安全文化在产房护理管理中的应用效果评价

论文编号:HL219 论文字数:9298,页数:24

论文题目：安全文化在产房护理管理中的应用效果研究
摘 要
 目的：调查分析在产房护理管理中施行安全文化所产生的效果，为产科及整院推行安全文化提供决策依据。
 方法：本研究选择10个试点推行安全文化的产房和另外10个没有推行安全文化的产房为研究对象，就于2010年3月至2010年10月期间在选定产房住院就诊病人的投诉数量、满意度评分以及选定产房日志资料中的事故数量等数据进行分析。利用单样本K-S检验根据样本推断其总体是否满足正态分布假设;利用方差均等性检验确定不同总体是否满足方差相等的假设；利用方差分析确定控制变量是否对于结果有显著影响。从而确定安全文化在产房护理管理中的应用效果。
 结果：1、通过推行安全文化，产房护理安全投诉数量显著（P<0.01）减少。
 2、通过推行安全文化，产房护理安全事故数量显著（P<0.01）减少。
 3、通过推行安全文化，产房护理安全病人满意度得分显著（S P<0.01）提高。
 4、推行安全文化对于投诉数量、事故数量和病人满意度三个方面的影响幅度是不同的，对减少事故数量影响幅度最大（19.8%），对提高病人满意度影响幅度其次（16.1%），对减少投诉数量影响幅度最小（13.6%）。
 5、安全文化的推行，从时间上说，4个月即可取得相当满意的效果；患者对于安全认知具有时滞性；投诉者不如普通患者易于认可积极的变化。
 结论：推行安全文化对于减少产房护理安全投诉数量、事故数量，提高产房护理病人满意度具有显著的积极意义。推行安全文化时，在时间跨度上可以考虑4个月左右；对于病人的宣传应适当放长；使投诉者转变观念，使之积极认可医院安全工作是提高病人安全感知的工作重点。
 
 关 键 词：安全管理；安全文化；护理安全；效果
 论文类型：应用研究
 
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 录
摘　要 I
ABSTRACT III
目  录 V
1 绪论 1
1.1背景及意义 1
1.2研究目的及目标 2
1.3关键词及定义 2
1.4文献回顾 3
2 研究设计 5
2.1 研究对象 5
2.2 研究方法 5
2.3 研究步骤 5
3 研究结果 7
3.1推行安全文化前后，产房护理安全投诉数量变化 7
3.2推行安全文化前后，产房护理安全事故数量的变化 8
3.3推行安全文化前后，产房护理安全病人满意度得分变化 8
3.4推行安全文化对于产房护理安全投诉数量、事故数量和病人满意度影响对比 9
3.5推行安全文化中产房护理安全投诉数量、事故数量和病人满意度变化特点 10
4 讨论 12
4.1推行安全文化对产房护理投诉数量的影响 12
4.2推行安全文化对产房护理安全事故数量的影响 12
4.3推行安全文化对病人满意度的影响 12
5结论及建议 14
参考文献 15
致谢 16

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