品管圈在提高分级护理巡视合格率中的实践和体会

目的成立品管圈（quality control circle,QCC）,利用移动护理工作站,开展提高临床分级护理巡视合格率的持续质量改进,为临床护理管理提供监控依据。方法选择心血管外科病区住院患者96名,随机抽取一周巡视情况,按照开展QCC活动6个月,对比活动前后患者的巡视结果、护理工作满意度、护士核心能力等指标。结果活动开展后巡视率由63.94%提升至93%（P〈0.05）;住院患者对护理工作满意度从93%提升至100%（P〈0.05）;护士核心能力在和谐氛围、主动服务等八个方面呈正向增长,在责任感、主动沟通、品管手法掌握项目结果有明显差异（P〈0.05）。结论依托PDA进行的护理考量,可增强护理人员责任感,增加护患沟通,有利于医疗行为的开展,对提高分级护理巡视合格率有积极意义。

The Role of Quality Control Circle in Sustained Improvement of the Grading Nursing Care Visiting Rate of Pass

Objective By forming QCC and using errabund nurse workstation to continuously improve the quality of the classed nursing rounding rate of pass and to supply monitor information for the clinic nursing management work.Method Randomly picked 1 week rounding information of 96 patients in our cardiovascular surgery department.Exert the strategy for 6 months according to PCC.Compared the classed nursing rounding result,satisfactory rate to the nursing work,key capacity of nursing staff before and after the implementation of the strategy.Results After the implementation of the strategy,the classed nursing rounding rate was elevated from63.94%to 93%（P〈0.05）,the satisfactory rate of admitted patients to the nursing work rise from93%to 100%（P〈0.05）.The key capacity of nursing staff was improved in 8 aspects such harmonizing atmospheze and initiative service.In terms of sense of responsibility,positive communication,method in quality control,significant difference were observed between groups（P 〈0.05）.Conclusion Nursing work evaluation based on PDA can enhance the sense of responsibility among nursing staff,boost communication between nursing staff and patients and can be beneficial for the medical care,which has pasitive effects on elevating the passing rate of classed nursing rounding.