[1]李向丽,丁劲,刘小勤,等.“参与共治”模式在规范护生临床安全实践中的效果评价[J].甘肃中医药大学学报,2018,35(06):109-112.[doi:10.16841/j.issn1003-8450.2018.06.25]
 LI Xiangli,DING Jing,LIU Xiaoqin,et al.Effect evaluation of “participation and co-governance” mode in standardizing clinical safety practice of nursing students[J].Journal of Gansu University of Chinese Medicine,2018,35(06):109-112.[doi:10.16841/j.issn1003-8450.2018.06.25]
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“参与共治”模式在规范护生临床安全实践中的效果评价
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
35卷
期数:
2018年06期
页码:
109-112
栏目:
护理园地
出版日期:
2018-12-25

文章信息/Info

Title:
Effect evaluation of “participation and co-governance” mode in standardizing clinical safety practice of nursing students
作者:
李向丽 丁劲 刘小勤 葸英博
甘肃中医药大学附属医院护理部, 甘肃 兰州 730020
Author(s):
LI Xiangli DING Jing LIU Xiaoqin XI Yingbo
Department of Nursing, Affiliated Hospital of Gansu University of Chinese Medicine, Lanzhou, Gansu, 730020, China
关键词:
“参与共治”模式护生护理安全知识不良事件锐器伤医疗纠纷临床带教
Keywords:
“participation and co-governance mode”nursing studentsnursing safety knowledgeadverse eventssharp instrument injurymedical disputesclinical teaching
分类号:
R192.6
DOI:
10.16841/j.issn1003-8450.2018.06.25
摘要:
目的 评价“参与共治”模式在规范护生临床安全实践中的效果。方法 将108名实习护生采用随机数字表法分为干预组和对照组,各54名。对照组采取常规临床带教管理方法;干预组在常规临床带教管理方法的基础上联合“参与共治”模式,具体包括案例学习、临床操作训练、成立护理安全工作观察小组。干预时间为9月,9月后比较2组护生干预前后的护理安全知识水平,护理不良事件、锐器伤及医疗纠纷事件发生率,手卫生知晓率及依从率。结果 干预后,干预组护生的护理安全知识水平明显高于对照组,护理不良事件、锐器伤及因护理不良事件导致的医疗纠纷事件的发生率均明显低于对照组,手卫生知晓率及依从率均明显高于对照组,2组比较差异均有统计学意义(P<0.05或P<0.01)。结论 在护生临床带教过程中应用“参与共治”模式,可有效提高护生对护理安全知识的认知,规范护生的安全行为,从而保障患者及护生的安全,避免因护理不良事件导致的医疗纠纷事件的发生。
Abstract:
Objective To evaluate the effects of "participation and co-governance" mode in clinical safety practice of nursing students. Methods Totally 108 nursing students in internship were randomly divided into intervention group and control group according to the random number table, with 54 in each. The control group received routine clinical teaching management. The intervention group combined with the mode of "participation and co-governance" on the basis of routine clinical teaching management, specifically including case study, clinical practice training, establishment of the observation group on nursing safety. The intervention time was 9 months, then know-ledge level of nursing safety, nursing adverse events, sharp instrument injury, incidence of medical disputes, awareness rate and compliance rate of hand hygiene of the nursing students in the two groups before and after intervention were compared after 9 months. Results After the intervention, the knowledge levels of nursing safety of nursing students in the intervention group were significantly higher than those of the control group;the incidence of nursing adverse events, sharp instrument injury, medical disputes caused by nursing adverse events were significantly lower than those of the control group, awareness rate and compliance rate of hand hygiene were both significantly higher than those of the control group, there were statistically significant differences between the two groups (P<0.05 or P<0.01). Conclusion Participation and co-governance mode can be used in the clinical teaching process of nursing students, which can effectively improve nursing students’ awareness of nursing safety knowledge and standardize their safety behaviors, thus it ensures the safety of patients and nursing students and avoids medical disputes caused by nursing adverse events.

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[4]李永红,李丹琳,裴霄.角色引入法对护生临床意识和自主学习能力的影响[J].甘肃中医药大学学报,2016,33(05):93.[doi:10.16841/j.issn1003-8450.2016.05.27]

备注/Memo

备注/Memo:
收稿日期:2018-04-15。
作者简介:李向丽(1961-),女,主任护师,主要从事护理临床教学及管理工作。
更新日期/Last Update: 1900-01-01