基于KTQ认证体系的PDCA管理对医院病区护理质量、护理不良事件及护士自我效能感的影响

Effects of PDCA management based on KTQ certification system on nursing quality,nursing adverse events and nurses'self-efficacy in hospital wards

目的探讨基于KTQ认证体系的PDCA管理对医院病区护理质量、护理不良事件及护士自我效能感的影响。方法选取聊城市传染病医院同一内科病区的80名护士作为研究对象, 采用数字表法分为对照组和试验组各40名。对照组采用一般管理模式, 试验组采用KTQ体系认证的PDCA管理模式。使用一般资料调查问卷、护理质量量表、自我效能量表进行问卷调查;统计2020年1~12月两组护士护理工作中不良事件发生情况并加以比较;使用自我效能感量表(General Self-Efficiency Scale, GSES)评价两组护士自我效能感并进行比较。结果试验组患者护理质量评分值明显高于对照组, 差异有统计学意义(P<0.05);试验组护士护理工作中用药错误、压疮、跌倒坠床等护理不良事件发生率明显低于对照组, 差异均有统计学意义(均P<0.05)。干预前, 两组护士GSES评分比较差异无统计学意义(P>0.05);干预后, 两组护士上述评分均有所提高, 差异有统计学意义(均P<0.05)。试验组干预后GSES评分明显高于对照组, 差异有统计学意义(P<0.05)。结论医院病区护理管理使用KTQ认证体系的PDCA管理方法, 可有效提高病区护理质量, 减少护理不良事件发生率, 提升护士自我效能感。

Objective To explore the effects of PDCA management based on KTQ cerification system on nursing quality,nursing adverse events and nurses'self-efficacy in hospital wards.MethodsA total of 80 nurses in the same intermal medicine ward of Liaocheng Infectious Disease Hospital were selected as the research objects.They were divided into control group and experimental group by the number table method,with 40 nurses in each group.The control group adopted the general management mode,and the experimental group adopted the PDCA management mode with KTQ system certification.The General Information Questionnaire,Nursing Quality Scale and Self-Efficacy Scale were used to conduct the questionnaire survey.The incidence of adverse events in nursing work of nurses in the two groups from January to December 2020 was statistically analyzed and compared.The General Self-Efficacy Scale(GSES)was used to evaluate the self-efficacy of the two groups of nurses and to compare them.ResultsThe nursing quality score of the experimental group was significantly higher than that of the control group,and the diference was statistically significant(P<0.05).The incidence of adverse nursing events such as medication errors,pressure ulcers and flling out of bed in the experimental group was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in GSES score between the two groups(P>0.05).After intervention,the above scores of nurses in both groups were improved,and the dfferences were statistically significant(P<0.05).Afer intervention,the GSES score of the experimental group was significantly higher than that of the control group,and the diference was statistically significant(P<0.05).Conclusions The use of the PDCA management method of KTQ certification system in hospital ward nursing management can effectively improve the quality of ward nursing,reduce the incidence of adverse nursing events,and enhance nurses'sense of self-fficacy.