Study on continuous quality improvement in nursing teaching in emergency department
急诊科护理带教中持续质量改进的研究

摘要

目的 研究持续质量改进在急诊科护理带教中的应用效果。方法 选取44例急诊科实习生为研究对象，实习生均具有实习资格，抽取时间段介于2019年8月到2019年12月期间，符合本群研究标准。采用分组式结果分析，对照组（n=22例）实习护士运用急诊科常规带教方式，观察组（n=22例）实习护士采用持续质量改进带教方式，研究期间需要护理人员做好记录工作，重点记录实习护士实践考核成绩、理论考核成绩、护生对带教评价、科室教学质量评价以及综合成绩优良率。结果 观察组实习护士运用持续质量改进护理带教方法后实践考核成绩为89.35±6.58分、理论考核成绩为91.56±4.58分，而对照组实习护士采用常规带教方式其实践考核成绩为73.64±7.25分、理论考核成绩为76.33±10.25分，观察组护士评分优于对照组，两组研究数据差异度高（P＜0.05）。结论 在急诊科护理带教中，运用持续质量改进，可以有效提升实习护士的理论成绩与实践操作能力，提高护生对带教评价满意率，可在临床推广运用。

Abstract

Objective: To study the effect of continuous quality improvement in emergency nursing teaching.
Methods: Forty-four emergency department interns were selected as the research objects, and all the interns were qualified for internship. The time period was from August 2019 to December 2019, which met the research standards of this group. Using grouped results analysis, the practice nurses in the control group (n = 22 cases) used the routine teaching method in the emergency department, and the practice nurses in the observation group (n = 22 cases) used the continuous quality improvement teaching method. During the study period, nurses need to do a good job of recording, focusing on recording practice nurses ’practice assessment results, theoretical assessment results, evaluation of nursing students on teaching, department teaching quality evaluation, and comprehensive scores.
Results: The practice nurses in the observation group used continuous quality improvement nursing teaching methods and the practice evaluation score was 89.35 ± 6.58 points, and the theoretical evaluation score was 91.56 ± 4.58 points, while the practice nurses in the control group used conventional teaching methods and their practice evaluation score was 73.64 ± The score of 7.25 and the theoretical assessment score were 76.33 ± 10.25. The nurse’s score in the observation group was better than that in the control group. The difference in the research data between the two groups was high (P <0.05).
Conclusion  : In the teaching of emergency department nursing, continuous quality improvement can effectively improve the theoretical performance and practical operation ability of the intern nurses, and improve the satisfaction rate of nursing students with the evaluation of the teaching. It can be used in clinical promotion.