浅析PDCA循环在PICU基础护理管理中的效果

摘要

Objective To research and study the application effect of PDCA circulation in the PICU basic nursing manage-ment. Methods PDCA circulation model has been implemented in the basic nursing management in the pediatric intensive care unit of our hospital since January 2014, the patients admitted and treated in the pediatric intensive care unit of our hospital from January 2014 to December 2014 were selected as the observation group, and the patients admitted and treated in the pediatric intensive care unit of our hospital without PDCA circulation model from January 2013 to December 2013 were selected as the control group, and the incidence rates of nursing error events, nursing management quality score and satisfactory degree of nursing services of the two phases were compared. Results The incidence rates of nursing error events in the observation group was obviously decreased after the implementation of PDCA circulation model compared with that in the observation group (P<0.05), but the nursing management quality score and satisfactory degree of nursing services in the observation group were obviously increased(P<0.05). Conclusion The implementation of PDCA circulation model in the ba-sic nursing management of pediatric intensive care unit can effectively improve the nursing management quality, reduce the nursing error event and improve the satisfactory degree of nursing services. With the constant progress of living standards and medical technology, people’s requirement for medical services is stricter and stricter, and the hospital nursing manage-ment has also been widely concerned, especially with the constant occurrence of nurse-patient disputes and nursing safety event in recent years, nursing service quality draws attention to the nursing workers, enhancing nursing management has al-ready been a pressing issue today. It is necessary to enhance the nursing management of the pediatric intensive care unit because the patient’s condition in the pediatric intensive care unit is complex, the workload of nursing staff is heavy and nursing difficulty is big.%目的：研究并探讨PDCA循环模式在儿科重症监护病房(PICU）基础护理管理中的应用效果。方法该院儿科重症监护病房自2014年1月开始在基础护理管理中施行PDCA循环模式，将2014年1月-12月间该院儿科重症监护病房收治的患者设置为观察组，另将2013年1月-12月未施行PDCA循环模式的儿科重症监护病房患者设置为对照组。对比两个阶段的护理差错事件发生率、护理管理质量评分、护理服务满意度。结果与对照组相比，观察组施行PDCA循环模式后，其护理差错事件发生率明显降低(P<0.05），护理管理质量评分、护理服务满意度均明显提高(P<0.05）。结论在儿科重症监护病房的基础护理管理中施行PDCA循环模式，能够有效提高护理管理质量，减少护理差错事件，提高护理服务满意度。随着生活水平和医疗技术的不断进步，人们对医疗服务的要求越来越严格，医院的护理管理也受到广泛的关注，加上近年来护患纠纷、护理安全事件的不断出现，护理服务质量获得了护理工作者的重视，加强护理管理已经成为当前亟待解决的问题。儿科重症监护病房的患者其病情多较为复杂，护理人员的工作量较大，护理难度较大，因此，有必要加强儿科重症监护病房的护理管理。