Practice of"Disease-Characteristics Nursing Quality Improvement"Program based on Kotter's change model / 中国实用护理杂志

ABSTRACT

Objective To explore the application effect of "Disease-Characteristics Nursing Quality Improvement" Program (DNQIP) based on Kotter's change model in continuous improvement of patients' satisfaction and nursing quality. Methods Applicate Kotter's Change Model to implement DNQIP among 61 wards. The differences of patients' satisfaction and nursing quality among 2012 were compared (DNQIP had not been carried out by the whole hospital), 2014 (DNQIP had been carried out by the whole 61 wards) and 2016 (the 5-year-strategy had been realized). Results The 3-year-scores of patients' satisfaction were(95.94 ± 1.53), (98.18 ± 0.69), (99.43 ± 0.18) points and they were statistically significant (F=31 768.863,P=0.000).The 3-year-scores of nursing quality were (93.96 ± 0.56), (98.56 ± 0.43), (99.62 ± 0.23) points and they were statistically significant (F=3 004.598,P=0.000). The sores of 2014 were statistically improved compared with 2012 and the sores of 2016 were statistically improved compared with 2014 (P＜0.01). Conclusions DNQIP based on Kotter's change model is an effective method to improve the patients′satisfaction and nursing quality.