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县级医院开展医护查房影响因素分析

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摘要 目的了解基层医护共同查房的现状,分析医护查房过程中的影响因素,为持续改医护查房质量提供依据.方法使用随机抽样方法选取县级三级综合医院 5个病区中的20名护士和10名医生进行调查后进行分析,了解医护查房的感受,分析影响医护参与查房的因素.结果100%护士认同医护共同查房工作模式对护士专业水平有明显提升,医生护士认为对及时准确判断患者的病情变化及掌握治疗方案,对辅助检查阳性结果意义,医护合作意识,护理记录书写质量的提高,护士的自信心及学习的主动性,医嘱执行的及时性,预防跌倒、压疮,督促手卫生方面有积极作用;但同时也存在医生护士对查房重视不足,主动参与性差,不合作,查房与治疗时间矛盾等负性因素.结论基层医护查房医生与护士配合有待加强,工作流程需改进.为了促进医护共同查房的效果,建议管理者调整相关的工作时间和工作模式,促进医护间合作与交流,加强护士在职培训,提升护士知识水平,使护士真正参与到共同查房中,提升护理质量和患者的医疗照护质量. ObjectiveTo investigate basic medical common rounds the status quo. Analysis influence factors of medical ward, for continuous improvement provide the basis for the quality of medical rounds. Methodsusing random sampling method selects County tertiary general hospital in 5 wards 20 nurses and 10 doctors were investigated after analysis, understand the feelings of the nursing ward round, factors analysis affecting medical participate in rounds. Results100% nurses recognized medical rounds together working mode on nurses' professional level improved significantly, the doctors and nurses think for timely and accurate judgment of the patient's condition changes and grasp the treatment scheme, the significance of auxiliary examination positive results, health care cooperation consciousness, the improvement of nursing record writing quality, the nurse's self-confidence and learning initiative, timeliness of executive orders, prevention of falls, pressure sores, and urge hand hygiene has a positive role; but there are also doctors and nurses in ward round lack of attention, active participation of poor, non cooperation, rounds and treatment time conflicts and other negative factors. Conclusionprimary care rounds with doctors and nurses should be strengthened and the work process needs to be improved. In order to promote the effect of common medical rounds, managers adjust related work time and work mode, promote the cooperation and exchange between medical, strengthen job training of nurses, enhance the level of nurses knowledge, enable nurses to participate in a real common Cha Fangzhong, improve the quality of care and patient's medical care quality.
作者 方素
出处 《湖南中医药大学学报》 CAS 2016年第A01期156-157,共2页 Journal of Hunan University of Chinese Medicine
关键词 责任医生 责任护士 查房 基层医护合作 影响因素 responsibility doctor nurse ward medical cooperation influencing factors
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