多学科结构化三级护理查房模式的临床实践

Clinical practice of multi-disciplinary structured three-level nursing rounds

目的建立多学科结构化三级护理查房模式,并探讨其临床推广价值。方法采用整群抽样的方式将2018年9月~2019年8月我院10个临床护理单元随机分为对照组与观察组,各5个单元,其中对照组护士人数为82人,观察组护士人数为86人,对照组采用传统的三级护理查房模式进行护理业务查房,观察组采用多学科结构化三级护理查房模式进行,比较两组护士的评判性思维能力、专科知识水平以及患者的护理服务满意度情况。结果干预前两组护士的评判性思维能力评分和专科知识理论考核分数比较,差异无统计学意义(P>0.05);干预后观察组护士的评判性思维能力评分和专科知识理论考核分数均本组干预前和高于对照组,且患者的护理服务满意度高于对照组,差异均有统计学意义(P<0.05)。结论多学科结构化三级护理查房能提升护士的评判性思维能力和专科知识水平,改善改善护理服务质量,提高患者对护理服务的满意度。

Objective To establish a multi-disciplinary structured three-level nursing rounds model and explore its clinical value.Methods A total of 10 clinical nursing units of our hospital from September 2018 to August 2019 were randomly divided into the control group and the observation group by cluster sampling method,each with 5 units.There were 82 nurses in the control group and 86 nurses in the observation group.The traditional three-level nursing rounds were used in the control group,and the multi-disciplinary structured three-level nursing rounds were used in the observation group.The ability of critical thinking,the level of specialized knowledge and the satisfaction of nursing service of the two groups were compared.Results Before the intervention,there were no significant differences between the two groups in the scores of critical thinking ability and specialized knowledge theory(P>0.05).After intervention,the scores of critical thinking ability and specialized knowledge theory in the observation group were higher than before riter uention and that in the control group,and the patients′satisfaction of nursing service was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The multi-disciplinary structured three-level nursing rounds can improve the critical thinking ability and professional knowledge level of nurses,improve the quality of nursing services,and improve the satisfaction of patients with nursing services.