Application value of medical collaborative mode in nursing management to cope with neurosurgical critical patients

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Objective To explore the application value of collaborative mode in nursing management to cope with neurosurgical critical patients and provide evidence for clinical management. Methods A total of 200 critical patients had been divided into control group (traditional nursing management) and experimental group (medical collaborative management) on average during January 2013 to 2014 by random number table. We compared the quality of nursing, satisfaction of medical staffs and patients, and nurse′s self-efficacy. Results The scores of ward management, basic nursing, specialized nursing, responsibility management, communication in the experimental group were (17.34±2.23), (18.00±1.65), (18.11±1.23), (17.25±2.43), (18.21±1.54) compared with (16.11±2.12), (13.43±2.44), (16.65±2.34), (15.45±2.22), (16.46±1.31) in the control group (t=4.123, 5.653, 4.845, 5.324, 4.345, respectively; P<0.05). The satisfaction scores of physicians, nurses and patients in the experimental group were 90.0%, 96.7%, 98.0%, respectively while these rate in the control group were 50.0%, 76.7%, 92.5% (χ2=3.810, 5.192, 6.687; P<0.05). The incidence of medical contradiction in the experimental group was 4 cases (4.0%) lower than 12 cases (12.0%) in the control group. The difference was statistically significant (χ2=4.348, P=0.037). The total score of nurses′ initiative, responsibility, self-confidence, communication skills, problem solving ability, self-efficacy were (7.43±1.65), (7.25±1.65), (7.65±1.76), (7.65±1.98), (8.76±1.65), (36.34±2.44) respectively higher than those (5.55-1.65), (5.34±1.65), (5.54±1.56), (5.87±1.87), (5.87±1.43), (30.54±3.34) in the control group. The difference was statistically significant (t=4.542, 5.545, 4.765, 4.234, 6.065, 4.534, respectively; P<0.05). Conclusions The medical collaborative mode not only meets the diversification of the patient′ demands, builds a good relationship between the doctors, patients and nurses, but also improves the quality of nursing. Key words: Neurosurgery Department; Nursing management; Medical collaborative management; Application value