手术室伙伴式一体化查房模式的应用

Application of ward round based on partnership model in operation room

目的探讨手术室伙伴式一体化查房模式的应用效果。方法手术室有57名护士,2015年采用传统的查房模式,2016年采用伙伴式一体化查房模式。比较2015年和2016年护理人员对查房模式的评价、理论与操作考核成绩、满意度及平均手术接台时间。结果 2016年护士考核理论成绩和操作成绩均高于2015年(P<0.05),2016年查房质量评价结果中查房方式、学习主动性、收获感、疑难问题解决各项评分均高于2015年(P<0.05),2016年护士对查房满意度为92.98%(53/57)高于2015年的54.39%(31/57)(P<0.05),2016年平均手术接台时间由2015年的40 min缩短到15 min。结论伙伴式一体化查房模式的建立,增进了医生、麻醉师和护士三方的联系与沟通,改善了查房效果,提升了护士专业技能。

Objective To investigate the effect of ward round based on partnership model in operation room. Methods Totally 57 nurses from operation room were enrolled in this study.The operation room adopted the ward round based on partnership model in year 2016 instead of conventional ward round model which was adopted in year 2015. The nurses' evaluation on ward round,theory and practice examination results,satisfactory degree and averaged duration between consecutive operations were assessed and compared before implementation of partnership model.Results Nurses achieved a higher score in theory and practice examination in year 2016 than those in year 2015( P < 0. 05). In assessing quality of ward round,the score of ward round method,initiative leaning,accomplishment and problem-solving were increased after implementation of partnership model( P < 0. 05). More nurses were satisfied with the ward round efficacy in year 2016 than those in year 2015( 92. 98 % vs. 54. 39%,P < 0. 05). The averaged duration between consecutive operations decreased from 40 minutes in year 2015 to 15 minutes in year 2016.Conclusion The establishment of partnership model benefits the communication between surgeons,anesthetist and nurses,therefore improve the ward round efficacy and comprehensive abilities of nurses.