Application value of medical collaborative mode in nursing management to cope with neurosurgical critical patients
10.3760/j.issn.1674-2907.2015.04.033
- VernacularTitle:医护协同管理方案在神经外科危重患者护理管理中的应用价值
- Author:
Xiaochun WANG
1
;
Yongling ZHANG
;
Na ZHAO
;
Qiujin HUANG
Author Information
1. 150001 哈尔滨医科大学附属第一医院护理部
- Keywords:
Neurosurgery Department;
Nursing management;
Medical collaborative management;
Application value
- From:
Chinese Journal of Modern Nursing
2015;21(4):468-470,471
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of collaborative mode in nursing management to cope with neurosurgical critical patients and provide evidence for clinical management. Methods A total of 200 critical patients had been divided into control group ( traditional nursing management ) and experimental group ( medical collaborative management) on average during January 2013 to 2014 by random number table. We compared the quality of nursing, satisfaction of medical staffs and patients, and nurse′s self-efficacy. Results The scores of ward management, basic nursing, specialized nursing, responsibility management, communication in the experimental group were (17. 34 ± 2. 23), (18. 00 ± 1. 65), (18. 11 ± 1. 23), (17. 25 ± 2. 43), (18. 21 ± 1. 54) compared with (16. 11 ± 2. 12), (13. 43 ± 2. 44), (16. 65 ± 2. 34), (15. 45 ± 2.22), (16.46 ±1.31) in the control group (t=4. 123, 5. 653, 4. 845, 5. 324, 4. 345,respectively;P<0. 05). The satisfaction scores of physicians, nurses and patients in the experimental group were 90. 0%, 96. 7%, 98. 0%, respectively while these rate in the control group were 50. 0%, 76. 7%, 92. 5% (χ2 =3. 810, 5. 192, 6. 687; P <0. 05). The incidence of medical contradiction in the experimental group was 4 cases (4. 0%) lower than 12 cases (12. 0%) in the control group. The difference was statistically significant (χ2 =4. 348,P=0. 037). The total score of nurses′ initiative, responsibility, self-confidence, communication skills, problem solving ability, self-efficacy were (7. 43 ± 1. 65), (7. 25 ± 1. 65), (7. 65 ± 1. 76), (7. 65 ± 1. 98), (8. 76 ± 1. 65), (36. 34 ± 2. 44) respectively higher than those (5. 55 -1. 65), (5. 34 ± 1. 65),(5. 54 ± 1. 56), (5. 87 ± 1. 87), (5. 87 ± 1. 43), (30. 54 ± 3. 34) in the control group. The difference was statistically significant (t = 4. 542, 5. 545, 4. 765, 4. 234, 6. 065, 4. 534,respectively; P < 0. 05). Conclusions The medical collaborative mode not only meets the diversification of the patient′demands, builds a good relationship between the doctors, patients and nurses, but also improves the quality of nursing.
