PDCA护理管理模式在急诊科护理管理中的应用效果

Application effect of PDCA nursing management mode in nursing management of emergency department

目的探讨PDCA护理管理模式在急诊科护理管理中的应用效果,以提高急诊科医生与患者的满意度。方法抽取2011年1月~2012年12月急诊科接诊的6000例患者,另抽取实施PDCA护理管理模式后,2013年1月~2014年12月急诊科接诊的8000例患者,比较两组纠纷发生率;选取PDCA实施前后各100例患者,比较两组满意度;选取2011年1月1日~31日及2014年12月1日~31日同批30名护理人员,比较两组的护理质量。结果PDCA护理管理模式实施前,纠纷发生率为2.38%,实施后为0.69%,纠纷发生率显著下降,差异有统计学意义(P<0.05);PDCA护理管理模式实施前患者的满意度为63.00%,低于实施后的89.00%,差异有统计学意义(χ2=14.871,P<0.05)。PDCA护理管理模式实施前急诊科医疗人员的满意度为63.33%,低于实施后的满意度为90.00%,差异有统计学意义(χ2=16.756,P<0.05)。结论 PDCA护理管理模式能够循环、持续地提高急诊科护理与医疗水平,从而使得急诊科就诊的流程更加系统化、规范化,在实际工作中具有推广意义。

Objective To explore the application of PDCA nursing management mode in the emergency department nursing management,in order to improve the emergency department doctors and patients satisfaction.Methods A total of 6000 patients were enrolled in the emergency department from January 2011 to December 2012,respectively.After tak- ing the PDCA nursing management model,the patients were enrolled in the emergency department from January 2013 to December 2014,and the incidence of medical disputes between two groups was compared.100 patients before PDCA implemented and 100 patients after PDCA implemented were selected and the degree of satisfaction between two groups was compared.The same 30 nurses in Jaunary 1-31 2011 and December 1-31 2014 were selected,and the qual- ity of nuring between two groups was compared.Results Beforeimplementation of the PDCA nursing management pat- tern,the incidence of disputes is 2.38%,comparing to 0.69% after the implementation of PDCA,the incidence of disputes declined significantly,and the differences were statistically significant （P〈0.05）;before carrying out PDCA nursing man- agement mode,the patients＇ satisfaction was 63%,lower than 89% after the implementation of the PDCA,and the differ- ences were statistically significant （x^2=14.871,P〈0.05）.Before carrying out emergency medical staff degree of satisfaction was 63.33%,lower than 90.00% after implementation of PDCA,the differences were statistically significant （x^2=16.756, P〈0.05）.Conclusion The PDCA nursing management model can circulate and continuously improve the nursing and medical level of emergency department,so that the process of emergency department is more systematic and standard- ized,and it is of practical significance in practical work.