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      关于简析PDCA循环法在产科急危重症护理质量管理中的实践应用网站位置: >> 护理论文 >> 外科护理论文 >> 浏览文章
      简析PDCA循环法在产科急危重症护理质量管理中的实践应用

      论文导读:检查工作的量化、细化,所有工作有标准、有评价、有要求、有验证、且有量化。在操作过程中进行指导和抽查,检查工作工程正确程度,有没有按标准实施。在进行实地操作考核,以妇及家属意见反馈作为意见进行效果评估! 1.3评价指标:  实验组观察内容主要有,在产科急危重症中的护理质量、休克病人血管穿刺成功率以及在救治过程

      PDCA循环法在产科急危重症护理质量管理中的实践应用【摘要】目的:评价PDCA循环法在产科急危重症护理质量管理中的应用效果。策略:将我院2013年10月至2013年11月收治的22名产妇进行随机分配两组,即实验组和常规组。实验组中11人,使用PDCA循环法进行护理质量管理。常规组中11人,用普通策略经行护理质量管理。经过一段时间后。对两组的护理情况进行比较。果:实验组比常规组的护理质量管理明显要好,差异显著具有统计学作用(P<0.05)。结论:PDCA循环法使用在产科急危重症护理质量管理中的效果显著,使护理工作人员变得主动,情绪变得人性化,提高了产妇对护理的评价。
        【关键词】PDCA循环法;产科;质量管理
        1004-4949(2014)12-0550-01
        产科急危重症是指从妊娠开始后至产后的24天内发生的严重威胁孕产妇及围产儿生命的急危重症,威胁到生命的紧急状态,必须要在最短的时间内接受抢救和治疗。质量管理的重点应放在主动使用科学策略来查找理由、缺陷、来改善护理工作标准[1]。本研究将PDCA循环法应用到急危重症护理质量管理中,取得的效果明显,现报告如下:
        1.资料与策略
        1.1一般资料
        我院收治的22名产妇随机分成实验组和常规组,实验组11例,年龄20-30岁,平均(23±0.85)岁;常规组11例,年龄21-30,平均(24±0.63)岁。其中产后大出血7例,占34.38%;重度妊娠高血压综合征6例,占28.13%;前置胎盘4例,占21.88%;胎盘早剥2例,占6.25%;水栓塞1例,占3.12%;妊娠期急性脂肪肝并腹部卒中1例,占3.12%;妊娠合并风心病l例,占3.12%。
        1.2护理策略
        常规组11例,采用传统的护理策略进行护理;实验组11例,在传统的护理策略上增加PDCA循环法进行护理。具体护理策略:
       。1)P(计划)阶段
        第一,增强护士的责任心,提高主动性。第二,制定统一、合理的工作流程。第三,补足护理人力配置。第四,严格监控基础护理质量。
       。2)P(执行)阶段
        第一,增加全科护士的责任心,护士长组织全体护士多进行基础护理学习,做好调动积极性工作,变被动为主动。
        第二,把护理操作流程规范化,针对床位的整洁度、护士指甲长进行规范。
        第三,在实行PCDA循环法期间,像护理部申请并调入5名新护士,增加值班人员,减轻护士工作负荷。
        第四,对监控力度进行加强,实行量化管理;护理部巡回指导、督促;护士长制定出奖罚制度。
       。3)P(检查)阶段
        指导和检查工作的量化、细化,所有工作有标准、有评价、有要求、有验证、且有量化。在操作过程中进行指导和抽查,检查工作工程正确程度,有没有按标准实施[3]。在进行实地操作考核,以妇及家属意见反馈作为意见进行效果评估。
        1.3评价指标:
        实验组观察内容主要有,在产科急危重症中的护理质量、休克病人血管穿刺成功率以及在救治过程中血压、脉搏的般状况。在观察经过实验组和常规组在产科急危重症中的护理中的情况后,对相关知识以及护理技能的掌握进行观察,对医院工作人员的教育工作进行评价[2]。
        1.4统计学分析
        两组患者的统计策略为:采用SPSS12.0统计学软件对数据进行处理,以(X±s)表示,并采用x2检验以及t检验[3]。
        2.结果
        实验组对于产科急危重症中的护理相关知识以及专业的护理技能掌握情况较好,对医院实施PDCA循环法的护理管理工作满意度较高,常规组对于产科急危重症中的护理知识的掌握一般,两组数据差异显著,具有统计学作用,P<0.05。实验组应用PDCA循环法后急危重症护理病历质量有明显提高。
        3.讨论
        孕产妇管理制度的不断完善,现在产科急危重症已形成了系统的医疗救治网络,产科急危重症医疗救治水平也逐步的得到提高,因此,护理管理工作是必须紧跟医疗形势[4]。PDCA循环管理法是产科急危重症护理质量经过持续改善的科学策略。PDCA循环法拥有不断发现质量,不断的改善质量,不断的提高质量的特点。循环往复的形式逐渐成为护理质量管理的整个体系,使得护理管理工作变得整体化、规范化、程序化。相关研究表明[5],将质量管理的重心转变为直接为病人服务,这样将大幅度的提高护士、护士长的护理质量改善提升。
        我院采用了PDCA循环管理法在急危重症护理中,进而提高了基础护理的质量与急危重症护理记录书写,很大程度上增加了护士的急救知识与技能。产科急危重症救治是很难独立进行并完成好的,经过多科室、多学科的相互合作,再利用PDCA循环管理法来完善与提高产科急危重症护理质量,这样将有效的提高抢救的成功率,从而让围产儿与孕产妇的生命安全得到保障。本研究结果显示,实验组的护理质量和满意度都明显高于常规组,表明在PDCA循环法在产科急危重症护理质量管理中的效果显著。因此,我们认为,PDCA循环法在产科急危重症护理质量管理中具有较高的应用价值。
        综上所述,PDCA循环法在产科急危重症护理质量管理中的效果显著,可以让护理人员对工作更加充满热情、活力,把被动工作转化成为主动工作,有效提高了护理质量,值得推广应用。
        参考文献
        [1]游彩玲,何惠玲,吴怀真.传统“坐月子”习俗对产妇健康影响调查结果分析[J].中国妇幼保健,2011,23(08):11-16.
        [2]高玲,邓静,李艳,等.PDCA循环用于低年资护士管理提高手术室工作质量[J].护理学报,2011,18(09):36-38.
        [3]上官志毅,陈冬梅,黄婷婷.PDCA循环在国内护理领域应用的新进展[J].护理管理杂志,2013,22(16):87-89.
        [4]余建芬.产科护理管理目前状况分析与策略[J].齐齐哈尔医学院学报,2012,11(19):44-46
        [5]刘苏君.基础护理(护士的专业内涵[J].中华护理杂志,2013,24(05):55-58. 全文地址:http://www.abcanuncios.com/wkhllw/lw50520.html
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