Objective To study and observe the influence of quality control circle on the quality of nursing management in otolaryngology department. Methods From April 2004 to April 2005, 865,438+00 patients were selected and randomly divided into control group and observation group, with 405 patients in each group. Patients in the control group were given traditional nursing methods, while patients in the observation group were given quality control circle nursing methods. The nursing quality of the two groups was compared. Results The overall nursing qualification rate, ward management qualification rate, nursing service satisfaction rate, first aid management qualification rate, nursing documents qualification rate, hospital infection qualification rate, telephone return visit rate after discharge and awareness rate of health education knowledge in the observation group were significantly higher than those in the control group, with statistical significance (P
Keywords: quality control circle; Nursing; Management quality; ENT (ear-nose-throat) department
With the continuous improvement of living standards in modern society and the development and innovation of medical technology, people's requirements for clinical nursing management are becoming more and more strict. Whether high-quality nursing management can be guaranteed will seriously affect the overall medical level of the hospital [1]. Quality control circle (QCC) is a small group composed of people who are the same, similar or complementary in the workplace (also called QC group, usually about 6 people). Everyone cooperates and brainstorms according to certain activity procedures to solve problems and topics in the workplace, management and culture [2]. It is a vivid form of quality control, aiming at improving product quality and work efficiency [3]. In this study, the clinical effect of implementing quality control circle management and nursing in ophthalmology, otorhinolaryngology department was studied, and some reports were arranged as follows.
I. Data and methods
The general data of 1. 1 were selected from 201.00 to 20 1.04, 10, and were randomly divided into control group and observation group, with 405 cases in each group. In the control group, male 2 1 1, female 194. The age ranged from 23 to 65, with an average age (43.6? 3.2) years old; The course of disease is 1 ~ 14 years, with an average course of disease of (5.7? 1.3) year; There were 73 cases of cataract, 54 cases of pterygium, 47 cases of other eye diseases, 63 cases of sinusitis, 8/kloc-0 cases of nasal polyps, 78 cases of chronic tonsillitis and 9 cases of other otolaryngology diseases. There were 237 males and 0/68 females in the observation group, aged from 22 to 73, with an average age of 53.7? 3. 1) years old; The course of disease is 1 ~ 13 years, with an average course of disease of (6.9? 2.8) years; There were 77 cases of cataract, 64 cases of pterygium, 63 cases of other eye diseases, 865,438+0 cases of sinusitis, 665,438+0 cases of nasal polyps, 55 cases of chronic tonsillitis and 4 cases of other ear, nose and throat diseases. There was no significant difference in general data between the two groups (P & gt0.05), which was comparable.
1.2 Methods Traditional nursing quality management was adopted in the control group. The observer implements the quality control circle nursing tube. ① Circle formation: A quality control circle is formed according to the related work requirements of the Department of Ophthalmology, Otolaryngology and the personnel composition of the department, which is mainly composed of 6-7 senior nurses in the department, and four activity groups, namely, holistic nursing group, ward management group, first aid management group and nursing document group, are established; (2) Selection of circle leader: the person in charge of the organization is selected by voting, organizing work, etc., and the specific responsibilities are divided according to the work responsibilities of the members of the organization, and they are earnestly performed; In the planning of organizational activities, we should focus on cause analysis and goal setting, and formulate corresponding countermeasures in turn; ③ Choose the theme of the activity and make an activity plan: specific work contents: daily clinical care of patients, safety management, health education, telephone call back after discharge, etc. (4) Goal setting: according to the nursing work, determine the implementation purpose, do a good job in personnel allocation, make a work schedule, members of each circle implement the solution in detail, and the circle leader supervises the implementation process and cooperates with the nursing department to implement the countermeasures one by one; ⑤ Effect confirmation: Compare the nursing effects of two groups of patients, and show them with charts and specific data; ⑥ Summarize the results; ⑦ Make a perfect plan: Make a solution to the problem according to the data results, so that the quality control circle can circulate.
1.3 observation index was used to compare the overall nursing qualification rate, emergency management qualification rate, hospital infection qualification rate, nursing service satisfaction rate, ward management qualification rate, nursing documents qualification rate, nursing adverse events incidence rate, patients' awareness rate of health education knowledge, and telephone return visit rate after discharge between the two groups [4].
1.4 statistical methods statistical software SPPS 18.0 was used for data analysis, and the measurement data were used (x? S) means that the comparison between groups adopts t test, and the counting data adopts? 2 test, p
Second, the result
The overall nursing qualification rate, ward management qualification rate, nursing service satisfaction rate, first aid management qualification rate, nursing documents qualification rate, hospital infection qualification rate, telephone return visit rate after discharge and awareness rate of health education knowledge in the observation group were significantly higher than those in the control group, with statistical significance (P
Three. discuss
With the development of medical technology, more and more attention is paid to clinical patients with effective nursing intervention, and people's requirements for quality of life are getting higher and higher [5]. The quality of life is closely related to the functions of eyes, ears, nose and throat. Effective nursing is of great significance to improve clinical treatment efficiency, nursing satisfaction and patient prognosis [6]. The results showed that the overall nursing qualification rate of the observation group was 96.05%, which was higher than that of the control group (92.65438 0.00%, P
In the clinical application of quality control circle, we found that we should choose the right subject in specific management, and don't set too many target values, preferably one, at most no more than two, so as to ensure the effectiveness of nursing work. Internal management should encourage circle members to participate in it and maximize their own value [7]. After the theme activities, internal reflection and re-learning, summing up the results of problem sorting, popularizing successful experience, and then perfecting the next step plan will make the quality control circle activities in a virtuous circle, sustainable development and continuous improvement of overall management quality, and finally realize the goal of ward nursing management.
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