Objective:To analyze the effect of quality control circle on the central sterile supply department(CSSD).Methods:The control group and the observation group each consisted of 180 instruments received by the sterilizat...Objective:To analyze the effect of quality control circle on the central sterile supply department(CSSD).Methods:The control group and the observation group each consisted of 180 instruments received by the sterilization supply center from January to March 2023 and 11 CSSD staff.The control group underwent routine management while quality control circle was implemented in the observation group.The quality of work,disinfection and sterilization qualification rates,disinfection and sterilization of various instruments,cleaning indicators,and management satisfaction of both groups were compared.Results:The observation group scored higher in terms of work quality,the qualification rate of disinfection and sterilization in each link,the disinfection and sterilization of instruments,and cleaning indicators compared to the control group.Besides,the management satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:A quality control circle ensures the quality of work,improves the cleaning,disinfection,and sterilization of instruments of the CSSD,and improves the management satisfaction of the CSSD staff.展开更多
Objectives: In the post-surgical setting,active involvement of family caregivers has the potential to improve patient outcomes by prevention of surgical complications that are sensitive to fundamental care.This paper ...Objectives: In the post-surgical setting,active involvement of family caregivers has the potential to improve patient outcomes by prevention of surgical complications that are sensitive to fundamental care.This paper describes the development of a theoretically grounded program to enhance the active involvement of family caregivers in fundamental care for post-surgical patients.Methods: We used a quality improvement project following a multi-phase design.In Phase 1,an iterative method was used to combine evidence from a narrative review and professionals' preferences.In Phase 2,the logic model underlying the program was developed guided by four steps: (1) confirm situation,intervention aim,and target population;(2) documented expected outcomes,and outputs of the intervention;(3) identify and describe assumptions,external factors and inputs;and (4) confirm intervention components.Results: Phase 1 identified a minimum set of family involvement activities that were both supported by staff and the narrative review.In Phase 2,the logic model was developed and includes (1) the inputs (e.g.educational-and environmental support),(2) the ultimate outcomes (e.g.reduction of postoperative complications),(3) the intermediate outcomes (e.g.behavioural changes),and (4) immediate outcomes (e.g.improved knowledge,skills and attitude).Conclusions: We demonstrated how we aimed to change our practice to an environment in which family caregivers were stimulated to be actively involved in postoperative care on surgical wards,and how we took different factors into account.The description of this program may provide a solid basis for professionals to implement the family involvement program in their own setting.展开更多
Background Acute coronary syndrome(ACS)is a common cardiovascular disease that typically occurs with a greater frequency in older adults,men and postmenopausal women.Methods A total of 62 patients with ACS admitted to...Background Acute coronary syndrome(ACS)is a common cardiovascular disease that typically occurs with a greater frequency in older adults,men and postmenopausal women.Methods A total of 62 patients with ACS admitted to our hospital from February 2021 to May 2023 were enrolled and divided into observation group and control group by the random number table method,with 31 cases in each group.The control group was given routine nursing,and the observation group was given additional emergency nursing on the basis of routine nursing.The emergency efficiency,emergency quality and quality of life were compared between the two groups.Results The emergency efficiency related indexes such as the time of triage,blood collection,referral time,and time spent on rescue after clinical reception was lower than that of control group(P<0.05).The emergency quality scores of emergency order,equipment preparation,nursing service,ward management and effective communication in the observation group were higher than those in the control group(P<0.05).The scores of 8 Quality of Life(QOL)dimensions in the observation group were higher than those in the control group(P<0.05).Conclusion Emergency nursing can improve the emergency efficiency and quality of ACS patients,and the quality of life of patients after emergency can be significantly improved as well,which is worthy of popularization and application.展开更多
文摘Objective:To analyze the effect of quality control circle on the central sterile supply department(CSSD).Methods:The control group and the observation group each consisted of 180 instruments received by the sterilization supply center from January to March 2023 and 11 CSSD staff.The control group underwent routine management while quality control circle was implemented in the observation group.The quality of work,disinfection and sterilization qualification rates,disinfection and sterilization of various instruments,cleaning indicators,and management satisfaction of both groups were compared.Results:The observation group scored higher in terms of work quality,the qualification rate of disinfection and sterilization in each link,the disinfection and sterilization of instruments,and cleaning indicators compared to the control group.Besides,the management satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:A quality control circle ensures the quality of work,improves the cleaning,disinfection,and sterilization of instruments of the CSSD,and improves the management satisfaction of the CSSD staff.
基金This work is supported by an unrestricted innovation research grant of the Amsterdam UMC,location Academic Medical Center in Amsterdam,the Netherlands
文摘Objectives: In the post-surgical setting,active involvement of family caregivers has the potential to improve patient outcomes by prevention of surgical complications that are sensitive to fundamental care.This paper describes the development of a theoretically grounded program to enhance the active involvement of family caregivers in fundamental care for post-surgical patients.Methods: We used a quality improvement project following a multi-phase design.In Phase 1,an iterative method was used to combine evidence from a narrative review and professionals' preferences.In Phase 2,the logic model underlying the program was developed guided by four steps: (1) confirm situation,intervention aim,and target population;(2) documented expected outcomes,and outputs of the intervention;(3) identify and describe assumptions,external factors and inputs;and (4) confirm intervention components.Results: Phase 1 identified a minimum set of family involvement activities that were both supported by staff and the narrative review.In Phase 2,the logic model was developed and includes (1) the inputs (e.g.educational-and environmental support),(2) the ultimate outcomes (e.g.reduction of postoperative complications),(3) the intermediate outcomes (e.g.behavioural changes),and (4) immediate outcomes (e.g.improved knowledge,skills and attitude).Conclusions: We demonstrated how we aimed to change our practice to an environment in which family caregivers were stimulated to be actively involved in postoperative care on surgical wards,and how we took different factors into account.The description of this program may provide a solid basis for professionals to implement the family involvement program in their own setting.
文摘Background Acute coronary syndrome(ACS)is a common cardiovascular disease that typically occurs with a greater frequency in older adults,men and postmenopausal women.Methods A total of 62 patients with ACS admitted to our hospital from February 2021 to May 2023 were enrolled and divided into observation group and control group by the random number table method,with 31 cases in each group.The control group was given routine nursing,and the observation group was given additional emergency nursing on the basis of routine nursing.The emergency efficiency,emergency quality and quality of life were compared between the two groups.Results The emergency efficiency related indexes such as the time of triage,blood collection,referral time,and time spent on rescue after clinical reception was lower than that of control group(P<0.05).The emergency quality scores of emergency order,equipment preparation,nursing service,ward management and effective communication in the observation group were higher than those in the control group(P<0.05).The scores of 8 Quality of Life(QOL)dimensions in the observation group were higher than those in the control group(P<0.05).Conclusion Emergency nursing can improve the emergency efficiency and quality of ACS patients,and the quality of life of patients after emergency can be significantly improved as well,which is worthy of popularization and application.
