品管圈理念在手术室提高护理管理质量的效果观察

于玲

[摘要] 目的 探討品管圈理念在手术室提高护理管理质量的效果。方法 该院手术室自2018年1月起在护理管理中开展品管圈活动，选择该院手术室2018年1—12月、2017年1—12月作为观察阶段、对照阶段，观察阶段实施品管圈管理，对照阶段实施常规护理管理，比较两个阶段护士的工作压力指数、职场正念评分、职业满意度评分，并比较两个阶段的护理差错事件发生率、患者护理满意度。结果 观察组阶段护士的工作压力指数与对照组阶段相比更低，其职场正念评分、职业满意度评分与对照组阶段相比均更高（P<0.05）。护理差错事件发生率观察组为1%，与对照组7%相比更低（P<0.05）。护理总满意率观察组患者为98%，与对照组90%相比更高（P<0.05）。结论 品管圈理念用于手术室护理管理中可减轻护士的工作压力，提升其职场正念和职业满意度，有利于提高护理管理质量，减少护理差错事件发生，提高患者护理满意度。

[关键词] 手术室;护理管理;品管圈;管理质量

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0057-03

Observation on the Effect of Quality Control Circle Concept in Improving Nursing Management Quality in Operating Room

YU Ling

Dongying Shengli Maternal and Child Health Hospital， Dongying， Shandong Province， 257000 China

[Abstract] Objective To explore the effect of the quality control circle concept in improving the quality of nursing management in the operating room. Methods The operating room of the hospital has been conducting quality control circle activities in nursing management since January 2018. The operating room of our hospital was selected from January to December 2018 and January to December 2017 as the observation phase and control phase. The quality management circle management was implemented in the phase， and the routine nursing management was implemented in the comparison phase. The nurses' work stress index， workplace mindfulness score， and career satisfaction score were compared in the two phases， and the nursing error incident rate and patient care satisfaction were compared in the two phases. Results The work stress index of the nurses in the observation group was lower than that in the control group. The workplace mindfulness score and occupational satisfaction score were higher than those in the control group， all（P<0.05）. The incidence of nursing error events was 1% in the observation group， which was lower than the 7% in the control group（P<0.05）. The total satisfaction rate in the nursing group was 98% in the observation group， which was higher than that in the control group （90%）（P<0.05）. Conclusion The quality control circle concept used in operating room nursing management can reduce the work pressure of nurses， improve their workplace mindfulness and professional satisfaction， and is conducive to improving the quality of nursing management， reducing the occurrence of nursing error events， and improving patient satisfaction.

[Key words] Operating room; Nursing management; Quality control circle; Management quality

手术室是负责对患者进行手术治疗的主要场所，由于手术操作属于侵入性操作，对患者机体具有一定程度的创伤性，手术治疗期间患者面临着诸多风险，在患者护理工作中易出现差错事件，对其手术治疗易造成负面影响[1-2]，因此，为确保手术治疗效果，做好手术室护理管理工作十分重要。品管圈是一种新型的护理管理理念，主张将相同性质的工作人员组成以小圈为单位的团体，强调全体成员集思广益，制定和执行活动计划，旨在提高工作效率和工作积极性，近年来，品管圈被逐渐用于护理管理中，取得了良好进展。该研究为探讨品管圈理念对手术室护理管理质量的作用，针对品管圈管理实施前后两个阶段（2018年1—12月、2017年1—12月）该院选取200例患者9名护士，对手术室护理管理指标进行分析和比较。……