The effect of the application of risk aversion model on the incidence of injury and the degree of satisfaction of nursing staff in emergency department
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摘要: 目的 研究高危人群规避模式在急诊科护理人员中的应用现状,观察高危人群规避模式应用后护理人员伤害率的变化及调查患者对护理人员的满意度。 方法 选取2013年12月-2015年12月浙江医院急诊科护理人员62例作为调查对象,男性4例,女性58例;年龄23~47岁,平均(30.1±12.6)岁;工作年限1~25年,平均(10.3±8.7)年。通过应用高危人群规避模式,记录高危人群规避模式应用前后调查的62例急诊科护理人员所受伤害详细情况(包括受伤害程度、急诊就诊次数)、发生率以及患者对护理人员服务满意度。 结果 比较高危人群规避模式应用前后各1个月伤害事件发生情况,应用前伤害事件发生情况中一级损伤、二级损伤及言语伤害均高于应用后(P<0.05),这提示高危人群规避模式对于急诊科伤害事件的数量有规避作用。比较高危人群规避模式应用前后急诊就诊次数及伤害发生次数,并计算伤害率,应用高危人群规避模式后伤害率降至9.9%,低于高危人群规避模式应用前的伤害率26.7%(P<0.05),提示高危人群规避模式对于急诊科伤害事件的数量有规避作用。高危人群规避模式应用前后急诊就诊患者对护理人员的满意情况,高危人群规避模式应用后的总满意率为72.6%,远高于高危人群规避模式应用前的总满意率54.8%(P<0.05)。 结论 高危人群规避模式在急诊护理人员中的应用,有效降低伤害发生率,同时能有效增加患者对护理服务满意度,值得临床推广应用。Abstract: Objective To study the application of the risk aversion model in emergency department staff,and to observe the situation of nursing staff's injury rate and nursing satisfaction after the application of the model. Methods Sixty-two cases in our hospital emergency department nursing staff were selected from December,2013 to December,2015 as the research object.There were 4 males and 58 females,which aged between 23 and 47 years old and whose average age is (30.1±12.6) years old,with one to 25 service years and (10.3±8.7) average working years.With the application of risk aversion model to the high-risk groups,we investigate 62 cases of emergency department nurses suffered damage details (including extent of injury and frequency of clinic visits),occurrence rate and patient satisfaction with nursing personnel service. Results Comparison of high-risk groups one month before and after the application of risk aversion model shows that before the application of injuries in a damage,secondary injury and hurtful words were higher than those after the application (P<0.05),suggesting that high-risk aversion model for emergency department injury event number of dodge.Relatively high-risk groups to avoid mode before and after the application of emergency department visits and injury occurrence,and calculate the damage rate,use of high risk population aversion mode after damage rate dropped to 9.9%,below the high-risk groups to avoid application mode before damage rate of 26.7%(P<0.05),suggesting that high-risk population evading model for emergency department can help avoid injury event numbers.Before and after the application of the model,the satisfaction rate of emergency patients to nursing staff was 72.6%,far higher than the rate before the application of risk aversion model 54.8%(P<0.05). Conclusion The application of risk aversion model in emergency nursing staff can effectively reduce the incidence of injury,and effectively increase the satisfaction of patients to nursing service,which is worthy of clinical application.
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Key words:
- Risk aversion model /
- Emergency nursing /
- Injury /
- Satisfaction
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