Nursing Risk Management Research Articles

Application Effect and Value of Nursing Risk Management in ICU Nursing Management

Application Effect and Value of Nursing Risk Management in ICU Nursing Management

Application of Nursing Risk Management in Nursing of Severe Peptic Ulcer Bleeding

Objective: To assess and compare the clinical application value of nursing risk management in the diagnosis and treatment of severe peptic ulcer bleeding. Methods: A total of 70 patients with severe peptic ulcer bleeding were selected as the research objects, randomly divided into observation group and control group, 35 cases for each. The nursing risk management and conventional nursing management were implemented for the two groups, respectively. The success rate of hemostasis, average length of stay, cure rate, complication rate, dyspnea rate, nursing dispute rate, SAS score, and SDS score were compared between the two groups. Patients’ satisfaction with nursing quality was also compared. Results: After the implementation of two different nursing management methods, all the above-mentioned metrics were better in the observation group than in the control group, and the differences were statistically significant (P < 0.01 or P < 0.05). Conclusion: The application of nursing risk management in the nursing intervention process of patients with severe peptic ulcer bleeding can effectively reduce the probability of nursing risk events, increase the cure rate, shorten the patient’s hospital stay, but also improve the patients’ psychological state and increase the patient’s satisfaction with nursing quality, which is worth clinical promotion.

Application effect of safety hazard self-examination mode in nursing risk management in hepatobiliary surgery

Application effect of safety hazard self-examination mode in nursing risk management in hepatobiliary surgery

Application Effect of Nursing Logo in Nursing Risk Management of Elderly Fracture Patients and Analysis on Reducing Nursing Risk Events and Improving Patient Satisfaction

Application Effect of Nursing Logo in Nursing Risk Management of Elderly Fracture Patients and Analysis on Reducing Nursing Risk Events and Improving Patient Satisfaction

Observations on the Application of Nursing Risk Management in the Care of Critically Ill Patients in the Respiratory Unit

Objective: Investigate the effectiveness of nursing risk management in the care of critically ill patients in the respiratory unit. Methods: Among the critically ill respiratory patients admitted to our hospital between May 2019 and April 2020, 78 patients were randomly selected and divided into an observation group and a control group, each consisting of 39 patients. In the observation group, a nursing risk management model was implemented, i.e., patients' clinical symptoms were observed at any time to monitor their treatment satisfaction and the effectiveness of their care and routine care was implemented for the control group. Results: The heart rate, respiratory rate, and pH of patients in the observation group were more stable than those in the control group, and their respiratory status was better, with differences in data. There was also significant statistical significance (P&lt;0.05). The incidence of patient-provider disputes, unplanned extubation, and unplanned events were lower in the observation group compared to the control group, and their data difference was statistically significant (P&lt;0.05). The treatment satisfaction as well as the total effective rate of patients in the observation group was also much higher than that of the control group, and there was also a statistically significant difference in the data (P&lt;0.05). Conclusion: The nursing risk management model has a significant therapeutic effect in the care of critically ill respiratory patients. Therefore, it is worth popularizing to use in the clinical nursing of respiratory critical patients.

Analysis of Application Effect of Nursing Risk Management in Acute and Critical Care of Cardiovascular Department

Analysis of Application Effect of Nursing Risk Management in Acute and Critical Care of Cardiovascular Department

Study on Effect of Nursing Risk Management on Patients with Acute Attack of Bronchial Asthma Complicated with Acute Upper Respiratory Tract Infection

Study on Effect of Nursing Risk Management on Patients with Acute Attack of Bronchial Asthma Complicated with Acute Upper Respiratory Tract Infection

The application effect of the flipped classroom combined workshop teaching method in the risk training of infectious hospital nursing

Objective To explore the effect of the flipped classroom combined workshop teaching (FC-Workshop) method in the risk training of infectious hospital nursing. Methods A total of 50 nurses who participated in the nursing risk training of Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine in 2016 were selected as the traditional group, and 50 nurses who participated in the nursing risk training of the hospital in 2017 were selected as the FC-Workshop group.The traditional group adopted traditional teaching methods, while the FC-Workshop group adopted FC-Workshop training.The training effect of the two groups was compared. Results After the adoption of FC-Workshop training, the theoretical and operational performance, critical thinking, innovative behavior, risk perception of adverse events, autonomous learning ability, problem solving ability, total score of learning attitude, teaching method and learning satisfaction of the nurses in the FC-Workshop group were significantly better than those of the traditional group, with statistically significant differences(P<0.05). Conclusions FC-Workshop can improve nursing risk management ability and critical thinking ability, and promote the construction of high-quality nursing team. Key words: Flip classroom; Nursing risk management

Study on the application of root cause analysis risk nursing management in clinical nursing

Objective To investigate the effect of root cause analysis (RCA) risk nursing management in clinical nursing. Methods RCA method was adopted to analyze proximal causes and root causes of 124 clinical nursing problems occurred in this hospital from January to June in 2017, formulate and implement corrective measures. The incidence of adverse nursing events before and after implementation, the risk perception of nursing staff and patients' satisfaction with nursing quality were compared. Results The most common adverse events in clinical nursing mainly included treatment errors of doctor's orders, drug administration errors, venous puncture bleeding, pipe loss and skin compression, accounting for 18.55%, 14.52%, 13.71%, 9.68% and 6.45%, respectively.Proximal causes of adverse events include personnel factors and environmental factors, and the root cause is management factors (including unblocked communication channels, inadequate learning and training, unclear management process and imperfect management mechanism). RCA after implementation of nursing risk management, the incidence of adverse events by before the implementation of 4.817‰ after the introduction of reduced to 3.595‰ significantly lower incidence, and the difference was statistically significant (P=0.036). After the introduction of management, nursing risk perceptions implementation was obviously better than the former, patients satisfaction of nursing quality is obviously higher than that of before the implementation, and the difference was statistically significant (P<0.05). Conclusions Root cause analysis risk nursing management application in clinical nursing, can significantly reduce the incidence of adverse events, improve nursing staff risk awareness and patient satisfaction, the application effect is good. Key words: Root cause analysis; Risk management; Proximal cause; Root cause; Quality of care

Application of clinical nursing pathway and risk management in emergency stroke patients

Objective To explore the application effect of nursing path and risk management for emergency stroke patients. Methods From January to June 2018, 92 stroke patients who were treated in Zhumadian Central Hospital of He'nan Province were selected as the experimental objects and set as the optimized emergency care group; from July to December 2017, 92 stroke patients who were treated in the hospital were selected as the experimental objects and set as the routine care group. Routine nursing group was given nursing care according to the routine. Optimized emergency nursing group was given the nursing risk management care on the clinical care pathway. The VAS scores, satisfaction degree, rate of intact rescue articles, rate of nursing defects and adverse reactions during hospitalization. Results Compared with the routine nursing group, the optimized emergency nursing group had higher satisfaction, lower VAS score, higher intact rate of rescue items, lower incidence of nursing defects and adverse reactions, the differences were statistically significant (P<0.05) . Conclusions Optimizing emergency care and building risk management can better reduce the degree of pain and adverse reactions of stroke patients, improve patients' satisfaction and reduce the occurrence of nursing defects. Key words: Nursing care; Emergency; Stroke; Risk management; Clinical pathway

Effect of nursing risk management measures on postoperative care quality of infants with congenital heart disease and low body weight

Objective To explore the effect of nursing risk management measures on postoperative care quality of infants with congenital heart disease and low body weight. Methods A total of 90 infants with congenital heart disease and low body weight admitted to the hospital from January 2015 to December 2016 were selected as research objects.Using random number table as the grouping principle, 90 children were divided into control group(surgical treatment of congenital heart disease was performed) and study group(nursing risk management intervention was performed), 45 cases of each group.Postoperative complications and adverse events during nursing were observed and compared between the two groups. Results The incidence of postoperative complications in the study group was 6.67%, lower than 24.44% in the control group, and the difference was statistically significant(P<0.05). The incidence of adverse events was 4.44% in the study group, lower than 17.78% in the control group, and the difference was statistically significant(P<0.05). Conclusion Nursing risk management measures can effectively strengthen the quality of postoperative care for low-weight infants with congenital heart disease and guarantee their prognosis, which is worthy of clinical promotion. Key words: Nursing risk management; Congenital heart disease; Low weight; Infants; Postoperative monitoring quality

Effect of nursing risk management on ventilator-associated pneumonia in patients with acute respiratory distress syndrome

目的 观察护理风险管理应用在急性呼吸窘迫综合征患者呼吸机相关性肺炎的护理效果及临床价值。 方法 选择2015年6月至2017年12月温州医科大学附属第一医院急诊重症监护室(EICU)收治的急性呼吸窘迫综合征患者230例作为研究对象，按照护理方法不同分为观察组和对照组，每组115例。对照组采取常规护理，观察组采取护理风险管理模式，对比两组护理效果。 结果 观察组发生呼吸机相关性肺炎、护理风险事件、护理投诉事件、护理满意度评分分别为3例、1例、2例、(95.01±4.01)分，对照组分别为15例、8例、11例、(84.97±2.13)分，差异均有统计学意义(χ2＝3.197、3.981、4.037、t＝9.237，均P<0.05)。观察组心理维度、生理维度、社会维度、环境维度分别为(37.14±4.13)分、(18.76±3.02)分、(28.23±3.13)分、(23.65±2.65)分，对照组分别为(22.05±2.06)分、(13.13±1.21)分、(21.05±1.45)分、(18.11±1.21)分，差异均有统计学意义(t＝11.387、14.398、10.378、11.084，均P<0.05)。观察组干预后白细胞介素6、肿瘤坏死因子α分别为(33.54±6.25)pg/mL、(28.87±3.21)pg/mL，对照组分别为(78.54±11.03)pg/mL、(44.76±6.14)pg/mL，差异均有统计学意义(t＝5.032、5.318，均P<0.05)。 结论 护理风险管理应用在急性呼吸窘迫综合征患者治疗中可以减少呼吸机相关性肺炎发生，提升患者舒适程度，降低护理风险事件和护理投诉，减轻患者体内炎症反应程度，具有临床应用的价值。

Application of Nursing Risk Management in Assisted Reproductive Nursing

Objective: discuss and analyze the application effects of nursing risk management in assisted reproductive nursing.Methodology: this research was carried out by selecting 384 IVF-ET (In-vitro fertilization and embryo transfer) patients admitted bycertain hospital during February 2016 to February 2018 as research objects, who are classifed into general group and research group at random by numbering all randomly, with 192 objects per group for comparing adverse event rate and nursing quality of patients inthese two groups. Result: the adverse event rate of patients in research group is 4.17%, while that in general group is 10.94%, with the adverse event rate in research group lower than that in general group (P ＜ 0.05); the overall scores of nursing quality in research group is (96.37±9.37), while that in general group is (79.34±8.25), with the overall score in research group signifcantly higher than that in general group (P ＜ 0.05); the nursing satisfaction of research group and general group are 95.31% and 84.38% respectively, with the satisfaction in research group signifcantly higher than that in general group (P ＜ 0.05). Conclusion: in assisted reproductive nursing, the application of nursing risk management plays a critical role, which can not only reduce the adverse event rate, but also effectively improve the nursing quality of patients, as well as improve the nursing satisfaction of patients, thus being proven that nursing risk management shall be widely applied in clinical nursing.

Method and application effect analysis of nursing risk management in neonatal ward

目的 探讨新生儿病区护理风险管理的方法及其应用价值。 方法 选择杭州市妇产科医院2016年5月至2017年9月接诊的新生儿100例为研究对象，采用奇偶数字分组法随机分成研究组和对照两组，每组50例。研究组予护理风险管理，对照组予常规护理管理。综合分析两组的护理管理效果，比较护理纠纷发生率等指标。 结果 研究组的护理质量评分为(97.53±7.42)分，对照组为(85.21±7.94)分，差异有统计学意义(P<0.05)。研究组的护理纠纷发生率为2.0%、护理缺陷发生率为12.0%，对照组分别为16.0%、44.0%，差异均有统计学意义(均P<0.05)。研究组亲属对护理满意度为96.0%，对照组为82.0%，差异有统计学意义(P<0.05)。 结论 在新生儿病区中积极应用护理风险管理方法，可有效提升护理质量，减少护理缺陷发生风险。

Effect of ICU nursing risk management on prognosis and complications of patients with severe pneumonia with ventilator-assisted therapy

Objective To explore the effect of nursing risk management in intensive care unit (ICU) on prognosis and complications of patients with severe pneumonia ventilator-assisted therapy. Methods From June 2014 to June 2016, 84 patients with severe pneumonia who received ventilator-assisted therapy in the ICU of the hospital were selected and divided into the control group and the observation group according to the patient's admission schedule, 42 cases of each group.Routine nursing management was conducted in the control group, and ICU nursing risk management was applied in the observation group on the basis of the control group. The prognosis and complications of the two groups were compared. Results Acute pathophysiology and chronic health scores(APACHEⅡ)were lower in the observation group than those in the control group (P<0.05). The duration of ventilator use, ICU stay and mean hospitalization were shorter than those of the control group (P<0.05). The incidence of ventilator-associated pneumonia(VAP), respiratory failure, nursing risk and nursing complaints of the observation group were lower than those of the control group(P<0.05), while the satisfaction rate of the observation group was higher than that of the control group(P<0.05). Conclusions ICU nursing risk management can effectively improve the treatment effect of patients with severe pneumonia and ventilator assisted ventilation, reduce the incidence of VAP, improve the prognosis of patients and improve the patient satisfaction rate. Key words: Intensive care unit; Nursing risk management; Severe pneumonia; Ventilator adjuvant therapy; Prognosis; Complication

Application of color wristband in nursing risk management for patients with schizophrenia in open ward

Objective To discuss the result of the application of color wristbands to prevent and reduce adverse events in the nursing risk management of patients with schizophrenia in open wards. Methods A total of 119 cases of schizophrenia were placed according to the admission sequence, which is 60 patients with odd number for experimental group, and 59 patients with even number for control group.For the experimental group, addition to a conventional hospital care, wristbands of different color were worn depending on patients' risk levels (impulse, running away, self-injury, suicide and medicine-hiding). The wristbands were labeled with graphics representing risk levels.The patients were provided with appropriate hospital care.For the control group, patients wore wristbands with a uniform color and were provided with routine patient care.The incidence of adverse events during hospitalization, satisfaction and the general self-efficacy of responsible nurses were observed. Results For the incidence of adverse events, the difference between the experimental group (2 cases, 3.33%) and control group (8 cases, 13.56%) was statistically significant (P<0.05). For the satisfaction of patients and family members, the differences between experimental group (94.02 ± 3.30) and the control group (80.59 ± 4.12) for patients and the experimental group (96.45 ± 2.37) and the control group (84.74 ± 6.32) for family members, respectively, were statistically significant (P<0.05). As for the general self-efficacy scores of responsible nurses, the score's difference between experimental group (4.02± 0.86) and the control group (3.24± 0.53) was statistically significant (P<0.05). Conclusions By marking the patients with schizophrenia in open wards with color wristbands representing different risk categories and levels, it can reduce the incidence of adverse events during hospitalization, increase the satisfaction and improve the cooperation of family members of patients, enhance the general self-efficacy of responsible nurses, promote the work motivation and quality, and thus, to get a better risk management results on patients with schizophrenia in open wards. Key words: Schizophrenia; Open wards; Color wristbands; Risk management in nursing

护理管理方面护理风险管理在急诊患者安全管理的实施效果、护理质量及满意度评价

护理管理方面护理风险管理在急诊患者安全管理的实施效果、护理质量及满意度评价

Effect of nursing risk management basing on concept of circulation quality control in decreasing poor incision healing after cesarean section

Objective To explore the effect of nursing risk management basing on concept of circulation quality control in decreasing poor incision healing after cesarean section. Methods Two-hundred puerperae who received cesarean section from September 2014 to August 2016, and whose clinical data were analyzed retrospectively, were divided into risk management group and conventional group according to nursing measures, each with 100 cases. Conventional nursing intervention was conducted to puerperae in the conventional group, while besides that, puerperae in the risk management group were taken care of under the nursing risk management basing on the concept of circulation quality control. Anxiety status of puerperae in the two groups were evaluated, with the self-rating anxiety scale (SAS) , at admission to the hospital, 1 day after intervention, 3 days after intervention and 1 day before leaving hospital. Satisfaction towards nursing was evaluated by a self-designed scale of patients' satisfaction towards nursing in department of gynecology and obstetrics. Incidence of poor incision healing of all puerperae were statistically analyzed. Results Total incidence rate of poor incision healing in the risk management group was 5.00%, lower than 13.00% in the conventional group (χ2=3.91, P<0.05) ; SAS scores of puerperae in the risk management group at 1 day, 3 days after intervention, and 1 day before leaving hospital were significantly lower than that in the conventional group (P<0.05) ; satisfaction towards nursing in the risk management groups was significantly higher than that in the conventional group (P<0.05) . Conclusions Conducting nursing risk management basing on concept of circulation quality control to puerperae after cesarean section can effectively reduce incidence rate of poor incision healing, relieve the patients' bad emotions, and improve their satisfaction towards the nursing care. Key words: Cesarean section; Concept of circulation quality control; Nursing risk management; Poor incision healing; Satisfaction towards nursing

Current status and influencing factors of nursing safety quality of geriatric care institutions in Shanghai

Objective To understand the current status and influencing factors of nursing safety management of geriatric care institutions in Shanghai. Methods Adopted questionnaire and experts spot-supervision to survey 25 geriatric nursing hospitals and 12 community health care centers which had more than 200 beds. The questionnaire had four parts including nature of institutions, general information of the managers, nursing risk management status and nursing safety quality status. Results The average score of nursing safety quality was (14.12±2.03) points, there was no statistical significance in nature of institution, size of the institutions, age, education background, professional title, managerial experience, effect of nursing risk report and assessment and contingency plan (P> 0.05), but there was statistical significance in nurse managers′ knowledge about nursing risks, nursing risk management maturity and nurses training(F=2.818, 7.768, 3.555, P<0.05 or 0.01). Multiple linear regression showed that nurse managers′ knowledge about nursing risks, nursing risk management maturity and nurses training were the influence factors of nursing safety quality, and they account for 82.1%, and the regression equation was Y=7.988+0.365X1-0.380X2+0.350X3. Conclusions Strength the construction of nursing management team, perfect nursing management system, regular training could improve nursing safety quality of geriatric institutions in Shanghai. Key words: Aged; Nursing care institutions; Nursing safety

Application of Nursing Risk Management Program in the Management of Hematology Department

The application of nursing risk management program in the nursing management of hematology department was introduced. This study emphasizes the risk identification, coping and tracking. Finally, the effects of risk management were evaluated.