摘要
目的描述广东省三级医院PICC应用及质量安全管理情况,分析PICC应用中存在的问题,为卫生行政部门及医院管理者制定相关政策及管理措施提供数据支持。方法采用描述性研究设计,利用自行设计的调查问卷对广东省全部开展PICC技术的三级医院及其护士进行整群抽样,请护理部主任回答该院PICC应用及管理情况,请PICC置管护士回答PICC护理质量及安全管理的落实情况。结果56家接受调查的医院中49家(87.5%)医院制定了PICC置管护士的资格准入标准;29家(59.2%)医院对已取得PICC置管资格的护士进行定期考核,19家(38.8%)医院对其进行资质再认证;有18家(34.6%)医院的部分科室并未使用医院统一制定的PICC操作流程及PICC护理记录单;64.3%医院成立了静脉输液治疗小组,最早成立于2002年,最晚2009年;39.3%医院统计分析各种临床数据;25.0%医院发生PICC相关并发症时会汇报护理部。结论广东省三级医院PICC护理质量及安全管理中,存在缺乏完善的置管护士准入标准,缺乏对置管护士的考核及资格再认证,缺乏统一的实践标准,护理记录不完善,静脉输液小组的建立起步晚、专业化进程慢,质量监控方式陈旧,报告制度欠完善等问题。护理管理者应充分了解PICC临床使用及管理现状,并在大量掌握PICC临床相关数据后,使用循证的方法更新PICC管理理念和方式。
Objective To describe the status of PICC management in Guangdong Class Ⅲhospitals and to provide evidence for its management and policy. Methods A descriptive research design was used in the study. By cluster sampling, 56 Class Ⅲ hospitals and 491 PICC nurses were surveyed with a self-designed questionnaire and SPSS 13.0 was used to analyze the data. Results PICC nurse access standard was established in 49 out of 56 hospitals, accounting for 87.5% and Ⅳ-team was set up in 62.3% of the hospitals with the earliest one in 2002 and the latest one in 2009. Clinical data were analyzed in 39.3% of the hospitals and emergency report policy was established in 25.0% of the hospitals. Conclusion PICC nurse access standard is still imperfect and Ⅳ team still needs to be improved in many aspects. Nursing managers should update PICC management idea and methods in the practice.
出处
《护理学报》
2012年第18期10-14,共5页
Journal of Nursing（China）
关键词
广东省
三级医院
PICC
护理质量
安全管理
Guangdong Province
Class Ⅲ Hospital
PICC
quality of nursing
safety management
