感控督查员制度执行对护理人员院感风险自评能力改变的效果

A study on the change of self-assessment ability of hospital-acquired infection risk among nurses in wards after the implementation of the system of infection control inspector in a hospita

目的利用医院内感染(院感)防控(感控)督查员对病区护理人员院感风险自评能力进行督查干预,了解督查制度执行前后护理人员院感风险自评能力的差异,为提升护理人员院感风险自评能力提供参考依据。方法2020年5月20日至11月20日按比例抽取病区护理人员295名,采用自制问卷对护理人员院感风险能力进行测评,比较不同类型护理人员在院感督查制度执行前后院感风险自评能力的差异。结果不同性别护理人员感控督查员制度执行前后院感风险自评能力比较,差异无统计学意义(P>0.05);不同年龄、专业技术职务护理人员院感督查制度执行前后院感风险自评能力比较,差异均有统计学意义(P<0.05);初级专业技术职务护理人员院感风险自评能力均明显低于中、高级专业技术职务护理人员,中级专业技术职务护理人员院感自评能力明显低于高级专业技术职务护理人员,差异均有统计学意义(P<0.05)。结论男、女性护理人员院感风险自评能力基本相同,专业技术职务晋升有利于护理人员院感自评能力的增加。医疗机构应针对护理人员工作特点,将日常工作与院感风险自评能力提升有机结合起来,利用感控督查员制度多方位提升护理人员风险自评能力。

Objective To investigate the difference of self-assessment ability of hospital-acquired infection risk among nurses in wards before and after the implementation of the infection control inspector system,by using the infection control inspector to supervise and intervene the self-assessment ability of hospital-acquired infection risk of nursing staff in wards,so as to provide reference for improving the self-assessment ability of hospital-acquired risk among nursing staff.Methods From May 20 to November 20,2020,a total of 295 nursing staff in wards were selected proportively to assess the self-assessment ability of hospital-acquired infection risk of nursing staff by self-made questionnaire,and the differences of self-assessment ability of different types of nursing staff before and after the implementation of the system of infection control inspector in the hospital were compared.Results It is no statistically significant in the self-assessment ability of hospital-acquired infection risk among nurses of different genders(P>0.05).It is statistically significant in nursing staff of different age groups and professional title groups(P<0.05).The ability of self-assessment of hospital-acquired infection risk of primary professional and technical position nurses was significantly lower than that of middle and senior professional and technical position nurses,and the intermediate professional and technical position nurses was significantly lower than that of senior professional and technical position nurses,with statistical differences(P<0.05).Conclusion The ability of self-assessment of hospital-acquired infection risk of male and female nurses was basically the same.The promotion of professional and technical posts is conducive to the increase of nursing staff′s self-assessment ability of hospital-acquired infection risk.According to the working characteristics of nursing staff,the medical institutions should combine daily work with the improvement of self-assessment ability of hospital-acquired infection risk,and improve the self-assessment ability of nursing staff through the infection control inspector system.