Application of quality control circle to reduce the incidence of sharp injury in nursing trainees
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Abstract:
Objective
The incidence of sharp injury in nursing trainees was reduced, in order to protect the safety of nursing interns and reduce the brain drain.
Methods
The quality control circle was established in October 2015. According to the activity steps of the quality control circle, nursing trainees working in Shaanxi Provincial People's Hospital from July 2015 to May 2016 were examined and analyzed for the occurrence of sharp injury. The objectives were set and the countermeasures were made for the real causes. Finally, self-criticism and improvement were made and the results were evaluated.
Results
In one month the incidences of sharp injury in nursing trainees decreased from 58.7% before the improvement to 22.7% after the improvement.
Conclusions
Quality control circle activities can effectively reduce the incidence of sharp injuries in nursing trainees and ensure the occupational safety of nursing trainees.
Key words:
Nursing care; Teaching; Trainee; Sharp injuryKeywords:
Occupational injury
Objective To study the incidence of sharp injuries of nursing students,analyze the reasons and reduce the incidence rate so as to maintain their health condition effectively.Methods Before the end of practice,122 nursing students were investigated retrospectively with self-designed questionnaire.Results 108 of 122 nursing students occured sharp injuries 252 times.The incidence rate of nursing student's sharp injury was 88.5%.They mainly included cut injuries and puncture injuries which mainly occurred at the first two months of practice.Factors causing sharp injuries were personal factors,environmental factors and hospital management factors.Conclusion Nursing students who just come to clinic from school have inadequate skills,poor self-protection consciousness and are to be injured easily because of working environmental factors and emotional factors.
Questionnaire
Nursing management
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Objective:To understand the conditions of occupational sharp instrument injury of nurses by care management intervention and training of occupational safety protection in recent years,and provide continuous improvement of preventive measures. Methods:Questionnaire was used to investigate the conditions of sharp instrument injury of 104 nurses with different professional titles in our hospital from 2007 to 2008,and served as the observation group,the 2003-2004 survey of the conditions of sharp injury of 79 nurses served as the control group,then detected the effective decrease of professional sharp instrument injury of observation group by care management intervention and training of occupational safety protection. Results:In addition to hand ampoule comparison,the sum of the other items of 104 nurses in the observation group and 79 nurses in the control group of occupational sharps injury were the sharp injury and observation group showed a significant difference compared with control group (P0.01). Conclusion:Hospital care nurse managers need to strengthen protection of occupational training,reasonably increase nursing human resources,implement sharp instrument safety practice,mandatorily use safety devices and sharps boxes,deal with medical waste separation,to reduce the incidence of sharp injury guarantee.
Occupational injury
Nursing staff
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Objective To investigate the situation of sharp injury occurred among clinical nurses in medical institutions of jianggan district in Hangzhou in order to provide information about sharp injury prevention.Methods Questionnaire survey was used to investigate sharp injury occurred among some of the medical institution nursing staff in jianggan district.Results Among 363 nursing staff investigated 280 staff had at least once injuries and the rate was 77.13%.Nurses in the treatment room or infusion room had the highest incidence of sharp injuries.The annual incidence of sharp injuries of the nurse in the internship was 61.5%.Conclusion Clinical nursing staff is the major group of medical sharp injuries.Education for the prevention of sharp injuries to nurses especially young nurse should be strengthened.Effective protective measures also should be taken to prevent sharp injury.
Nursing staff
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Objective To observe the application effect of nursing intervention in the risk management of emergency department,and provide theoretical basis for subsequent work.Methods From January to December,2010,nursing intervention concepts were introduced to risk management in the emergency department and relevant work was carried out,1268 patients were admitted during this period.754 patients before nursing intervention from January to December,2009 were selected.The results were analyzed and compared before and after nursing intervention was implemented.Results The satisfaction degree after nursing intervention was 98.00％,significantly higher than 80.00％ before the nursing intervention.The nursing error or fault was 1 case after nursing intervention,and was 10 cases before the nursing intervention.The annual theoretical examination score was (76.48 + 12.14) and (86.44 + 10.43) before and after nursing intervention,the difference was statistically significant.Condusions The application of nursing intervention in the risk management of the emergency department can improve patients' satisfaction degree,reduce the nursing error and negligence,improve the ability of nursing staff,so it has certain application value.
Key words:
Nursing intervention; Risk management; Emergency; Nursing error
Emergency nursing
Nursing management
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Objective
To explore the effect of multimedia technology on health education on sharp injuries prevention for nursing staff in operation room.
Methods
Our hospital began to implement the multimedia propaganda and education on prevention and treatment of sharp injuries since March 2016. 25 nurses in the operation room of our hospital were selected as the observation object, the knowledge awareness on prevention and treatment of sharp injuries, the incidence of sharp injuries, the rate of correct disposal, and the reporting rate before and after multimedia education intervention were compared.
Results
After the intervention, the knowledge awareness score of sharp injuries related high-risk behaviors or operation, prevention measures of sharp injuries, correct disposal methods of sharp injuries, the reporting of sharp injuries were significantly higher than those before the intervention, with statistically significant differences (P<0.05). The incidence of sharp injuries after the intervention was lower than that before the intervention (12.00% vs.44.00%), the rate of correct disposal, and the reporting rate were significantly higher than those before the intervention (100.00% vs.72.73%, 100.00% vs.54.55%), with statistically significant differences (P<0.05).
Conclusion
Multimedia propaganda and education on prevention and treatment of sharp injuries has good effect in nursing staff in operation room, is helpful to improve the occupational protection consciousness and level of the nursing staff, ensure the health and safety of nurses in operation room, which should be promoted.
Key words:
Multimedia education; Prevention knowledge on sharp injuries; Operation room; Nursing staff
Nursing staff
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Objective
To understand the high risk types, high risk links and high risk factors(Four High)of acute instrument injury in clinical nurses, so as to provide basis for the establishment of scientific and effective protection system.
Methods
A retrospective investigation was conducted on 250 nurses in Third-Grade A general hospital in nanjing.
Results
Within one year, 63.10% of nurses had sharp instrument injury, and 73.40% had nursing age less than 10 years.42.90% of sharp instrument injuries were needle injuries.The high-risk stage of sharp instrument injury mainly focused on the operation, accounting for 43.50%, among which 18.90% occurred in the disposal of sharp instrument, and 17.50% occurred in the preparation of liquid medicine.In terms of the risk factors of sharp instrument injury, 78.60% of nurses considered insufficient nursing resources and 60.90% considered improper nursing operation.
Conclusions
The government formulates laws and regulations related to occupational protection, hospitals rationally allocate nursing human resources, strengthen nurses' standard education on prevention, practice and practice, and standardize nursing operation behavior, which fundamentally reduces the occupational risk of nurses' sharp instrument injury.
Key words:
Nurses; Sharp instrument injuries; Occupational protection
Occupational injury
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Objective
To explore the effect of quality control circle activities on improving the correct rate of nursing orders for critically ill patients.
Methods
A total of 21 senior responsible nurses in ICU, Cardiology Department (CCU) , Cerebrovascular Disease Specialty and Respiratory Department of the Sixth Affiliated Hospital of Guangzhou Medical University were selected as the research objects. Meanwhile, 434 critically ill patients admitted in the above four departments in April 2018 were selected as the pre-activity group of quality control circle. The 419 critically ill patients admitted in October 2018 were compared and analyzed in the post-qcc group. The correct rate of nursing orders of critically ill patients, the qualified rate of basic nursing, posture nursing, the incidence of pressure sores, falls or falling out of bed, and incontinence related dermatitis, the mastery rate of senior responsible nurses on assessment knowledge and the time required for the first nursing order to be issued, the mastery rate of disease condition of critical patients by responsible nurses, and the comprehensive literacy scores of members of quality control circle team before and after quality control circle activities were compared.
Results
After QCC activities, the correct rate of nursing orders for critical patients, the qualified rate of basic nursing and postural nursing, the mastery rate of senior responsible nurses' knowledge of assessment and the mastery rate of nurses' conditions for critical patients were significantly higher than those before QCC activities, and the time needed for the first nurses' orders was less than that before QCC activities, with statistical difference (P 0.05) . After the activity, the nurses' abilities of quality control, team cohesion, sense of responsibility, coordination and communication, self-confidence and quality improvement were all improved, with statistical difference (P<0.01) .
Conclusions
The management based on the quality control circle can effectively improve the correct rate of nursing orders for critically ill patients, improve the nursing quality of critically ill patients, the working efficiency and overall literacy of nurses.
Key words:
Critical illness; Quality control circle; Nursing order; Prescribe; Nursing quality
Specialty
Pressure sores
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Objective To explore the method and effect of strengthening patient education among nurses.Methods Fifty-seven cases of adverse events from January 2004 to December 2006 were retrospectively analyzed and the countermeasures were developed according to the causes.The training and education about patient safety were implemented and strengthened among nursing staff from January 2007 to December 2009,including holding a series of laws and regulation seminars,organizing activities of sharing case information,developing and revising Nursing Guide,Nursing Error Incidents Management System,and Criterion of Nursing Errors,and implementing the related training,and so on.Results The incidence of adverse nursing event was reduced significantly(P0.01).Conclusion Strengthening patient safety education among nurses can effectively reduce the incidence of adverse events and improve the quality of nursing.
Nursing management
Nursing staff
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Objective:To analysis the reasons of operating room nurses for sharp injuries happen and explore preventive measures.Methods:In the use of a questionnaire survey to 170 nurses.Results:One hundred and twenty one nurses sharp injury happened,the incidence was 71.18%.Among them,the nursing students in the incidence of 89%,while,the inci-dence of the nurses was 45.71%.Wound treatment after injury,only 21.88% of the nurses and 2.25% of nursing students norms,the injury has 21.88% and 10.11% of nursing students take the initiative to report.Conclusion:Operating room nursing staff in the high incidence of sharp injuries has relevant with length of service,self-protection awareness about thin,lack of occupational safety and education,non-standardized operation.
Occupational injury
Nursing staff
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Objective To analysis and research the status of sharp instrument injury at all levels of nursing staff. Methods Questionnaire survey with 240 nursing students and 240 clinical nurses in the incidence of sharp instrument injuries, happened aspect, deal with measures and the effects before and after security courses were completed. Results The incidence of sharp instrument injury in different groups of first-year nursing students, second-year nursing students, third-year nursing students, the nurses of 1 year work experience, 3 years work experience, 5 years work experience were 15%, 40.0%, 81.3%, 66.3%, 48.8% and 28.8%, respectively. Accepting the security courses could effectively reduce the incidence of sharp instrument injury. Conclusions Sharp instru-ment injury is the major factor of nurses' occupational injury. Set up systemic and scientific occupational safety education and raise protection awareness are the key to reduce occupational injury.
Key words:
Sharp instrument injury; Occupational safety; Occupational protection
Occupational injury
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