Application of meticulous management in the clinical nursing pathway

Objective To apply meticulous management in clinical nursing pathway so as to make it scale and effectively advance .Methods The management of clinical nursing pathway focusing on hierarchical management , process system , training implementation and performance appraisal in meticulous management were carried out through the daily , mid-term, terminal evaluation .The patients with pilot disease and ward nurses who did not receive or received the meticulous management were divided into the control group and the intervention group .The patient satisfaction , the nursing quality and the comprehensive ability of clinical nursing were respectively evaluated by the questionnaire about patient satisfaction , the nursing quality assessment and the clinical skills assessment .Results The average hospital days and costs after the application of meticulous management were respectively （8.62 ±0.41） d, （12 920.54 ±415.19）yuan, and were lower than （10.46 ± 0.54） d, （14 061.74 ±423.17） yuan before the application of meticulous management , and the differences were statistically significant （t =37.41, 24.35, respectively;P 〈0.01）.The patients satisfaction after the application of meticulous management was increased from （86.18 ±3.41） % to （95.27 ±3.62） %, and the score of the comprehensive ability of clinical nursing was increased from （73.21 ±4.21） to （81.24 ±4.37）, and the differences were statistically significant （t=-23.12, -13.23, respectively;P〈0.01）.Conclusions The application of meticulous management in the process of clinical nursing pathway is practical . Key words: Meticulous management; Clinical nursing pathway; Innovation