Analysis on the application effect of detail thinking management method in ICU nursing management

Abstract

Objective To apply the detailed thinking management method to the nursing management of Intensive Care Unit(ICU) and analyze the application effect. Methods A total of 60 patients admitted to the ICU of the hospital from January 2016 to December 2016 before the implementation of the detailed thinking management method were selected as the control group. A total of 60 patients admitted to the ICU of the hospital from January 2017 to December 2017 before the implementation of the detailed thinking management method were selected as the observation group.Finally, 58 patients and 57 patients in the two groups completed the study.The nursing quality, nursing document writing quality and basic nursing quality before and after the implementation of the detailed thinking management method were evaluated.The satisfaction of 115 patients in nursing department was investigated.The incidence of pressure sores (including unavoidable pressure sores) and nursing disputes were statistically analyzed.The implementation effect of the detailed thinking management method was analyzed. Results Compared with the control group, the patients in the observation group had high satisfaction with the nursing work, and the difference was statistically significant(P<0.05). The incidence of pressure sores in the observation group was lower than that in the control group.The incidence of nursing disputes was low, and the difference was statistically significant(P<0.05). After the implementation of the detailed thinking management method, 30 nurses who participated in the study intervention scored significantly higher in critical care, nursing safety, management of critically ill patients, rescue vehicle management, rescue drugs and instruments, and first-aid skills than before the implementation, with statistically significant differences(P<0.05). After the implementation of the detailed thinking management method, the qualified rate of basic nursing documents were significantly improved, and the differences were statistically significant(P<0.05). Conclusions The use of detailed thinking management in the nursing management of ICU helps to cultivate the nurses' awareness of clinical thinking, reduce disputes between nurses and patients, promote the formation of a harmonious nurse-patient relationship, optimize the management process, promote the efficiency of nursing work, and improve the quality of care. Key words: Detail thinking; Nursing management; Intensive care unit; Effect