Effect of complete nursing order guidelines on improving the nursing quality in ICU
10.3760/j.issn.1674-2907.2014.20.040
- VernacularTitle:应用护嘱指引提高 ICU 护理质量的效果评价
- Author:
Mei YANG
1
;
Haiyan MO
;
Yi SONG
;
Mingqu LI
;
Haiying RUAN
;
Shiwei YANG
Author Information
1. 518035 广东省深圳市第二人民医院重症急救医学部中心 ICU
- Keywords:
Intensive care unit ( ICU);
Nursing audit;
Nursing order guidelines
- From:
Chinese Journal of Modern Nursing
2014;20(20):2561-2564
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of the complete nursing order and guidelines on improving the nursing quality in ICU .Methods The nursing quality , patients ’ satisfaction and the hierarchical training examination scores before and after using the improved nursing order guidelines were compared , from 2012 to 2013 .Totals of 177 patients in 2012 were treated with conventional nursing order system , and 183 patients in 2013 were treated with the improved nursing order guidelines .Results In 2012, totals of 177 patients with 3 566 times nursing observation were included , and 183 patients, with 3 634 times nursing observation were included in 2013.In 2013, oral care failure rate was 0.28%, which was significantly lower than 1.18% in 2012, with a significant difference(χ2 =20.45, P=0.00).In 2013, the bed elevation unqualified rate was 0.33%, which was significantly lower than 1.54% in 2012, with a significant difference (χ2 =28.69,P=0.00).In 2013, the artificial airway ballonet pressure implementation rate was 99.56%,which was significantly higher than 98. 65%in 2012, with a significant difference (χ2 =16.76,P=0.00).In 2013, the patients’ satisfaction scores was (98.08 ±0.67), which was significantly higher than (94.58 ±2.47) in 2012, with a significant difference (t=4.91,P =0.00).The nurse training assessment scores was (89.33 ±9.64) in 2013, which was significantly higher than ( 82.17 ±4.04 ), with a significant difference ( t =2.62, P =0.02 ). Conclusions Nursing order guidelines applied in ICU bedside can promote the improvement of the nursing quality, ensure the safety of nursing care , and let patients receive continuous and homogeneous care .Improved nursing order guidelines not only effectively improve the whole nursing level of ICU , but also provide diversified platform for nurse training at all levels .
