摘要
目的探讨SHEL模式在急诊静脉用药安全管理中的应用效果。方法2018年2月1日起,我院急诊科静脉用药安全管理中应用SHEL模式。于实施前后各随机抽取83例行静脉用药的患者,观察比较SHEL管理模式实施前(2017年1月~2018年1月)与实施后(2018年2月~2019年2月)我院急诊科28名护理人员的护理安全问题、专业水平评分以及护理总满意度。结果实施后的急诊科静脉用药护理差错、护患纠纷、投诉发生率均低于实施前,护理人员的理论知识得分与实践操作得分均高于实施前,护理总满意度高于实施前,差异有统计学意义(P<0.05)。结论在急诊科静脉用药过程中应用SHEL模式可有效改善用药安全,提升护理人员各项护理行为的专业性与准确性,提升静脉用药护理质量,改善患者的静脉用药护理体验,提高患者的护理满意度。
Objective To explore the application effect of SHEL model in the safety management of emergency intravenous medication.Methods Since February 1,2018,SHEL model hads been applied in the safety management of intravenous medication in the emergency department of our hospital.A total of 83 patients were randomly selected for intravenous administration before and after administration.The nursing safety issues,professional level scores and total nursing satisfaction of 28 nursing staff in our emergency department before implementation(from January 2017 to January 2018)and after implementation(from February 2018 to February 2019)were observed and compared.Results The incidence rates of intravenous medication nursing errors,nurse-patient disputes and complaints in the emergency department after the implementation were lower than those before the implementation,the scores of theoretical knowledge and practical operation were higher than those before the implementation,and the total nursing satisfaction was higher than that before the implementation,the differences were statistically significant(P<0.05).Conclusion The application of SHEL model in the course of intravenous medication in emergency department can effectively improve the safety of drug use,enhance the professionalism and accuracy of nursing behaviors of nurses,improve the quality of intravenous medication and nursing satisfaction of patients.
作者
朱珂
夏冬梅
ZHU Ke;XIA Dong-mei(Department of Emergency,Huizhou Zhongda Huiya Hospital,Guangdong Province,Huizhou 516981,China)
出处
《中国当代医药》
2020年第2期193-195,共3页
China Modern Medicine
关键词
SHEL模式
急诊
静脉用药
护理行为
准确性
专业性
SHEL model
Emergency
Intravenous medication
Nursing behavior
Accuracy
Professionalism
