[1]施盛莹周春兰乔惠任英杨华柴燕燕向萍宋慧娟.项目管理在管道护理中的实践效果评价[J].中国卫生质量管理,2021,28(12):054-58.[doi:10.13912/j.cnki.chqm.2021.28.12.15 ]
 SHI Shengying,ZHOU Chunlan,QIAO Hui.Evaluation of Practical Effect of Project Management in Pipeline Nursing[J].Chinese Health Quality Management,2021,28(12):054-58.[doi:10.13912/j.cnki.chqm.2021.28.12.15 ]
点击复制

项目管理在管道护理中的实践效果评价
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年12期
页码:
054-58
栏目:
护理质量
出版日期:
2021-12-28

文章信息/Info

Title:
Evaluation of Practical Effect of Project Management in Pipeline Nursing
作者:
施盛莹周春兰乔惠任英杨华柴燕燕向萍宋慧娟
南方医科大学南方医院
Author(s):
SHI ShengyingZHOU ChunlanQIAO Hui
Nanfang Hospital, Southern Medical University
关键词:
项目管理非计划性拔管导管相关性感染管道护理护理质量
Keywords:
Project Management Unplanned Extubation Catheter-Associated Infection Pipeline Nursing Nursing Quality
分类号:
R47
DOI:
10.13912/j.cnki.chqm.2021.28.12.15
文献标志码:
B
摘要:
留置导管在为患者缓解症状的同时,也带来了非计划性拔管、导管相关性感染等问题。2015年-2018年,南方医科大学南方医院护理部组织全院各护理单元,围绕非计划性拔管、导管相关性感染和其他管路并发症三方面,从项目启动、计划、实施、控制和收尾5大阶段展开项目管理专项活动。项目管理专项活动实施以来,全院共上报管道护理项目36项,开展25项,非计划性拔管、导管相关性感染及其他并发症分别开展12项、4项和9项;非计划性拔管率、导管相关性感染发生率降低;共制定9项管道护理相关流程和指引,7个管道护理视频;护理人员工作满意度和团队凝聚力提高(P<0.001)。下一步尝试在项目管理中引入叙事医学和磁性护理元素。
Abstract:
While relieving symptoms, the indwelling catheter also brought problems such as unplanned extubation and catheter-related infections. From 2015 to 2018, the Nursing Department of Nanfang Hospital of Southern Medical University organized each nursing unit of the hospital to carry out special project management activities from five stages of project initiation, planning, implementation, control and closure, focusing on the three aspects of unplanned extubation, catheter-related infection and other pipeline complications. Since the implementation of the project management special activities, the hospital had reported a total of 36 pipeline nursing projects with 25 carried out, of which unplanned extubation, catheter-related infection and other complications carried out 12, 4 and 9 respectively. The incidence of unplanned extubation and catheter-related infection decreased. A total of 9 pipeline nursing related procedures and guidelines, 7 pipeline nursing videos were developed. Nursing staff job satisfaction and team cohesion were improved (P<0.001). The next step was to try to introduce narrative medicine and magnetic care elements into the project.

参考文献/References:

[1]美国管理协会.项目管理知识体系指南[M].3版.卢有杰, 王勇, 译.北京:电子工业出版社, 2005:5-6. [2]Lavoie-Tremblay M, Aubry M, Cyr G, et al. Innovation in health service management: adoption of project management offices to support major health care transformation[J].J Nurs Manag,2017,25(8):657-665. [3]黄惠根,耿庆山,陈凌,等.实施项目管理减少临床护理不良事件的实践[J].中国护理管理,2019,19(3):414-418. [4]吕玉华,李春庆,吴洁,等.长期血液透析导管相关性血流感染病原菌及危险因素[J].中华医院感染学杂志,2021,31(6):943-947. [5]马惠萍,孙玲,王凤侠,等.某医院导管相关性感染预防措施执行情况及感染率评价分析[J].中国消毒学杂志,2021,38(2):119-122,126. [6]阳志平, 王薇, 王升, 等.工作评价:组织诊断研究实用量表[M].北京:中国轻工业出版社,2004:6-7. [7]Chin WW, Salisbury WD, Pearson AW, et al. Perceived cohesion in small groups: adapting and testing the Perceived Cohesion Scale in a small-group setting[J].Small Group Res, 1999,30(6):751-766. [8]施小青,眭文洁,王海芳,等.苏州市医疗机构患者管道护理质量现状调查[J].中国护理管理,2019,19(2):235-239. [9]潜艳,曾铁英,董翠萍.ICU患者非计划性拔管影响因素的研究进展[J].解放军护理杂志,2015,32(6):45-48. [10]张利,张真真,张倩倩,等.智控手卫生监测系统对降低中心静脉导管血流相关性感染的影响[J].中国实用护理杂志,2020,36(31):2450-2454. [11]乔莉,曹洋,袁宏勋,等.ICU中心静脉导管相关性血流感染的危险因素及病原菌分析[J].首都医科大学学报,2020,41(1):125-130. [12]何玉珍,王韶莉,吴美花,等.应用项目管理提高腔镜手术接台效率的研究[J].护理实践与研究,2018,15(19):119-122. [13]褚振海,刘建琪.项目管理技术在组织医院学术会议中的应用探讨[J].中国卫生质量管理,2017,24(5):126-128. [14]卢有杰,卢家仪.项目风险管理[M].北京:清华大学出版社,2001:1-20 [15]杨翔宇,成翼娟,谷波.对我国17所医院护理质量评价标准的调查分析[J].护理管理杂志,2005,5(10):13-15.

相似文献/References:

[1]余中光,常宗平,陈校云,等.项目管理在医院学科建设中的应用[J].中国卫生质量管理,2015,22(06):082.
[2]孙博 耿捷 阮英轶 陈素兰 刘雷 王东光.住院患者自杀干预机制研究与应用[J].中国卫生质量管理,2019,26(01):053.[doi:10.13912/j.cnki.chqm.2019.26.1.17]
[3]周静牛婷婷刘星星宋逸菲段亚哲万辉.以品管圈活动助力医疗质量持续改进[J].中国卫生质量管理,2022,29(06):077.[doi:10.13912/j.cnki.chqm.2022.29.6.20 ]
 ZHOU Jing,NIU Tingting,LIU Xingxing.Promoting Continuous Improvement of Medical Quality Through Quality Control Circle Activities[J].Chinese Health Quality Management,2022,29(12):077.[doi:10.13912/j.cnki.chqm.2022.29.6.20 ]

更新日期/Last Update: 2021-12-28