| ObjectiveUsing rewards and punishment method for comparison, to discuss the effect of improving blood collection skill of nurses’and quality of blood specimens by carried out quality control circle activities, and then to profect pre-analysis quality controlling system of blood specimens to ensure the results of clinical inspection accuracy.Method28nurses form cardiothoracic surgery of one hospital participated in this study. Quality control circle was adopted to carry out the blood quality management in intervention group from the first ward, and at the same time, rewards and punishment method was adopted to carry out the blood quality management in control group from the second ward.Then the effect of two methods on quality of blooding was compared and analyzed. Data was input by Epidata3.1software and analyzed by SPSS17.0.ResultsTotal28nurses had participated in this study, whose average age was26.89±4.92years age。Their hierarchy distribution was N0(17.9%), N1(42.9%), N2(21.4%), N3(17.9%).The length of service in the majority was with2-5years (57.1%). Distribution of degree was specialist (35.7%), undergraduate degree distribution (64.3%).The results of the survey were as follows:1.After quality management circle activity, the knowledge-attitude-practice score of blood collection was increased to23.79±1.44than before which was16.14±0.99in intervention group (t=9.81, P<0.05). Similarly, the knowledge, attitude and behavior scores were all increased than before (P<0.05), but there was no change in control group.2.Before activity carried out, there was no difference between intervention and control group in rate of blood specimen taken back which was1.26%and1.27% respectively (χ=0,01, P>0.05). Activities after the rate of blood specimen taken back has both decreased the intervention group and control group, which reduced to0.32%and0.89%respectively, but the rate decreased more significantly in intervention group (χ2=11.56, P<0.05).3. In the intervention group, nurses generally supported to use QCC to improve the quality of blood (92.9%), and believed that QCC is democracy which also could reduce the pressure of work, increase job satisfaction and enhance organizational unity. By comparison, the rate of nurses supporting rewards and punishment method to improve the quality of blood was only21.4%, and the rate of nurses who believed the method was democracy or increased job satisfaction ratio was less than32%.There was statistically difference between the two groups (P<0.05).4.Only10.7%members understand the knowledge, theory and methods of quality control circle before quality control circle activity.But after the quality control circle activities, the knowledge average scores of quality control circle ranged from3.21±2.22to11.71±1.49(t=17.89, P<0.05), amount to the excellence rate increased to98.2%, which had a statistically significant difference with before.Conclusion1. Contrasted with control group, nurses have noticed the importance of quality control in blood specimen collection, and blood collecting skills has also been improved through quality control circle.2. No matter quality control circle or rewards and punishment method both can improve the quality of blooding by nurses.But the main problems included the reasons correspondingly in the process of venous blood collection is cleared through quality control circle activity. And the quality of blood specimen collection is improved more markedly by taking corresponding measures.3.Compared with rewards and punishment method, the rate of nurses supporting QCC to improve the quality of blood support degree is higher, and nurses are generally accepted that quality control circle method more democratic which does not increase pressure of work, but increase accomplishment and responsibility, and solidarity can be promoted between colleagues.4. Nurses had mastered the basic quality control circle knowledge, theory and method through quality control circle activity and noticed the impotence of quality control in blood specimen collection. |
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