基于任务的授权控制模型对外科护理质量的影响

Effect of task-based authorization control model on surgical nursing quality

目的：研究基于任务的授权控制（TBAC）模型对外科护理质量的影响。方法：将TBAC模式应用于外科护理管理,对其实施前后的护理质量进行评估。结果：实施TBAC后护理人员基础护理、专科护理、应急处理能力、护理文书和病房管理等方面的得分均显著高于实施前（P〈0.05）。观察组对护理满意率显著高于对照组（χ~2=16.10,P〈0.05）。对照组护理事故发生率显著高于观察组（χ~2=4.741,P〈0.05）;对照组护理纠纷发生率显著高于观察组（χ~2=4.780,P〈0.05）;对照组护理差错发生率显著高于观察组（χ~2=5.910,P〈0.05）。结论：在外科实施TBAC模型有助于提高护理人员的业务能力和护理质量。

Objective： To investigate the effect of task-based authorization controls（ TBAC） on quality of nursing in Department of Surgery. Methods： TBAC was applied in the management of nursing in Department of Surgery,and the quality of nursing was evaluated. Results： Score of basic nursing,special nursing,emergency handling ability,nursing documents and ward management were all significantly improved after implementation of TBAC（ P 0. 05）. The nursing satisfaction rate in observation group was significantly higher than that in the control group（ χ~2= 16. 10,P 0. 05）. The nursing accident rate in control group was significantly higher than that in observation group（ χ~2= 4. 741,P 0. 05）. The incidence of nursing disputes in control group was significantly higher than that in observation group（ χ~2= 4. 780,P 0. 05）. The incidence of nursing errors in control group was significantly higher than that in observation group（ χ~2= 5. 910,P 0. 05）. Conclusion： TBAC applied in the Department of Surgery can improve the nursing ability and quality of nursing.