Effect of complete nursing order guidelines on improving the nursing quality in ICU

Abstract

Objective To discuss the effect of the complete nursing order and guidelines on improving the nursing quality in ICU .Methods The nursing quality , patients ’ satisfaction and the hierarchical training examination scores before and after using the improved nursing order guidelines were compared , from 2012 to 2013 .Totals of 177 patients in 2012 were treated with conventional nursing order system , and 183 patients in 2013 were treated with the improved nursing order guidelines .Results In 2012, totals of 177 patients with 3 566 times nursing observation were included , and 183 patients, with 3 634 times nursing observation were included in 2013.In 2013, oral care failure rate was 0.28%, which was significantly lower than 1.18% in 2012, with a＆amp;nbsp;significant difference（χ2 =20.45, P=0.00）.In 2013, the bed elevation unqualified rate was 0.33%, which was significantly lower than 1.54% in 2012, with a significant difference （χ2 =28.69,P=0.00）.In 2013, the artificial airway ballonet pressure implementation rate was 99.56%,which was significantly higher than 98. 65%in 2012, with a significant difference （χ2 =16.76,P=0.00）.In 2013, the patients’ satisfaction scores was （98.08 ±0.67）, which was significantly higher than （94.58 ±2.47） in 2012, with a significant difference （t=4.91,P =0.00）.The nurse training assessment scores was （89.33 ±9.64） in 2013, which was significantly higher than （ 82.17 ±4.04 ）, with a significant difference （ t =2.62, P =0.02 ）. Conclusions Nursing order guidelines applied in ICU bedside can promote the improvement of the nursing quality, ensure the safety of nursing care , and let patients receive continuous and homogeneous care .Improved nursing order guidelines not only effectively improve the whole nursing level of ICU , but also provide diversified platform for nurse training at all levels . Key words: Intensive care unit （ICU） ; Nursing audit; Nursing order guidelines