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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1. 王素云, 王静, 张文静. 护士长夜查房模式的改革及运行效果[J].中国误诊学杂志, 2008, 8(5):1101-1102.
2. 郭玉娟. 护士长夜查房及节假日督查反馈追踪记录本的设计与应用[J].护理实践杂志, 2002, 1(5):209.
3. 张颖, 丁建成, 李健, 等. 改进护士长夜查房工作的成效[J].东南国防医药, 2011, 13(1):75, 89.
4. 杨志英, 陈淑英. 护理夜查房量化评分的效果观察[J].当代护士:学术版, 2011(2):184-185.
5. 欧宜珍. 改革护理夜查房模式对提高护理质量的效果观察[J].基层医学论坛, 2015, 19(2):165-166.
6. 朱琦. 浅谈精细化管理在护理示范病区中的应用[J].中外医学研究, 2011, 9(25):71.
7. 郭文学. 浅议公立医院人力资源管理精细化的困境及对策[J].经营管理者, 2014, 9(27):170.
8. 滕小云, 张天华. 副主任护师参与护士长夜查房的实践和体会[J].护理与康复, 2011, 10(12):1086-1087.
9. 贺红娥. 分析精细化管理在手术室护理管理中的应用[J].世界最新医学信息文摘, 2016, 16(40):231-234.
10. 花丽姣, 周梅芳, 李红江. 护士长巡查记录表的设计及应用[J].当代护士:学术版, 2012(7):190-191.
11. 何海霞. 精细化管理应用于急救车管理[J].现代预防医学, 2011, 38(13):2506-2507.
12. 李秀云, 胡荣东, 刘莉. 持续质量改进迎评模式在首家军队三级综合医院等级评审中的应用效果[J].护士进修杂志, 2013, 28(11):985-988.
13. 赵毅, 王岩, 张冬梅. 总护士长督导下夜查房制持续改进夜间护理质量[J].中国医药指南, 2012, 12(34):341-342.
14. 谢磊, 杨杨, 杜栩, 等. 精细化管理在医院能源管理中的实践[J].华西医学, 2015, 30(4):770-772.
15. 陈姚, 何谦, 冷容, 等. 精细化管理在健康体检中的应用[J].华西医学, 2015, 30(9):1773-1775.
16. 尹洁, 杨晓红, 徐建萍, 等. 追踪方法学在危重病人护理质量检查中的应用[J].中国护理管理, 2014, 14(4):403-405.
17. 高玉贵. 经济新常态下推进社会治理精细化的动因与路径[J].商业经济研究, 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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