利用行为阶段管理模式提高品管圈活动开展质量
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发布人:yaot 发布时间:2022/8/26 11:00:24  浏览次数:1536次
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——王春娥 陈清山 焦琳琳 王平凡 杨桂华?闫春林

【摘要】目的 采用跨理论模型的行为阶段管理模式对品管圈活动进行干预,提高了工作效率和工作质量。方法 随机选取某三甲医院2019年3月-11月自愿开展品管圈活动的16个圈,采用简单随机分组法分为对照组与试验组,每组8个圈。对照组采用集中培训、分散开展的方法,试验组基于跨理论模型的行为阶段管理模式开展活动。结果 两组护理人员干预前一般自我效能感比较无统计学意义(P>0.05);干预1个月、3个月、6个月后试验组一般自我效能感评分均高于对照组,差异有统计学意义(P<0.01)。两组护理人员的品管圈知识掌握程度、品管圈活动各维度评分比较差异均有统计学意义(P<0.05)。结论 基于跨理论模型的行为阶段干预能够提升护理人员运用质量管理工具的信心和积极性,使品管圈活动持续有效开展。
【关键词】跨理论模型;行为阶段管理模式;品管圈;质量管理工具
中图分类号:R197.32文献标识码:B
Using Behavior Stage Management Mode to Improve the Quality of Quality Control Circle Activities/WANG Chun'e,CHEN Qingshan,JIAO Linlin,et al.//Chinese Health Quality Management,2022,29(8):84-87
Abstract Objective The behavior stage management mode of transtheoretical model was adopted to intervene the activities of quality control circle to improve work efficiency and quality. Methods Sixteen quality control circles were randomly selected from a tertiary hospital from March to November 2019 and divided into control group and experimental group by simple random group method, with eight circles in each group. The control group adopted the method of centralized training and decentralized implementation, and the experimental group carried out activities based on the behavior stage management mode of transtheoretical model.Results There was no significant difference in general self-efficacy between the two groups before intervention (P>0.05). At 1 month, 3 months and 6 months after intervention, the scores of general self-efficacy in the experimental group were higher than those in the control group (P<0.01). There were statistically significant differences in the level of knowledge mastery and the scores of each dimension of quality control circle activities between the two groups (P<0.05). Conclusion The behavior stage management mode based on the transtheoretical model can improve the confidence and enthusiasm of nurses in using quality management tools, and make quality control circle activities continue to carry out effectively.
Key words The Transtheoretical Model; Behavior Stage Management Mode; Quality Control Circle; Quality Management Tool
First-author's address The Second People's Hospital of Liaocheng,Liaocheng,Shandong,252600,China


跨理论模型( The Transtheoretical Model,TTM) 也称行为分阶段转变理论模型[1],涉及变化阶段、变化过程、决策平衡、自我效能四部分内容,是一种综合性的心理学研究方法。变化阶段作为TTM的核心,可分为无准备阶段、犹豫不决阶段、准备阶段、行动阶段和维持阶段[2]。与其他行为转变理论相比,TTM更注重行为变化过程与个体需求,基于不同阶段的行为转变方法来改变个体行为[3]。近年来,国内医疗机构品管圈(Quality Control Circle,QCC) 活动数量突飞猛进,但活动质量参差不齐[4-5],制约了持续改进成效[6]。究其原因为,QCC专业技术难度高,培训环节比较薄弱[7]。根据TTM及QCC活动特点,可以将QCC分为计划前阶段、计划阶段、执行阶段、确认阶段与处置阶段。鉴于TTM高参与率、高保持率的优势[8],本研究将TTM理念与QCC活动步骤相结合,于2019年在聊城市第二人民医院QCC活动中实施了行为阶段干预,取得了良好效果。