护理质量敏感指标在优质护理评价及持续改进中的应用

Application of nursing-sensitive quality indicators in quality assessment and continuous improvement

目的探讨护理质量敏感指标在优质护理持续改进中的应用效果。方法2011～2012年抽取全院47个普通病区，应用护理质量敏感指标进行护理质量的评价。2012年1月起采用柏拉图分析法对数据进行动态分析，针对分析结果进行护理质量的控制与改进．比较2011年与2012年的敏感指标检查结果、患者满意度及护理不良事件发生率。结果47个病区2012年与2011年相比，重点指标：分级护理落实率、护士专科技能合格率、患者身份确认率等均有不同程度的提高，差异有统计学意义（P〈O．05）；患者满意度提高，除患者对环境的满意度差异无统计学意义外，患者对基础护理、护士服务态度、护士专业技能的满意度差异有统计学意义（P〈0．01）；护理不良事件发生率下降，包括护理缺陷及护理意外事件发生率的前后差异均有统计学意义（P〈O．05）。结论护理质量敏感指标为优质护理服务的效果评价提供了科学依据，对优质护理的持续改进有一定促进作用。

Objective To evaluate the effect of nursing-sensitive quality indicators in quality assessment and continuous improvement. Methods The nursing quality in 47 nursing units from 2011 to 2012 were evaluated by us- ing nursing-sensitive quality indicators. Since 2012,Plato analysis was adopted to dynamically analyze the problems in quality of care and targeted nursing quality improvement measures were implemented. The results in nursing-sensi- tive quality indicators,patient satisfaction and incidence of nursing adverse events were compared between 2011 and 2012. Results Compared with 2011,the nursing-sensitive quality indicators in 2012 were significantly improved in the implementation rate of grading nursing,nurses＇ qualified rate of specialist skills and patient identification rate （P〈O.05）;patient satisfaction was significantly increased in basic nursing,nurses＇ service attitudes and nurses＇ special- ist skills（P〈0.01）;the incidence of nursing adverse events was significantly reduced（P〈0.05）. Conclusion Nursing- sensitive quality indicators provide a scientific tool for nursing quality assessment and promote the continuous improvement of nursing quality.