探讨预见性护理干预对急诊科常见护理纠纷的作用效果论文.docVIP

预见性护理干预对急诊科常见护理纠纷的作用效果研究 10秋护理本科 赵丹 学号： 【摘要】目的：探讨预见性护理干预对急诊科常见护理纠纷的作用效果，为急诊科临床护理及护理教育提供理论依据。方法：采用类实验性研究方法，整群抽样抽取我院急诊科自2005.1～ 2007.12诊治急诊病人15148人次（作为对照组），对本组患者采取常规护理措施；自2008.1～2010.12共诊治急诊病人15086人次（作为干预组），对本组患者采取预见性护理干预，对对照组和干预组发生护理纠纷的原因采用统计学方法进行分析总结，将调查结果输入计算机中，应用SPSS11.5统计软件进行计算，P0.05为差异有显著性，P0.01为差异有高度显著性。计数资料采用卡方检验。所有资料均采用SPSS11.5统计软件处理。结论：从护理的各个领域不断改进，减少护理纠纷的发生，提高患者满意度。 【关键词】 急诊护理 护理纠纷 预见性护理干预 Abstract Purpose: The paper explores the effect of predicative intervention on common nursing dispute in the emergency department of hospitals and provides theories for nursing care and education. Methods: Experimental research methods were employed in the paper. Sample 15 148 patients from the total patients whom the emergency department of the hospital received from January, 2005 to December, 2007, take this group as reference group and gave people in this group common nursing care. From January, 2008 to December, 2010, there were15 086 patients being treated and they formed as the experimental group. Patients in this group receive predicative intervention nursing care. Then the paper analyzes the reasons of emergency department nursing disputes happening in the two groups with the statistical methods. In the end, the research result was input in the computer and analyzed by statistical software SPSS11.5. Conclusion: Nurses should improve their nursing care from different aspects and reduce the number of nursing disputes so that patients will feel more and more satisfied. Key words: Emergency nursing; nursing disputes; predicative nursing intervention. 1、背景及意义：急诊科是急重危患者抢救治疗的场所，是医院抢救病人的第一线，同时也是医院的服务窗口。急诊患者病情危急,变化快，人群杂，病种多，急诊病人的病情牵扯到多学科，诊疗环节多、时间短，意外情况发生多，护患关系建立时间短。病人及家属的心态和就医心理复杂多样，人们的自我保护意识和法律意识不断的增强，对医护人员的职业道德、技术水平及服务质量提出了很高的要求，很容易发生护患纠纷。 目前多数学者认为沟通障碍、护患之间缺乏沟通交流是发生护患纠纷的导火线，护理行为中语言不当是护理纠纷发生的重要原因。护理人员的法律意识淡薄，忽视了潜在病人健康中的法律问题，对一些可能引发的护理纠纷认识不足 。部分护士缺乏法律知识、责任心不强，护理诊疗操作失败、护士在诊疗过程中不遵守规章制度，未交待注意事项，引起护理纠纷。服务态度冷漠在诊疗过程中缺乏“以病人为中心”的服务意识，服务态度冷漠，语言生硬，解释工作不到位，经常有抱怨情绪，引起患者或家属的不满，