∗通信作者焦点循环管理模式在急诊留观室护理交接班质量中的应用辛颖1,2,韩玉萍2,宋珊珊2,李娜2,潘金金2,祝筠1,2∗(1.山东大学护理与康复学院山东济南250012;2.山东第一医科大学附属省立医院)【摘要】目的:探讨焦点循环管理(FOCUS-PDCA)模式在急诊留观室护理交接班中的应用效果。方法:对2021年4月1日~6月30日急诊留观室患者实施常规交接班,对2021年8月1日~10月31日急诊留观室患者实施FOCUS-PDCA模式,比较干预前后交接班问题发生率、患者交接班耗时、护士对交接班的评价[采用护理交接班评价量表(HES)]、护士专业自我效能感、患者对交接班的评价[采用患者床边交接班感知量表(PVNC-BR)]及满意度。结果:干预后交接班问题发生率低于干预前(P<0.05);干预后交接班耗时短于干预前(P<0.05);干预后HES、专业自我效能感评分均高于干预前(P<0.05)。结论:FOCUS-PDCA模式能有效改善急诊留观室护理交接班质量,提高护士专业自我效能感。【关键词】护理交接班;焦点循环管理;SBAR标准化沟通模式;信息化;集束化中图分类号:R197.32文献标识码:ADOI:10.3969/j.issn.1006-7256.2023.22.007文章编号:1006-7256(2023)22-0027-04ApplicationofFOCUS-PDCACycleManagementModelinNursingShiftinEmergencyObservationRoomXinYing,HanYuping,SongShanshan,etal(SchoolofNursingandRehabilitationofShandongUniversity,JinanShandong250012,China)【Abstract】Objective:ToexploretheeffectofFOCUS-PDCAmanagementmodelinnursingshiftinemergencyobservationroom.Meth-ods:FromApril1toJune30,2021theroutineshiftwasimplementedinnursingshiftinemergencyobservationroom,theFOCUS-PDCAmanagementmodelinnursingshiftinemergencyobservationroomfromAugust1toOctober31,2021wasimplemented.Theincidenceofshiftproblems,shifttimeperpatient,nurses′evaluationbyHESandprofessionalself-efficacyofshift,andpatients′evaluationbyPVNC-BRandsatisfactionofshiftwerecomparedbetweenthetwogroups.Results:Theincidenceofshiftchangeproblemswaslowerthanthatbe-foreintervention(P<0.05),theshiftchangetimeofeachpatientwasshorterthanthatbeforeintervention(P<0.05).Afterintervention,thenurses′evaluationandprofessionalself-efficacyofshiftchangewerehigherthanthosebeforeintervention(P<0.05).Conclusion:FO-CUS-PDCAcyclemanagementmodelcaneffectivelyimprovethequ...
