Application and effects of critical cases specialist groups' operation mode on the nursing quality of respiratory tract

Abstract

Objective To investigate the role and effect of critical cases specialist group' s operation mode on the nursing quality of respiratory tract. Methods Totally 106 tracheal intubation patients were selected for experiments. 57 cases that use specialist group's operation mode are in experimental group;and others are in control group, which don' t use specialist group' s operation mode. For experimental group, critical cases specialist group was established to organize regular patient rounds, instruct consultations, formulate work direction and nursing quality standards and evaluation indexes;the critical cases of patients with nursing quality were evaluated with three-tier process monitoring;while control group were treated with traditional head nurse rounds guidance, nurses supervision inspection second-level monitoring. This research chose the accident rate of ventilator-associated pneumonia and respiratory care to be one index of the nursing quality for critical cases.Results Ventilator related pneumonia (VAP) and take off tube incidence reduced significantly, the differences were statistically significant (7. 70% vs 20.04%, χ2 = 4. 51, P ＜ 0. 05;10. 52% vs 26.53 %, χ2 = 5.69, P ＜0. 05). The nursing problems and nursing complaints solved by nurses were more than the control group(P ＜0. 05);Doctors' and patients' satisfaction with nursing care were also improved (P ＜0. 05). Conclusions Critical cases specialist group' s operation mode can improve the professional skill of nurses for critical cases;formulate nursing management of clinical critical cases respiratory nursing;improve the nursing quality of respiratory tract. Key words: Critical cases specialist groups; Respiratory nursing; Nursing management