Research on the Elaborating Reform of Head Nurse Inspection and Supervision outside the Eight-hour Administration_West China Medical Journal

Authors：

 HuangMingjun , ZhuHong ,  SongJinping , LiuZheng , WangYa

Nursing Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

SongJinping, Email: jinpings210@163.com

Keywords：

Quality and safety; Inspection and supervision; Mode reform; Seamless management

DOI：

10.7507/1002-0179.201600528

Video：

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Objective To explore the efficacy of reforming head nurse inspection and supervision outside the eight-hour administration, in order to ensure seamless quality management. Methods From January 2014, reform was carried out on the name, form, content, and standard of head nurse inspection and supervision, including the combination of casual and work wear, seamless management outside the eight-hour administration, complete management with key emphasis, fine evaluation with objectives and emphasis, the combination of feedback and summarizing, and the combination of written and oral report. Results After the implementation of 6-month reformation, the head nurses involved in inspection increased from 102 in January 2014 to 124 in June 2014, the departments involved in inspection increased from 276 to 332. After the implementation, the ward environment management and nurses' working state were improved. Adverse events (pressure ulcer, fall/drop from bed) were decreased. The qualified rate of patient identification arose. Patients and their relatives had a higher rate of medication and disease knowledge, and nurses had a higher rate of knowledge on the responsibility for diagnosis and major nursing points. The differences before and after the reform were significant (P<0.05). Conclusion The elaborating reform can promote the efficiency of head nurse inspection and supervision, and ensure the nursing quality and safety outside the eight-hour administration.

Citation： HuangMingjun, ZhuHong, SongJinping, LiuZheng, WangYa. Research on the Elaborating Reform of Head Nurse Inspection and Supervision outside the Eight-hour Administration. West China Medical Journal, 2016, 31(11): 1921-1925. doi: 10.7507/1002-0179.201600528 Copy

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12.	李秀云, 胡榮東, 劉莉. 持續質量改進迎評模式在首家軍隊三級綜合醫院等級評審中的應用效果[J].護士進修雜志, 2013, 28(11):985-988.
13.	趙毅, 王巖, 張冬梅. 總護士長督導下夜查房制持續改進夜間護理質量[J].中國醫藥指南, 2012, 12(34):341-342.
14.	謝磊, 楊楊, 杜栩, 等. 精細化管理在醫院能源管理中的實踐[J].華西醫學, 2015, 30(4):770-772.
15.	陳姚, 何謙, 冷容, 等. 精細化管理在健康體檢中的應用[J].華西醫學, 2015, 30(9):1773-1775.
16.	尹潔, 楊曉紅, 徐建萍, 等. 追蹤方法學在危重病人護理質量檢查中的應用[J].中國護理管理, 2014, 14(4):403-405.
17.	高玉貴. 經濟新常態下推進社會治理精細化的動因與路徑[J].商業經濟研究, 2016, (17):115-116.

1. 王素云, 王靜, 張文靜. 護士長夜查房模式的改革及運行效果[J].中國誤診學雜志, 2008, 8(5):1101-1102.
2. 郭玉娟. 護士長夜查房及節假日督查反饋追蹤記錄本的設計與應用[J].護理實踐雜志, 2002, 1(5):209.
3. 張穎, 丁建成, 李健, 等. 改進護士長夜查房工作的成效[J].東南國防醫藥, 2011, 13(1):75, 89.
4. 楊志英, 陳淑英. 護理夜查房量化評分的效果觀察[J].當代護士:學術版, 2011(2):184-185.
5. 歐宜珍. 改革護理夜查房模式對提高護理質量的效果觀察[J].基層醫學論壇, 2015, 19(2):165-166.
6. 朱琦. 淺談精細化管理在護理示范病區中的應用[J].中外醫學研究, 2011, 9(25):71.
7. 郭文學. 淺議公立醫院人力資源管理精細化的困境及對策[J].經營管理者, 2014, 9(27):170.
8. 滕小云, 張天華. 副主任護師參與護士長夜查房的實踐和體會[J].護理與康復, 2011, 10(12):1086-1087.
9. 賀紅娥. 分析精細化管理在手術室護理管理中的應用[J].世界最新醫學信息文摘, 2016, 16(40):231-234.
10. 花麗姣, 周梅芳, 李紅江. 護士長巡查記錄表的設計及應用[J].當代護士:學術版, 2012(7):190-191.
11. 何海霞. 精細化管理應用于急救車管理[J].現代預防醫學, 2011, 38(13):2506-2507.
12. 李秀云, 胡榮東, 劉莉. 持續質量改進迎評模式在首家軍隊三級綜合醫院等級評審中的應用效果[J].護士進修雜志, 2013, 28(11):985-988.
13. 趙毅, 王巖, 張冬梅. 總護士長督導下夜查房制持續改進夜間護理質量[J].中國醫藥指南, 2012, 12(34):341-342.
14. 謝磊, 楊楊, 杜栩, 等. 精細化管理在醫院能源管理中的實踐[J].華西醫學, 2015, 30(4):770-772.
15. 陳姚, 何謙, 冷容, 等. 精細化管理在健康體檢中的應用[J].華西醫學, 2015, 30(9):1773-1775.
16. 尹潔, 楊曉紅, 徐建萍, 等. 追蹤方法學在危重病人護理質量檢查中的應用[J].中國護理管理, 2014, 14(4):403-405.
17. 高玉貴. 經濟新常態下推進社會治理精細化的動因與路徑[J].商業經濟研究, 2016, (17):115-116.

West China Medical Journal

Research on the Elaborating Reform of Head Nurse Inspection and Supervision outside the Eight-hour Administration

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