外科责任护士手术观摩在优质护理服务中的应用

Application of surgery obervation on promoting high quality care service among excutive nurses in Deparement of Surgical

目的：探讨外科责任护士观摩手术过程对提高护士自身综合素质、患者满意度及护理质量的效果。方法选择外科择期手术患者370例，将2013年10—11月择期手术的185例患者分为对照组，将2013年12月—2014年1月择期手术的185例患者分为观察组。对照组患者给予常规围术期护理；观察组的护士参加手术观摩，责任护士进行术前收集资料、术中全程观摩、术后针对性护理干预，提供全方位的无缝隙护理。比较实施手术观摩前后患者的围术期护理质量和对护理工作的满意度。结果实施责任护士手术观摩后，手术患者护理质量由（95．01±2．13）分提升到（98．46±1．54）分，患者对护理的满意度由（91．30±0．20）分提高至（98．60±1．10）分，实施前后比较差异均有统计学意义（ t值分别为－18．742，－5．410；P＜0．05）。结论临床护士参与手术全过程的观摩，为围术期患者提供全程无缝隙护理，有利于提升护士综合素质，提高护理质量和满意度。

Objective To explore the effect of surgery observation process for surgical excutive nurse to improve comprehensive quality of nurses , patients′satisfaction and nursing quality .Methods There were 370 selective operation patients , in whom 185 had been chosen as control group from October to November 2013;while another 185 patients would have selective operation during December 2013 to January 2014 as experimental group.The patients in the control group received routine perioperative nursing while nurses in the experimental group provided seamless nursing after information collection before operation , surgery observation during operation and formulating corresponding nursing after operation . The quality of perioperative nursing and＆amp;nbsp;patients′satisfaction for nursing job compared between two groups .Results After surgery operation carrying out, the quality of postoperative nursing enhanced from （95.01 ±2.13） to （98.46 ±1.54） scores （t =-18.742,P〈0.05）, and patients satisfaction increased from （91.30 ±0.20） to （98.60 ±1.10） scores （t=-5.410,P〈0.05）.Conclusions The process of nurses′perioperative observation offered a seamless nursing for perioperative patients and benefits nurses′comprehensive quality , nursing quality and satisfaction .