健康照护矩阵在护理案例研讨会中的应用研究

Application of health care matrix in nursing case study

将42名护士长和护理骨干分成7组,以工作坊的形式对42名护士长和护理骨干进行健康照护矩阵的培训;选择4级及以上的护理不良事件典型案例,让小组成员按照要求填写健康照护矩阵表格,组织讨论,共举行10次护理案例讨论会;然后,对小组成员进行问卷调查了解其对健康照护矩阵的评价。小组成员认为健康照护矩阵有助于评估失误(92.8%),有助于分析复杂状况(83.3%),应该持续做下去(88.1%);也反馈出一些问题,认为在应用中准备工作浪费时间(71.4%),指出同事的错误感到尴尬(30.9%)。健康照护矩阵有助于挖掘护理不良事件中的深层次原因;随着应用的日渐熟练,准备工作的效率将有所提高。

A total of 42 head nurses and main nursing staff were selected and divided into 7 groups. Health care matrix training was carried out among them through workshops. Typical nursing cases of adverse events at level 4 and above were selected and discussed. Participants completed the health care matrix form. Ten workshops were totally conducted. Then,all participants were surveyed about their evaluation of the health care matrix. The participants thought that health care matrix was helpful to assess error （92.8%）,and analyze complex cases （83.3%）. 88.1% participants thought such training should be continued. At the same time,they also thought it was a waste of time when preparation（71.4%）. Besides,it was embarrassing to point out the errors of their colleagues（30.9%）. The health care matrix can help to analyze the underlying causes of nursing adverse events. As team members become more proficient in matrix application, the efficiency of preparation will be improved.