精細(xì)化管理在本科學(xué)歷護(hù)士規(guī)范化培訓(xùn)中的應(yīng)用效果

黃敏 鄭思琳

摘要：目的? 探討精細(xì)化管理在本科學(xué)歷護(hù)士規(guī)范化培訓(xùn)中的效果。方法? 選取2016年7月～2018年6月我院實施精細(xì)化管理的本科學(xué)歷規(guī)范化培訓(xùn)護(hù)士120名作為觀察組，另將2012年7月～2016年6月未實施精細(xì)化管理的本科學(xué)歷規(guī)范化培訓(xùn)護(hù)士120名作為對照組，比較兩組比較兩組護(hù)理質(zhì)量（基礎(chǔ)護(hù)理、急救物品管理、護(hù)理文件書寫、消毒隔離、操作技術(shù)）、不良不良事件發(fā)生情況及患者投訴情況。結(jié)果? 觀察組基礎(chǔ)護(hù)理、急救物品管理、護(hù)理文件書寫、消毒隔離、操作技術(shù)護(hù)理質(zhì)量得分高于對照組，差異有有統(tǒng)計學(xué)意義（P<0.05）。觀察組輸液錯誤、配液錯誤、配伍禁忌、醫(yī)囑執(zhí)行錯誤、醫(yī)囑漏執(zhí)行、執(zhí)行單打印錯誤、漏簽字、計費錯誤發(fā)生率均低于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）。觀察組投訴發(fā)生率為1.67%，低于對照組的9.17%，差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論? 精細(xì)化管理應(yīng)用在本科學(xué)歷護(hù)士規(guī)范化培訓(xùn)中， 可減少護(hù)理操作中不良事件發(fā)生幾率，提高護(hù)理工作能力。

關(guān)鍵詞：精細(xì)化管理;本科;護(hù)士;規(guī)范化培訓(xùn)

Abstract：Objective? To explore the effect of refined management in the standardized training of nurses with bachelor degree.Methods? From July 2016 to June 2018， 120 nurses in our hospital who implemented standardized management of the bachelor degree in standardized management were selected as the observation group. In addition， standardized training of the bachelor's degree that was not implemented in the refined management from July 2012 to June 2016 was selected. 120 nurses served as a control group， comparing the quality of care between the two groups （basic care， first aid management， nursing document writing， disinfection and isolation， operation techniques）， the occurrence of adverse events and patient complaints. Results? The observation group's basic nursing， first aid article management， nursing document writing， disinfection and isolation， and operation technology nursing quality scores were higher than the control group，the difference was statistically significant （P<0.05）. The observation group's infusion errors， fluid preparation errors， compatibility taboos， medical order execution errors， medical order missed executions， execution order printing errors， missing signatures， and billing error incidence rates were lower than the control group， the difference was statistically significant （P<0.05）. The incidence of complaints in the observation group was 1.67%， which was lower than 9.17% in the control group，the difference was statistically significant （P<0.05）.Conclusion? The application of refined management in the standardized training of nurses with bachelor's degree can reduce the occurrence of adverse events in nursing operations and improve the ability of nursing work.

Key words：Refined management;Undergraduate;Nurses;Standardized training

與其他專業(yè)如八年制醫(yī)學(xué)專業(yè)培養(yǎng)相比，護(hù)理本科培養(yǎng)較為“短、平、快”，無法實行“基礎(chǔ)知識、臨床技能、科研創(chuàng)新”全面性和系統(tǒng)性的培訓(xùn)。自2016年開始，四川省衛(wèi)計委開始對三甲醫(yī)院的全日制護(hù)理本科學(xué)歷的護(hù)士實行規(guī)范化培訓(xùn)2年，每半年輪轉(zhuǎn)1個科室，這不僅有利于提高本科護(hù)士的理論聯(lián)系實踐的能力，同時利于提高護(hù)士本身的綜合素質(zhì)。如何管理好輪轉(zhuǎn)的本科規(guī)范化培訓(xùn)護(hù)士是每個輪轉(zhuǎn)科室都應(yīng)該思考的問題。精細(xì)化管理是現(xiàn)代管理的重要內(nèi)容之一，其管理程序是通過社會分工提高服務(wù)質(zhì)量及效率，并將常規(guī)管理引向發(fā)展和深入[1]。本研究主要探討精細(xì)化管理在本科學(xué)歷護(hù)士規(guī)范化培訓(xùn)中的效果，現(xiàn)報道如下。

1資料與方法

1.1一般資料? 選取2016年7月～2018年6月西南醫(yī)科大學(xué)附屬醫(yī)院實施精細(xì)化管理的規(guī)范化培訓(xùn)本科學(xué)歷護(hù)士120名作為觀察組，另將2012年7月～2016年6月未實施精細(xì)化管理的規(guī)范化培訓(xùn)本科學(xué)歷護(hù)士120名作為對照組。……