利用品管圈活动提高临床护士论文撰写能力的探讨

The use of quality control circle to improve nurses＆#39; thesis writing

目的 探讨品管圈活动对提高临床护士论文撰写能力的作用.方法 以华中科技大学同济医学院附属梨园医院内分泌科23名护理人员为研究对象,成立护士品管圈小组,通过文献检索和院内调研,调查护士撰写、发表论文的困难因素.品管圈开展了邀请专家辅导、圈员自学与交流、期刊信息收集、医院论文政策了解、论文经济奖励、建立论文查新与检索条件、订阅整理护理期刊和戴明环（PDCA循环）,即计划（plan）、实施（do）、检查（check）、行动（action）等持续改进措施,比较开展品管圈活动前后护士的论文撰写情况.结果 开展品管圈活动1年后,护士论文投稿数、正刊录用篇数均高于实施前,差异具有统计学意义,P ＜0.05;实施后的科技核心期刊录用篇数、中文核心期刊录用篇数和普通期刊录用篇数高于实施前,但是实施前后相比,差异无统计学意义,P＞0.05;23名圈员科研能力进步情况自评,实施后分值均高于实施前;护士参加医院护理知识竞赛和主持医院护理知识讲课人数在实施后均有提高,其中主持医院护理知识讲课人数实施前后差异具有统计学意义,P＜0.05.结论 品管圈活动能够有效地提高护士学习与科研理论水平,促进护士论文撰写与发表.

Objective To explore the effect of quality control circle （QCC） activities to improve the writing ability of nurses.Methods 23 nursing staffs were as the research object which come from department of endocrinology of Liyuan Hospital Affiliated Tongji Medical College,Huazhong University of Science and Technology,established nurse quality control circle group,through literature retrieval and hospital in research and writing the nurse survey,published the difficult factors.The improvement measures was used in QCC,such as inviting the expert teaching,self-learning and exchanging the information during the nurses,information collecting of journals,understanding the policy of hospital,establishing the conditions of the novelty search and retrieval,subscribe to organize nursing joumals and Deming cycle （PDCA）.Finally,the nursing thesis were compared before and after carrying out the QCC activities.Results After the QCC activities was carried out 1 year,the nurses in the submission number,journal employed number were higher than before,the difference had statistical significance （P 〈 0.05）.After the implementation of the core periodicals of science and technology employed number,the number of Chinese core periodical employment number and the general periodicals employ higher than before the implementation,but before and after the implementation of do not have significant difference （P 〉 0.05）.23 circle six aspects of the progress of scientific research ability of self rating,after the implementation of the scores were higher than before the implementation.It was improved that nurses in hospital nursing knowledge contest and in charge of the hospital lecture number in the post implementation.The difference had statistical significance which nurses who in charge of the hospital lectures number before and after implementation,P 〈 0.05.Conclusions QCC activity can effectively improve the clinical nurse education and scientific research theory level,and promote the nurse thesis writing and publishing.