临床23项护理操作规范性的评价研究

doi:10.3761/j.issn.1672-9234.2019.02.001

Abstract

Abstract:

Objective To evaluate the standardization degree of 23 frequently-used nursing skills in clinical settings.Methods The participant observation was carried out among 40 nurses from four tertiary hospitals in Beijing to understand the standardization degree of 23 common nursing skills.Self-designed record and evaluation form were used to evaluate the standardization degree.Results The general standardization degree of 23 nursing skills was 66.30%±13.55%,according to the standardized operation procedures provided by hospitals.The standardization degree of aseptic operations was higher than that of non-aseptic operations（P<0.01）. Four general problems were found during the evaluation including lack of assessment and explanation（34.78%±6.15%）,lack of health education after the procedure（52.17%±6.15%）,poor implementation of double-checking（38.04%±2.17%） and non-standard medication preparation（100%）.Conclusion There are differences between actual nursing operation procedures in clinical settings and the standardized operation procedures provided by hospitals. Clinical nursing administrators should provide training to improve the standardization degree of nursing operations and revise nursing operation standardization regularly according to the development of nursing discipline.

Key words: Benchmarking, Clinical Skills, Nursing Care, Nursing Process

Xiu-xiu HUANG, Yi-si LIU, Bi-teng HUANG, Yan-ling WANG. Standardization degree of 23 nursing skills in clinical settings[J].Chinese Journal of Nursing Education, 2019, 16(2): 85-89.

Figures/Tables 1

References 38

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操作项目	规范化程度	操作项目	规范化程度
静脉血标本采集^1）	84.09±1.86	血压测量^2）	66.67±11.11
动脉血标本采集^1）	83.13±3.75	便标本采集^2）	60.83±5.69
留置导尿管的护理^1）	81.52±4.16	脉搏和呼吸的测量^2）	60.00±9.13
皮内注射法^1）	80.95±0.00	氧气吸入^2）	59.56±2.81
静脉注射法^1）	80.56±5.56	口腔护理^2）	57.14±13.04
肌内注射法^1）	79.61±4.98	卧床患者更换床单位^2）	56.25±8.07
留置针静脉输液法^1）	76.92±5.66	体温测量^2）	52.08±5.38
营养泵的使用^2）	75.60±5.28	铺备用床^2）	50.96±3.68
皮下注射法^1）	75.00±4.56	尿标本采集^2）	50.00±8.31
吸痰法^1）	72.50±7.91	铺麻醉床^2）	42.05±5.72
会阴清洁^2）	72.22±4.54	铺暂空床²⁾	40.38±11.10
约束带的使用^2）	66.96±8.44

Standardization degree of 23 nursing skills in clinical settings

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