactory rate of the patients reached 94.76% （778/821）, two cases of instrument improper use. There were nine cases of nursing adverse event in the control group （20.00%）, satisfactory rate of the patients reached 78.81% （647/821）, 11 cases of instrument im- proper use. The difference showed statistical meaning in the incidence rate of nursing adverse event, satisfactory rate of the patients and instrument improper use （P〈0.05）. Conclusion： Safe and crisis sense three-step method could not only enhance the sense of responsibility, correct the service attitude, but also effectively decrease the disputes be- tween nurse and the patients, improve nursing satisfactory degree.