Quality control circle activities to improve patients’compliance to head-of-bed elevation
10.3969/j.issn.1671-9638.2015.04.011
- VernacularTitle:运用品管圈活动提高患者床头抬高依从率
- Author:
Huiqin DENG
;
Xinling LIU
;
Min MA
- Publication Type:Journal Article
- Keywords:
quality control circle;
training;
head-of-bed elevation;
compliance;
ventilator-associated pneumonia;
health care worker
- From:
Chinese Journal of Infection Control
2015;(4):262-264
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of implementing quality control circle (QCC)activities on nurses’ knowledge about ventilator-associated infection(VAP),as well as head-of-bed (HOB)elevation and incidence of VAP in patients.Methods 100 patients who used ventilators in an intensive care unit(ICU)of a hospital were ran-domly selected,50 patients were selected before the implementation of QCC(January-June,2013),and 50 were se-lected after the implementation of QCC (July-December,2103).Condition of nurses and patients who used ventila-tors before and after implementation of QCC were investigated.Results After implementing QCC,the scores of nurses’recognition on knowledge about causes and risks of VAP,significance and standard of HOB elevation,and HOB elevation≥ 30°were all higher than before implementing QCC;the total score was higher than before imple-menting QCC ([18.32±3.14]vs [7.98 ±1 .12],P <0.05 );patients’compliance to HOB elevation was higher than before implementing QCC([96.00%,n=48]vs [44.00%,n=22],P <0.05);incidence of VAP was lower than before implementing QCC ([4.00%,n =2]vs [36.00%,n =18],P <0.05).Conclusion Implementation of QCC activities can effectively improve ICU nurses’recognition on knowledge about VAP and enhance patients’ compliance to HOB elevation,as well as reduce the incidence of VAP,it is helpful for improving healthcare-associat-ed infection management quality.
