工具箱培训对护理敏感质量指标的影响:随机对照试验
1Hatay Mustafa Kemal University Hospital, Hatay Mustafa Kemal University, Hatay, Türkiye.
概括
工具箱培训显著改善了护理敏感的质量指标,包括疼痛管理和患者安全. 这种在职培训提高了护士的知识和实践,积极影响工作场所的质量.
科学领域:
- 护理教育 护理教育
- 职业健康和安全问题 职业健康和安全问题
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 工具箱培训 (或工具箱谈话) 是短暂的,在工作场所的会议,旨在加强各个部门的职业健康和安全实践.
- 这些培训为员工提供了一个参与,提问和分享经验的平台,从而改善工作场所安全协议.
- 该研究侧重于此类培训对医疗保健环境中护理敏感质量指标的影响.
研究的目的:
- 评估工具箱培训对护士护理敏感质量指标的影响.
- 评估的关键指标包括疼痛管理,压力的预防,患者跌倒,外周静脉导管并发症和不良事件报告.
主要方法:
- 采用了一项随机对照试验,采用了测试前,测试后和对照组设计.
- 干预组的护士在他们的班次中接受了工具箱培训,而对照组没有.
- 在基线和干预后8周和12周收集数据,并使用描述性统计数据,独立的t测试和重复/混合ANOVA进行分析.
主要成果:
- 在接受工具箱培训的护士中,在跌倒,压力,疼痛管理,外周静脉导管护理和不良事件报告方面观察到显著的改善 (p < 0.01).
- 单元级数据显示患者跌倒,压力的发生和外围静脉导管并发症的减少.
- 相反,正确管理疼痛患者和报告的不良事件的平均数量最初在培训后增加,但在第三次随访时略有下降.
结论:
- 在职工具箱培训有效地提高了护士与护理敏感质量指标相关的知识和实践.
- 这种培训方法明显改善了单位级别的质量指标,支持其在护士在职教育中的作用.
- 推工具箱培训作为护士传统服务教育的有效补充方法,以提高患者护理质量.
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