Effects of quality and outcomes framework management model on nursing management for intravenous therapy

Abstract

Objective To explore the effects of the quality and outcomes framework (QOF) of the UK primary care in nursing management for intravenous therapy. Methods A total of 105 departments from 12 hospitals in Zhuzhou City in September 2015 (before QOF) and March 2017 (after QOF) were selected by convenient sampling. The nursing and management protocol for intravenous therapy was established and implemented with reference to the QOF management model in January 2016. The cross-sectional study results regarding the nursing quality for intravenous therapy in September 2015 and March 2017 were compared, The tool of intravenous puncture, improper use of scalp acupuncture, inappropriate nursing for indwelling catheters and the complications induced by indwelling catheters were compared before and after QOF. Results Totally 902 scalp acupunctures, 916 indwelling needles and 120 central venous catheters were found after the QOF management model was carried out for intravenous therapy, the difference was statistically significant before QOF (χ2=30.84, P<0.001) . Totally 305 improper use of scalp acupunctures, 145 inappropriate nursing for indwelling venous catheters and 90 cases of complications induced by indwelling catheters were found, lower than those before QOF, for which the cases were 563, 327 and 204, respectively (χ2=199.99, 139.13, 82.52; P<0.01) . Conclusions The QOF management model can effectively enhance the specialized nursing ability of nursing staff and improve the nursing quality for intravenous therapy, which is an effective management model for continuous quality improvement. Key words: Nursing administration research; Intravenous therapy; Quality and outcomes framework