| BackgroundWith the development of the economy and society, people’s consciousness of health is strengthened gradually? and the demand of nursing service is becoming more diverse and multi-level. Because of dividing the treatment of patients into segments and lacking of integrity and continuity, the functional nursing mode centered "the doctor’s advice and task" goes against the communication between patients and nursing staff, and the basic problems of the patients are not concentrated treatment, either. At the same time, the working enthusiasm and creativity of nursing could not be mobilized highly with this kind of passive and repeated labor. If not to change the development mode of the present functional nursing mode, the nursing service scope and development field will be narrower in our country which could not meet people’s health needs. Therefore, in order to satisfy people’s improving care needs and provide services to the overall situation of the health care reform, the ministry of health carried out the nationwide demo project of high quality nursing service in2010which improved the patient’s satisfaction for hospital work.Just as "three points treated seven point nursing", nursing service quality directly related to the quality of medical treatment and medical safety. With the high quality nursing service is carried out gradually in China’s hospitals, how to guarantee the high quality of nursing service is becoming more and more important at present. Not only depending on the quality and technical level of the nursing staff, the quality of nursing service also more depends on nursing quality management level. As the quality management master De Ming said:"the cause of the poor quality of85%is caused by poor management", so the quality management is very important in the nursing service field. The nursing quality management evaluation is a very important means in promoting the hospital to improve the quality of care, and is the core content in this research of nursing quality management. As well as, the nursing quality management evaluation index system is the most basic and important method in promoting the nursing quality management evaluation. It is not only providing guidelines for nursing quality management, but also providing a basis for nursing quality control. At present, because of there has not been a literature which could provide a systematic and comprehensive research on high quality nursing service quality management index system, and the evaluation system for nursing quality management evaluation system used in the functional nursing mode is not fit with the present nursing development requirements, therefore, it is very useful to establish a set of scientific and fair quality management evaluation system for high quality nursing service, which could provide scientific evaluation for high quality nursing service quality management level.Study ObjectiveThe objective of this study is to establish a set of scientific, practical, simple and feasible hospital high quality nursing service quality management evaluation system, which could help make objective and fair evaluation for the hospital’s nursing service quality management, and help the hospital managers timely and accurately find the weak link of nursing quality management, thus adjusting the structure of nursing management initiatively, implementing scientific management, and improving the quality of hospital care continuously. Meanwhile the system can provide reference bases for relevant administrative departments of public health to supervise the high quality nursing service.The main contents include:(1) Use scientific method to establish a set of hospital quality nursing service quality management evaluation system.(2)Apply the evaluation system to evaluate the nursing service quality management situation of women and children’s hospitals that have launched the demo project of high quality nursing service, and test reliability and validity of the index system.(3) Clear the present situation and existing problems of the high quality nursing service quality management in women and children’s hospitals.(4) Provide the reference suggestion for perfecting the index system and improving nursing quality management level further.Study MethodologyIn this study, according to continuous quality improvement theory and ISO9001<quality management system requirements>, on the basis of referring to a lot of relative documents and literatures, we use group discussion method to establish the primary index system, including4first-class indicators and21second-class indicators. Then using Delphi expert consultation method to screen index, after two wheel expert consultations, finally establish the high quality nursing service quality management evaluation system, including4first-class indicators and21second-class indicators. Using the percentage weight method give each index a scientific weight.Using the established index system evaluate the nursing service quality management situation of our country’s51women and children’s hospitals, test reliability and validity of the index system. Descriptive analysis and single factor analysis were used to analyze the hospitals’ quantitative evaluation results.Study resultsThe result of this paper is to build a set of scientific and practical hospital high quality nursing service quality management evaluation index system, including4first-class indicators (leadership, nursing resources management, clinical nursing service and improving continuously nursing quality management) and16second-class indicators(nursing quality management system, work plan, nursing management system and standard, the training for nursing staff, nurse grading management,etc). This paper also provides each index a scientific weight and establishes the scoring criteria for high quality nursing service quality management evaluation index system.Using the index system, we evaluated the nursing service quality management situation of our country’s51women and children’s hospitals, and found that the Cronbach’s alpha coefficient of the index system of is0.905, which means the index system has high reliability. The supervising experts reflected that the evaluation result was consistent with the actual situation and the index system has high validity.From this paper, the average score of the nursing service quality management for51women and children’s hospitals is84.60, the excellent and good rate is74.51%, shows that the nursing quality management level should be improved.Study conclusionThe key of improving the quality of nursing service lies in the nursing quality management. The high quality nursing service quality management evaluation system research build in this research has the following advantages, such as high practical and operational effect, providing comprehensive and objective evaluations for the hospital’s high quality nursing service quality management and promoting hospital to improve nursing quality management level. At the same time, this system also provides reliable reference to the administrative department and has very widespread application value.But the evaluation result of women and children’s hospitals indicated that there are many problems in nursing quality management:Lack of nursing personnel, dim legal awareness, nursing personnel training does not reach the designated position, clinical support system is not perfect, continuous improvement mechanism of nursing quality management has not formed, etc. These problems influence the improvement of nursing service quality.SuggestionsIn order to play the role of the established index system better, improve the hospital nursing quality management level, this study proposed the following Suggestions:(1) Unified the high quality nursing service quality management evaluation index system as soon as possible, and widespread apply the system in hospitals at all levels;(2) Hospitals should strengthen quality management of high quality nursing service, and establish long-term effective mechanism of continuous improvement of nursing quality management;(3) the health administrative department should change the systems and mechanisms which restrict the quality improvement of high quality nursing service. |
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