Training management and quality evaluationofthe pain nursing team
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摘要: 目的 探讨疼痛护理小组的培训管理方法,以推进疼痛评估工作的开展,促进医院疼痛管理质量的提高。 方法 通过组建疼痛护理小组,明确小组架构,建立小组工作职责,根据“癌痛规范化治疗示范病房”评审标准及国际医院联合评审委员会(joint commission international,JCI)标准中疼痛管理的要求制定疼痛护理规程、疼痛评估质量检查标准、疼痛患者宣教制度及护士培训制度,并按照“培训培训者模式”对护士进行培训,小组成员参与疼痛管理质量改进等措施。在干预前后,分别对护士的疼痛管理知识与态度及疼痛评估的合格率进行比较。 结果 干预前疼痛管理知识与态度平均答对率为(43.81±5.32)%、合格率为2.22%,干预后平均为(65.36±3.51)%、合格率为38.89%;开展疼痛评估初期和1年后同期疼痛评估合格率比较差异有统计学意义(χ2=60.96,P<0.001)。干预后护士疼痛管理知识与态度问卷调查的得分和疼痛评估的合格率明显高于干预前(P<0.001)。 结论 组建疼痛护理小组,根据评审标准制定疼痛管理质量标准,按照“培训培训者模式”对护士进行培训,能提升护士的疼痛管理知识和实践技能水平,提高疼痛评估的合格率,改善疼痛患者的治疗效果,促进医院疼痛管理质量的提高。Abstract: Objective To explore thetrainingmanagementmethod of thepainnursingteam,in order to promote the process of the pain assessment andthe quality of the pain management in the hospital. Methods By forming the pain nursing team,figuring out the framework,buildingteamresponsibilities,and establishing the constitution of the pain nursing care,inspection standards of the pain assessment quality,institutions of the health education,and the professional training according to the existingaccreditation criteria and the JCI Standard,then getting team members involved in improving quality of pain management.Nurses’painmanagementknowledge,attitudes toward pain management and the accuracies of pain assessment were compared in the before and after the intervention. Results Before interventions,the average correct rate about the nurses’ knowledge of pain management and the attitude questionnaire was (43.81±5.32)%,and the percent of pass was 2.22%.After interventions,the average correct rate was (65.36±3.51)%,and the percent of pass was 38.89%.There was a big difference between the very beginning and after a year of training(χ2=60.96,P<0.001).After series of interventions,nurses’ knowledge of pain management,the scores of the attitude questionnaire and the accuraciesof pain assessment were all better than before (P<0.001). Conclusion Forming the pain nursingteam,then according to the existing standards,training the nurses by the training of trainers model,could enrich nurses’ knowledge of pain care and the care skills,improve the qualification rate of pain assessment and improve the curative effect of patients with pain,and improve the hospital’s quality of pain management.
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Key words:
- Pain /
- Nursing /
- Training /
- Management
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