目的:探讨针对手术室护理人员应用SWOT分析法展开管理价值。方法:在2018年7月至2019年6月,选取20名手术室护理人员,设为对照组,应用SWOT分析法展开管理,在2019年7月至2020年6月,选取20名手术室护理人员,设为观察组,应用SWOT分析法展开管理。在两组开展管理期间,均抽取患者120例,参与手术的医务人员42名,对比手术室护理管理质量评分、患者及医务人员对手术室护理管理工作的满意度,不安全事件率。结果:观察组手术室护理管理质量各维度即院感控制、病区管理、护理文件书写、技能考核、基础护理测评分值均高于对照组,差异具有统计学意义(P < 0.05)。观察组患者在对护理满意情况进行评估时,专业能力、护理人员对患者的重视度、护理服务可及性、护理服务态度各项测评分值均高于对照组,差异具有统计学意义(P < 0.05)。观察组医务人员在对护理满意情况评估时,护理流程、专业技术、术中配合、语言沟通、仪表行为测评分值均高于对照组,差异具有统计学意义(P < 0.05)。观察组护理不良事件、护理纠纷、感染事件等不安全事件发生率明显低于对照组,差异具有统计学意义(P < 0.05)。结论:针对手术室护理人员,在开展管理过程中,引入SWOT分析法,可促使其护理管理质量得以增强,提升患者和医务人员对护理工作的满意度,且可防范感染等不安全事件率,开展价值较为突出。
Objective:
To explore the management value of applying SWOT analysis method to nursing
staff in operating room. Methods: From July 2018 to June 2019, 20 operating
room nursing staff were selected as a control group, and the management was
carried out using SWOT analysis. From July 2019 to June 2020, 20 operating room
nursing staff were selected Personnel, set as observation group, apply SWOT
analysis method to carry out management. During the management period of the
two groups, 120 patients and 42 medical staff participated in the operation
were selected to compare the nursing management quality scores of the operating
room, the satisfaction of patients and medical staff to the nursing management
of the operating room, and the rate of unsafe incidents. Results: The
observation group’s operating room nursing management quality in all dimensions, namely hospital control, ward management, nursing
document writing, skill assessment, and basic nursing test scores were all
higher than those of the control group, and the difference was statistically
significant (P < 0.05). When the observation group patients evaluated their nursing satisfaction, the scores of professional ability, nursing staff’s attention to patients, nursing service accessibility, nursing service attitude were all higher than those of the control group, and the difference was statistically significant (P < 0.05). When medical staff in the observation group evaluated their nursing satisfaction, the scores of nursing process, professional skills, intraoperative cooperation, language communication, and instrument behavior were all higher than those of the control group, and the difference was statistically significant (P < 0.05). The incidence of unsafe events such as adverse nursing events, nursing disputes, and infection events in the observation group was significantly lower than
Zingiryan, A., Paruch, J.L., Osler, T.M., et al. (2016) Implementation of the Surgical Safety Checklist at a Tertiary Academic Center: Impact on Safety Culture and Patient Outcomes. American Journal of Surgery, 214, 193-197.
https://doi.org/10.1016/j.amjsurg.2016.10.027
Devcich, D.A., Waller, J., Mitchell, S.J., et al. (2015) A Behaviourally Anchored Rating Scale for Evaluating the Use of the WHO Surgical Safety Checklisy: Devel-opment and Initial Evaluation of WHOBARS. BMJ Quality & Safety, 25, 778. https://doi.org/10.1136/bmjqs-2015-004448
Haugen, A.S., Softe-land, E., Almeland, S.K., et al. (2016) Effect of the World Health Organization Checklist on Patient Outcomes: A Stepped Wedge Cluster Randomized Controlled Trial. Annals of Surgery, 263, e24-e25.
https://doi.org/10.1097/SLA.0000000000001024
McCarroll, M.L., Zullo, M.D., et al. (2015) Development and Implementation Results of an Interactive Computerized Surgical Checklist for Robotic-Assisted Gynecologic Surgery. Journal of Robotic Surgery, 9, 11-18.
https://doi.org/10.1007/s11701-014-0482-z