同质化管理对ICU护士临床实践能力及患者安全的影响

Effects of homogeneity management on ICU nurses＇ clinical practice ability and patient safety

目的 探讨同质化管理对ICU护士临床实践能力、工作满意度及患者安全的影响.方法 上海市第十人民医院ICU 从2016年1月开始从培训学习、授权赋能、优化排班3个方面实施同质化管理.实施前后采用ICU护士临床实践能力调查表、护士工作满意度调查问卷调查ICU 30名护士临床实践能力、工作满意度,统计护理不良事件发生情况,比较实施效果.结果 实施同质化管理后护士临床实践能力得分从（71.63±5.19）分提高至（84.77±3.80）分,差异有统计学意义（t=-11.181,P〈0.01）;护士工作满意度得分从（17.20±1.84）分提高至（22.43±3.00）分,差异有统计学意义（t=-8.454,P〈0.01）.2016年发生2例导管滑脱,护理不良事件发生率为0.15%（2/1300）.结论 同质化管理能够有效提升ICU护士临床实践能力、提高护士工作满意度,降低护理不良事件的发生,为患者的安全提供保障.

Objective To explore the influence of homogeneity management on ICU nurses＇ clinical practice ability, job satisfaction and patient safety. Methods Shanghai Tenth People＇s Hospital implemented the homogeneity management from January 2016, through training, empowerment and optimization scheduling. A total of 30 ICU nurses were investigated for their clinical practice ability, job satisfaction and nursing adverse events. Data were collected from the results of Clinical Practice Ability Questionnaire and Job Satisfaction Questionnaire, and were used to analysis the differences before and after the homogeneity management. Results After the homogeneity management implementation the score of clinical practice ability of the ICU nurses raised to （84.77±3.80）, which was （71.63±5.19） before,the difference was statistically significant （t=-11.181, P〈0.01）. The score of job satisfaction increased from （17.20±1.84） to （22.43±3.00）, the difference was statistically significant （t=-8.454, P〈 0.01）. There were 2 cases of catheter slippage in 2016, and the incidence of nursing adverse events is 0.15% （2/1 300）. Conclusions Homogeneity management can effectively improve the clinical practice ability and job satisfaction of nurses, reduce the incidence of nursing adverse events, and provide guarantee for the safety of patients.