品管圈在提高神经外科护士瞳孔观察准确率应用效果评价.docVIP

品管圈在提高神经外科护士瞳孔观察准确率应用效果评价 　　[摘要] 目的 探讨品管圈（QCC）活动在提高神经外科护士瞳孔观察准确率的应用效果。 方法 成立品管圈，根据迫切性、圈能力等选定本次活动主题，拟定活动计划书，进行现况调查，依据改善重点及圈能力设定目标、原因解析、拟定可行性对策、实施对策，比较品管圈活动前后瞳孔观察的准确率，确认品管圈实施后的效果。 结果 有形成果方面，开展QCC活动前，全科护士专科理论知识测试为（83.11±4.55）分，活动后为（90.59±3.57）分，开展QCC活动前后比较，全科护士专科理论知识明显提高，差异有统计学意义（P0.05）。开展QCC活动前，瞳孔观察准确率为47.50%，活动后为90.83%，开展QCC活动前后比较，瞳孔观察准确率显著提高，差异有统计学意义（P0.05）。在无形成果方面，开展品管圈活动后，圈员的解决问题能力、责任心、协调沟通能力、团队凝聚力、自信心、积极性、品管圈手法的运用能力及幸福感8个方面自我评分均高于活动前，差异有统计学意义（P0.05）。 结论 QCC活动能提高神经外科护士专科护理知识水平，提升全科护士科研能力及对QCC的认识、运用能力、执行力等，提高瞳孔观察准确率。 　　[关键词] 品管圈；瞳孔观察；专科护理；执行力 　　[中图分类号] R473.74 [文献标识码] B [文章编号] 1673-9701（2015）15-0136-04 　　[Abstract] Objective To explore the application effects of quality control circle （QCC） on improving accuracy of pupil observation for nurses in the department of neurosurgery. Methods Quality control circle was established. The theme of the activity was determined according to urgency and circle capacity， and activity proposal was decided. Investigation on current situation was carried out， and objective was set according to the focus on improvement and circle capacity. Reasons were analyzed， and feasible strategies were proposed and implemented. Accuracy of pupil observation before and after the QCC activity was compared， and the effects after the implementation of QCC was confirmed. Results As for tangible results， the scores of examination on specialized theoretical knowledge for nursing practitioners was （83.11±4.55） before the QCC activity， and the scores were （90.59±3.57） after the activity， the specialized theoretical knowledge for nursing practitioners significantly improved， and the difference was statistically significant （P 　　[Key words] Quality control circle； Pupil observation； Specialized nursing； Execution 　　品管圈（quality control circle，QCC）[1]是指由同一工作单位或工作性质的相关人员，自发组织起来，科学地运用各种工具和方法，持续地进行效率提升、降低成本、提高产品质量等业务的小组。我院是一所综合性的三级甲等医院，其中神经外一科实际开放床位33张，配备护士18人，以低年资护士（工作时间3年）为主，专科护理知识薄弱，观察病情变化的能力相对较低，而有些神经外科的重症患者，瞳孔变化相对较快，瞳孔的变化预示着疾病的变化与转归，如若观察不准确或发现不及时，将会