Effectiveness of crisis management mode in nursing management in emergency department

Objective To observe the effectiveness of crisis management mode in the nursing management in emergency department,and improve the quality of emergency nursing management. Methods Total 123 emergent patients from January,2014 to January,2015 were assigned into the control group,that received the routine emergency nursing from 8 nurses; while other 123 emergent patients from January,2015 to January,2016 were assigned into the intervention group,that received the nursing management based on crisis management mode. The illness treatment,number of crisis event,patient satisfaction and nursing management in the two groups were compared. Results The efficiency of emergency treatment,incidence of crisis event and patient satisfaction in the intervention group were 98. 37%,3. 25% and 97. 56%,respectively,and in the control group were 88. 62%,28. 46% and 83. 74%,respectively,the differences were significant(χ²=9. 63,29. 28,13. 86,P < 0. 05). The scores for the nurse-patient communication,operational capability,nursing documents and crisis consciousness in the intervention group were(18. 5 ±1. 0) points,(19. 2 ±0. 3) points,(19. 8 ±0. 2) points and(19. 0 ±0. 5) points,respectively,and in the control group were(11. 2 ±1. 5) points,(13. 4 ±1. 4) points,(15. 5 ±1. 1) points and(8. 7 ±1. 3) points,respectively,the difference were significant(t=11. 45,11. 46,10. 88,20. 92,P <0. 01). Conclusion The nursing care intervention on the bases of crisis management can reduce the incidence of the emergency crisis,raise efficiency of emergency treatment and improve the patient satisfaction. The overall effect is better than the conventional emergency nursing management model,thus worth of further promotion in clinical practice.