Application of structure-process-results 3D quality management mode on the nerve internal medicine for nursing quality management and effect evaluation
10.3760/cma.j.issn.1674-2907.2017.36.011
- VernacularTitle:结构-过程-结果三维质量管理模式在神经内科护理管理中的应用
- Author:
Yanyan XU
1
;
Xuejuan QIN
;
Mingming HU
;
Xiaofang SHEN
Author Information
1. 南京大学医学院附属鼓楼医院神经内科
- Keywords:
Structure-process-results 3D quality management mode;
Nursing management;
Nursing quality;
Neurology Department
- From:
Chinese Journal of Modern Nursing
2017;23(36):4607-4611
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of structure-process-results 3D quality management model in neurology department for nursing quality management and effect evaluation. Methods The structure-process-results 3D quality management model based on Donabedian was applied on the management of neurology department. Before and after implementation, the adverse event occurrence condition, nurses' self-efficacy, satisfaction of nurses and patients were compared. Results After the implementation of structure-process-results 3D quality management model, the adverse event was 0.179‰, lower than 0.418‰ before the model applied, but the difference had no statistical significance (P>0.05); the patients' satisfaction score was (99.3±2.58)points, which was higher than that before model applied [(96.2±3.16)points]; the nurse's work satisfaction score was (109.00±17.12)points, and the nurses' self-efficacy score was (29.89±7.13)points, compared with (77.81±10.31)points and (23.05±5.98)points before the model applied, and all the differences had statistical significance (P<0.05). Conclusions The structure-process-results quality management model reduce adverse events rate, improve patient's satisfaction, nurse's work satisfaction and self-efficacy, and contribute clinical nursing quality as an effective method.
