反交班模式在急诊危重症病人交接班中的效果应用

Application of reverse shift model in shift change of critically ill patients

[目的]在急诊抢救危重病人交接中应用反交班模式,评价其应用效果。[方法]将2018年5月-2018年7月急诊抢救晨交班时留观的98例危重症病人作为对照组,按照传统的交接班模式进行交接。2018年9月-2018年11月急诊抢救晨交班时留观的96例危重症病人作为试验组,按照反交班模式进行交班。对比评价两种交接班模式下护士病人病情掌握、病人满意度、护士自我效能方面的差异。[结果]试验组急诊危重病人病情知晓度、满意度、护士自我效能感明显优于对照组(P<0.05)。[结论]反交班模式可以提高急诊护士抢救病人、危重症病人病情知晓度、病人满意度及护士自我效能感,急诊护理质量得到很大提升,有效保证了护理安全。

Objective:To evaluate the effect of the reverse shift model in shift change of critically ill patients receiving the emergency rescue.Methods:From May to July 2018,98 critically ill patients who were observed during the morning shift during the emergency treatment were included as the control group,and the transfer was performed according to the traditional shift mode. From September to November 2018,96 critically ill patients who were observed during the morning shift during the emergency treatment were included as the experimental group,and the transfer was performed according to the reverse shift model.Then the differences in nurses’ condition mastery,patients′satisfaction,and nurses’ self-efficacy between the two shift models were compared and evaluated. Results:After the implementation of the reverse shift model,the awareness,satisfaction,and nurses’ self-efficacy of emergency critical patients were significantly better than those of the traditional shift model,and the difference was statistically significant(P<0.05). Conclusions: The reverse shift model could improve nurses’ awareness of critically ill patients,patients satisfaction and nurses’ self-efficacy in emergency rescue,and the quality of emergency nursing greatly improved,which effectively ensured the safety of nursing.