1.Establishment and evaluation of satisfaction index system for emergency patients based on high quality nursing
Shuihong CHEN ; Sa WANG ; Youya DING ; Chen CHEN
Chinese Journal of Modern Nursing 2016;22(13):1864-1867
Objective To establish and evaluate the satisfaction index system in accordance with high quality nursing standard for emergency patients.Methods Emergency patients′satisfaction scale which included 4 dimensions and 20 items was established by literature research and the Delphi method.The reliability and validity of scale were analyzed and evaluated by Cronbach′s αindex and exploratory factor.Results The Cronbach′s αindex of each dimension was above 0.80 in the scale.The accumulative contribution rate of 4 extracted common factors reached 77.963%.Conclusions Emergency patients′satisfaction scale combined with high quality nursing service is characterized with good reliability and construct validity.The scale can be used as evaluation tool for emergency patients′satisfaction to continuously improve high quality emergency nursing.
2.Improvement of high dose blood transfusion procedure and its application in the treatment of patients with traumatic hemorrhagic shock
Youya DING ; Yuwei WANG ; Danping YAN ; Sa WANG
Chinese Journal of Nursing 2023;58(21):2604-2609
Objective In order to improve the"high-dose blood transfusion procedure",shorten the preparation time for blood transfusion in patients with clinical traumatic hemorrhagic shock,and improve the outcome of patients.Methods Patients with emergency traumatic hemorrhagic shock from January to December 2021 were selected as the study subjects.Patients who received improved high-dose transfusion procedures from July to December were selected as the experimental group,and patients who received conventional transfusion procedures from January to June were selected as the control group.The timeliness indexes and outcome indexes of the 2 groups were compared.Results The delivery time for blood type and routine examination was shortened from 15 min to 8 min(U=143.50,P=0.024);transfusion preparation time was shortened from 31 min to 19 min(U=126.50,P=0.026);the time for decision-making blood preparation was shortened from 44 min to 18 min(U=152.50,P=0.007);emergency stay time was shortened from 135 min to 114 min(U=91.50,P=0.036);the outcome distribution of patients(x2=10.64,P=0.031)was improved.Conclusion The improved high-dose blood transfusion procedure can significantly shorten the blood transfusion preparation time for patients with traumatic hemorrhagic shock and improve the treatment rate of patients.