Application and evaluation of risk management in internal medicine nursing

Abstract

Objective To investigate the effect of risk management training in internal medicine nursing. Methods Before and 10 months after applying the risk management, nurses from the department of internal medicine were surveyed by questionnaires. 87 nurses were evaluated on the nursing risk consciousness and nursing quality. Before （98 patients） and after （98 patients） the nursing risk management, the incidence of risk events and complaint, and patients＇ satisfaction degree were compared. Results After the application of nursing risk management, the scores of risk consciousness and attitude, the behavior of risk management and the quality of nursing care were （22.4 ± 2.6）, （23.5 ± 2.2）, （24.5 ±2.7 ） and （98.47 ± 1.9）, which were significantly higher than （ 15.6 ±4.8 ）, （ 13.4 ± 2.7 ）, （ 13.5 ± 2.8 ） and （ 88.36± 2.4 ） before the risk management （t = 5. 725,6. 477,7. 013,5. 467, respectively; P 〈 0. 05）. After the application of nursing risk management, the incidence of risk events, complaint rate of disputes between nursing staff and patients were 1.02% and O. 00% , which significantly decreased than 7.14% and 5.10% before the risk management （ X2 = 4. 327, 4. 879, respectively; P 〈 0. 05 ）. The patients＇ satisfaction degree was increased from 79.59% to 98.98% （X2 = 4. 732, P 〈0. 05 ）. Conclusions The application of nursing risk management can improve the nursing risk consciousness and nursing quality in the department of internal medicine. It also can reduce the incidence of risk events, complaint rate of disputes between nursing staff and patients, and raise the patients＇ satisfaction degree. Key words: Nursing management; Risk management; Internal medicine