Application of continuous quality improvement in nursing teaching in emergency department
急诊科护理带教中持续质量改进的应用

摘要

目的 探究在急诊科护理带教工作中实施持续质量改进的应用效果。方法 本次对照实验中共选取了74例急诊科护理实习人员作为本次实验的研究对象，均于我院接受护理带教学习，符合入组标准。入组后按照护理带教方法的不同将其随机分配为对照组和观察组，每组37例实习人员，观察组使用持续质量改进，对照组使用常规带教，对比两组实习生能力指标及对带教方法的满意度。结果 观察组理论知识（94.23±3.17）分，实践操作（95.69±2.41）分，综合能力（92.39±5.01）分；对照组理论知识、实践操作、综合能力等评分分别为（84.56±2.77）分、（83.64±2.26）分、（81.59±2.19）分，对比来看，使用持续质量改进的观察组实习生综合实力明显高于对照组，数据间存在统计学意义，（P＜0.05）。其次，观察组实习生非常满意、满意、不满意实习生例数分别为23例、14例、0例，满意度100%；对照组非常满意、满意、不满意例数分别为17例、13例、7例，满意度81.08%，观察组满意度明显高于对照组，存在统计学意义，（P＜0.05）。结论 将持续质量改进措施应用于急诊科护理带教工作中可进一步提升实习人员专业素质，进而为急诊科护理质量提升提供帮助。

Abstract

Objective: To explore the application effect of continuous quality improvement in nursing teaching in emergency department.
Methods: In this controlled experiment, a total of 74 emergency nursing nurses were selected as the research objects of this experiment. All of them received nursing teaching in our hospital and met the inclusion criteria. After enrollment, they were randomly assigned to a control group and an observation group according to different nursing teaching methods. Each group of 37 internships used continuous quality improvement in the observation group, while the control group used conventional teaching to compare the internship ability indexes of the two groups. Satisfaction with teaching methods.
Results: The observation group scores of theoretical knowledge (94.23 ± 3.17), practical operation (95.69 ± 2.41), comprehensive ability (92.39 ± 5.01); the control group ’s theoretical knowledge, practical operation, comprehensive ability and other scores are (84.56 ± 2.77) Points, (83.64 ± 2.26) points, (81.59 ± 2.19) points, in comparison, the comprehensive strength of the observation group using continuous quality improvement was significantly higher than that of the control group, and there was statistical significance between the data (P <0.05). Secondly, the number of intern trainees in the observation group was very satisfied, satisfied, and dissatisfied with 23 cases, 14 cases, 0 cases, and 100% satisfaction; the control group was very satisfied, satisfied, and dissatisfied cases were 17 cases, 13 In 7 cases, the satisfaction rate was 81.08%. The satisfaction rate of the observation group was significantly higher than that of the control group, with statistical significance (P <0.05).
Conclusion  : Applying continuous quality improvement measures to the nursing teaching of emergency department can further improve the professional quality of interns, and then provide help for the improvement of nursing quality in emergency department.