PDCA循环管理法在护理质量持续改进工作中的实际应用效果分析

Analysis on Actual Application Effects of PDCA Cycling Control Technique of Continuous Improvement Operations of Nursing Quality

目的:分析PDCA循环管理法在护理质量持续改进工作中的实际应用效果。方法:根据医院具体情况对各项规章制度进行修订与完善,将PDCA循环管理法应用到护理质量持续改进工作中,比较PDCA循环管理法应用前后医院护理质量的改变情况。选取2014年5月-2015年6月在本院呼吸科治疗的患者中随机抽取80例患者作为本次研究对象,根据PDCA循环实施情况分为观察组与对照组,每组各40例,观察组患者实施PDCA循环,对照组患者未实施PDCA循环,观察比较两组患者对护理工作的满意度。结果:PDCA循环管理法开展后,基础护理质量、分级护理质量、技术操作质量、护理文书质量、查房质量与健康教育质量均明显提高,各项分值均较PDCA循环管理法开展前有所提高,开展前后比较差异均有统计学意义(P<0.05);观察组患者对护理工作的满意度为95.0%,明显高于对照组的77.5%,两组比较差异有统计学意义(P<0.05)。结论:将PDCA循环管理法应用于护理质量持续改进工作中,使得护理管理更具人性化,不但可提高医院的护理质量,同时还可提高患者对护理工作的满意度,符合优质护理要求。

Objective：To analyze practical application effects of PDCA cycling control technique on continuous improvement operations of nursing quality.Method：The rules and regulations were revised and improved according to specific conditions of the hospital,PDCA cycling control technique was applied to continuous improvement operations of nursing quality, before and after the application of PDCA cycling control technique the changes in conditions of nursing quality of the hospital were compared. 80 patients were randomly selected in the hospital department of respiration from May 2014 to June 2015 as subjects of this research, who were divided into the observation group and control group,40 cases in each group,the patients in the observation group underwent PDCA cycling, and patients in the control group did not undergo PDCA cycling,the satisfactions of two groups on nursing operations were observed.Result：The basic nursing quality,grading nursing quality,technical operation quality,quality of nursing record sheets,ward round quality and health education quality were significantly improved when PDCA cycling control technique was implemented,compared before PDCA cycling technique,the differences were statistically significant（P〈0.05）.The satisfaction of patients in the observation group on nursing operations was 95.0%,significantly higher than that of control group 77.5%,the difference was statistically significant（P〈0.05）.Conclusion：PDCA cycling control technique applied in continuous improvement operations of nursing quality enables the nursing management to be more humanized,and this technique not only can improve the nursing quality of hospital,but also improve satisfaction of patients on nursing operations,conforming to the requirements of nursing quality.