安全文化在產房護理管理中的應用效果評價

論文編號:HL219 論文字數:9298,頁數:24

論文題目：安全文化在產房護理管理中的應用效果研究
摘 要
 目的：調查分析在產房護理管理中施行安全文化所產生的效果，為產科及整院推行安全文化提供決策依據。
 方法：本研究選擇10個試點推行安全文化的產房和另外10個沒有推行安全文化的產房為研究對象，就于2010年3月至2010年10月期間在選定產房住院就診病人的投訴數量、滿意度評分以及選定產房日志資料中的事故數量等數據進行分析。利用單樣本K-S檢驗根據樣本推斷其總體是否滿足正態分布假設;利用方差均等性檢驗確定不同總體是否滿足方差相等的假設；利用方差分析確定控制變量是否對于結果有顯著影響。從而確定安全文化在產房護理管理中的應用效果。
 結果：1、通過推行安全文化，產房護理安全投訴數量顯著（P<0.01）減少。
 2、通過推行安全文化，產房護理安全事故數量顯著（P<0.01）減少。
 3、通過推行安全文化，產房護理安全病人滿意度得分顯著（S P<0.01）提高。
 4、推行安全文化對于投訴數量、事故數量和病人滿意度三個方面的影響幅度是不同的，對減少事故數量影響幅度最大（19.8%），對提高病人滿意度影響幅度其次（16.1%），對減少投訴數量影響幅度最�。�13.6%）。
 5、安全文化的推行，從時間上說，4個月即可取得相當滿意的效果；患者對于安全認知具有時滯性；投訴者不如普通患者易于認可積極的變化。
 結論：推行安全文化對于減少產房護理安全投訴數量、事故數量，提高產房護理病人滿意度具有顯著的積極意義。推行安全文化時，在時間跨度上可以考慮4個月左右；對于病人的宣傳應適當放長；使投訴者轉變觀念，使之積極認可醫院安全工作是提高病人安全感知的工作重點。
 
 關 鍵 詞：安全管理；安全文化；護理安全；效果
 論文類型：應用研究
 
Title: Study on the Effect of the Safety Culture in Delivery Room Nursing
ABSTRACT
Objectives: The effect of implementing safety culture in delivery room nursing is investigated and analyed, which also provides evidence for implementng safety culture for delivery room or the whole hospital.
Methods: The paper selects 10 delivery rooms which implementing safety culture and another 10 that not implementing safety culture as research objects, analyzes the complaint count and satisfaction score of those patients in the selected delivery room and safety accident count of the rooms from logs. One sample Kolmogorov-Smirnov test is used to infer whether the population is normal distribution according to sample. Test of homogeneity of variances is used to verify whether the variances of different samples are equal. Variance analysis is used to eastimate whether the control variables make a significant influence to result, which makes sure the effect of safety culture in delivery room nursing.
Results:
 1. The count of the delivery room nursing complaints decreases significantly (Sig.=0.000) through implementing safety culture.
 2. The count of the Delivery room nursing safety accident decreases significantly (Sig.=0.013) through implementing safety culture.
 3. The score of the Delivery room nursing patient satisfaction increases significantly (Sig.=0.000) through implementing safety culture.
 4. The variation magnitudes caused by implementing safety culture of the complaint count, accident count and patient satisfaction score are different. The variation magnitude of the accident count decrease is the largest (19.8%),the next is of the patient satisfaction (16.1%), and the last is of the complaint count (13.6%).
 5. It takes about 4 months to receive the satisfied effect in implementing safety culture; The patient cognization to safety is lagging behind safety culture implementing; the complainant is more difficult to approve the positive changes than common patients.
Conclusion: Implementing safety culture helps decreasing complaint count and accident count and increasing patient satisfaction score significantly; Implementing safety culture is suggested lasting about 4 months; The propagating time should be longer; Updating the complaint cognization to safety is the key emphasis in work.
KEY WORD: safety management, safety culture, nursing safty, effect
TYPE OF THESIS: Applied  Research
 
目 錄
摘　要 I
ABSTRACT III
目  錄 V
1 緒論 1
1.1背景及意義 1
1.2研究目的及目標 2
1.3關鍵詞及定義 2
1.4文獻回顧 3
2 研究設計 5
2.1 研究對象 5
2.2 研究方法 5
2.3 研究步驟 5
3 研究結果 7
3.1推行安全文化前后，產房護理安全投訴數量變化 7
3.2推行安全文化前后，產房護理安全事故數量的變化 8
3.3推行安全文化前后，產房護理安全病人滿意度得分變化 8
3.4推行安全文化對于產房護理安全投訴數量、事故數量和病人滿意度影響對比 9
3.5推行安全文化中產房護理安全投訴數量、事故數量和病人滿意度變化特點 10
4 討論 12
4.1推行安全文化對產房護理投訴數量的影響 12
4.2推行安全文化對產房護理安全事故數量的影響 12
4.3推行安全文化對病人滿意度的影響 12
5結論及建議 14
參考文獻 15
致謝 16