ABSTRACT
Objective:To monitor and collect data information through failure mode and effect analysis (FMEA) and establish a data information system for nursing quality sensitive indicators.Methods:From July 2019 to July 2021, FMEA was used to evaluate the formation process of nursing quality sensitive index data, formulate specific improvement measures, and compare the proportion of risk priority index (risk priority number, RPN) value and index data informatization before and after the implementation.Results:Before the application of FMEA in nursing quality sensitive index data information management, the RPN value of index data element confirmation, index definition understanding, record specification, problem solving limitation, information communication and system data integration were (362.00 ± 101.56), (539.90 ± 174.39), (603.20 ± 128.71), (395.10 ± 184.83), (448.90 ± 185.58), (334.80 ± 107.74) points, while those after the intervention were (17.10 ± 9.96), (30.90 ± 31.66), (42.40 ± 28.99), (30.30 ± 33.94), (16.30 ± 17.02), (18.90 ± 19.27) points, with statistical significance ( t values were 9.11 to 14.74, all P<0.05). The proportion of sensitive index data informatization increased from 46.43% (39/84) to 95.51%(85/89). Conclusions:Using FMEA mode to manage the data information is effective and feasible for the realization of sensitive index information data.
ABSTRACT
Actualmente Colombia impulsa la Política de Seguridad del Paciente siendo un tema de gran relevancia en las instituciones de salud, enfermería es el responsable de brindar atención directa en todas las etapas del cuidado su principal función es brindar calidad en la prestación del servicio y por ende disminuir los indicadores sensibles a enfermería. Metodología: Para esta investigación se utilizó la metodología cualitativa, por medio del diseño de revisión documental. Los criterios para la selección fue una antigüedad de 5 años y una temática relacionada con los indicadores sensibles a enfermería. La búsqueda se realizó a través de la base de datos Proquest, Scielo, ScienceDirect, REDIB, Científica Redalyc, BioMed Central. Conclusiones: Se evidencio un vacío en el estudio del tema, de allí nace la motivación de analizar el comportamiento de dichos indicadores, lo que permitirá fortalecer este campo de investigación y surgimiento de herramientas para su abordaje.
Colombia is currently promoting the patient safety policy, which is very important in health institutions. Nursing is responsible for providing a service and, therefore, decreasing indicators that are sensitive to the nursing. Methodology: For this research qualitative methodology is used through the design of documentary review, the criteria for selection was an age of 5 years and a theme related to the nursing sensitive indicators. The search was carried out through the proquest database, Scielo, Science Direct, REDIB, Redalyc Scientific, BioMed Central. Conclusions: There was a gap in the study of the topic, hence the motivation to analyze the behavior of these indicators, which allows strengthening this field of research and the emergence of tools to address it
Subject(s)
HumansABSTRACT
Objective To investigate the effect of the application of nursing quality sensitive indicators on the nursing care of burn patients and their satisfaction with nursing care. Methods A total of 90 cases of burn patients admitted from January 2015 to December 2016 were selected as study subjects. They were divided into pre- implementation group (January 2015- December 2015) and implementation group (January 2016-December 2016) for 45 cases each based on sensitive indicators of care quality. The traditional quality management control method was adopted before implementation. The quality-sensitive indicators of nursing quality were used for quality management after the implementation. The quality monitoring indicators, nursing adverse events, and nursing satisfaction were compared before and after implementation. Results After the implementation, the implementation rate of graded nursing, the accuracy of patient identification, the qualified rate of qualified nurses, the passing rate of risk assessment, and the passing rate of high-risk drugs were 97.78%(44/45), 93.33%(42/45), 95.56%(43/45), 97.78% (44/45), and 97.78% (44/45), which were significantly higher than those before implementation 84.44%(38/45)、77.78%(35/45), 82.22%(37/45), 82.22%(37/45), and 84.44%(38/45), respectively, and the difference was statistically significant (χ2= 4.050-, 6.049, P<0.05). After the implementation, drug errors and other adverse events were used. The incidence rate of 0.22%(1/450)was significantly lower than the pre-implementation rate of 1.78%(8/450), and the difference was statistically significant (χ2=5.499, P<0.05). After implementation, patient satisfaction with service attitude, basic nursing, professional skills, and comprehensive nursing service quality was 95.56%(43/45), 97.78%(44/45), 95.56%(43/45), 97.78%(44/45), and 95.56%(43/45), which were significantly higher than those before implementation 88.89%(40/45), 84.44%(38/45), 82.22%(37/45), 80.00%(36/45)and 82.22% (37/45), and the difference was statistically significant (χ2= 4.050-7.200, P <0.05). Conclusion The application of sensitive indicators of nursing quality can help improve the care quality of burn patients, reduce the occurrence of adverse care events, and enhance patient satisfaction.
ABSTRACT
Hospital-acquired pressure injury is known as a severe adverse event and as an important safety problem of patients around the world. Studies indicated that nursing sensitive indicators are key points for monitoring and managing the effect of preventing pressure injury. The article reviews how to monitor the outcome sensitive indicators for preventing pressure injury. The aim is to provide evidence for managing and researching pressure injury in our country.
ABSTRACT
Objective@#To investigate the health status of radiation workers in a city and provide evidence for the health management of radiation workers.@*Methods@#To investigate the health status of radiation workers in a city and provide evidence for the health management of radiation workers.@*Results@#The majority of radiation workers are engaged in diagnostic radiology, male is more than female. The abnormal rate of micronuclear (0.59‰) and chromosome aberration (0.47%) was highest in nuclear medicine workers. The abnormal rate of micronuclear and chromosome aberration was similar with interventional and diagnostic radiology. Expect for micronuclear (χ2=32.945, P<0.01) and chromosome aberration (χ2=75149.737, P<0.01) , other radiation sensitive indicators have no difference. The abnormal rate of thyroid function (18.8%) (χ2=12.084, P<0.01) , micronuclear (0.25‰) (χ2=57.359, P<0.01) , chromosome aberration (0.08%) (χ2=17.209, P<0.01) in group whose service length exceeding 20 years was higher than other service length groups. There is no statistical difference in other radiation sensitive indicators among different service length group.@*Conclusion@#Long-term low doses of ionizing radiation could affect radiation worker's health, expecially radiation workers engaged in nuclear medicine and radiotherapy. We must pay attention to occupaitonal health care and management to ensure radiation worker's health.
ABSTRACT
Objective To explore the application value of sensitive index of nursing quality in nursing management of patients with cancer pain.Methods One hundred and eight patients with cancer pain in the First Affiliated Hospital of Xinxiang Medical University from February 2014 to March 2015 were selected as the control group;one hundred and eight patients with cancer pain in the First Affiliated Hospital of Xinxiang Medical University from April 2015 to June 2016 were selected as the study group.The traditional cancer pain nursing quality evaluation criterion was taken in the control group,and the improved cancer pain nursing quality evaluation criterion was taken in the study group to evaluate the nursing quality.The accuracy of pain assessment,awareness rate of cancer pain knowledge,degree of satisfaction to the nursing work were compared between the two groups.Results The accuracy of pain assessment of patients in the study group (90.7％,98/108)was significandy higher than that in the control group (45.4％,49/108) (x2 =51.16,P ＜ 0.05);the awareness rate of cancer pain knowledge of patients (98.1％,106/108) in the study group was significantly higher than that in the control group (72.2％,78/108) (x2 =28.83,P ＜ 0.05);the satisfaction rate of the patients in the study group (100.0％,108/108) was significantly higher than that in the control group (85.2％,92/108) (x2 =17.38,P ＜ 0.05).Conclusion The overall quality of cancer pain care can be improved by strengthening the quality evaluation of the pain assessment accuracy and the awareness rate of cancer pain knowledge in patients with cancer pain.