论文部分内容阅读
目的研究高危人群规避模式在急诊科护理人员中的应用现状,观察高危人群规避模式应用后护理人员伤害率的变化及调查患者对护理人员的满意度。方法选取2013年12月—2015年12月浙江医院急诊科护理人员62例作为调查对象,男性4例,女性58例;年龄23~47岁,平均(30.1±12.6)岁;工作年限1~25年,平均(10.3±8.7)年。通过应用高危人群规避模式,记录高危人群规避模式应用前后调查的62例急诊科护理人员所受伤害详细情况(包括受伤害程度、急诊就诊次数)、发生率以及患者对护理人员服务满意度。结果比较高危人群规避模式应用前后各1个月伤害事件发生情况,应用前伤害事件发生情况中一级损伤、二级损伤及言语伤害均高于应用后(P<0.05),这提示高危人群规避模式对于急诊科伤害事件的数量有规避作用。比较高危人群规避模式应用前后急诊就诊次数及伤害发生次数,并计算伤害率,应用高危人群规避模式后伤害率降至9.9%,低于高危人群规避模式应用前的伤害率26.7%(P<0.05),提示高危人群规避模式对于急诊科伤害事件的数量有规避作用。高危人群规避模式应用前后急诊就诊患者对护理人员的满意情况,高危人群规避模式应用后的总满意率为72.6%,远高于高危人群规避模式应用前的总满意率54.8%(P<0.05)。结论高危人群规避模式在急诊护理人员中的应用,有效降低伤害发生率,同时能有效增加患者对护理服务满意度,值得临床推广应用。
Objective To study the application of avoidance patterns of high risk population in emergency department nurses and to observe the change of nurses’ injury rate after the application of avoidance patterns in high risk population and to investigate the satisfaction degree of nurses to nurses. Methods Twenty-two emergency department nurses in Zhejiang Hospital from December 2013 to December 2015 were selected as subjects. There were 4 males and 58 females, aged from 23 to 47 years, with an average of (30.1 ± 12.6) years and working years ranging from 1 to 25 Year, with an average of (10.3 ± 8.7) years. By applying the avoidance mode of high-risk groups, the details of injury (including the degree of injury and the frequency of emergency visits), the incidence of patients and the service satisfaction to the nursing staff of 62 emergency department nurses surveyed before and after the application of the avoidance pattern of high-risk groups were recorded. Results Compared with the 1-month injury episode before and after the application of the avoidance pattern in high-risk groups, the first grade injury, the second grade injury and verbal injury were both higher than those before application (P <0.05) Patterns have evasive effects on the number of emergency department injuries. The number of emergency visits and the number of injuries were compared before and after the application of the avoidance pattern in high-risk groups, and the injury rate was calculated. The injury rate dropped to 9.9% after the application of the high-risk crowd avoidance pattern, and was 26.7% lower than that before the high-risk crowd avoidance pattern application (P <0.05 ), Suggesting that at-risk groups avoidance patterns have an evasive effect on the number of emergency department injuries. The satisfaction rate of nursing staffs before and after the application of high-risk crowd avoidance model was 72.6% after the application of high-risk crowd avoidance model, far higher than the 54.8% (P <0.05) of the total satisfaction rate before high-risk crowd avoidance mode application. . Conclusions The application of the avoidance pattern of high risk population to emergency nursing staff can effectively reduce the incidence of injuries and increase patient satisfaction with nursing services, which is worthy of clinical application.