护理带教中护理差错的原因分析及管理对策.doc

护理带教中护理差错的原因分析及管理对策 摘要 目的 探讨护理带教中护理差错的原因及管理对策。 方法 选取本院护生76名，实施一对一护理带教，分析护理带教中护理差错的发生原因。 结果 76名护生发生护理差错40次，其中输液注射差错14次，处理医嘱差错12次，交接班不清差错10次，口服药物发放差错1次，护理观察不到位差错3次。依护生学历中专、大专、本科顺序，护理差错发生率呈现降低趋势。依带教老师职称护士、护师、主管护师顺序，护理差错发生率呈现降低趋势。经统计学分析，差异有统计学意义（P0.05）。 结论 护生学历低、带教老师职称低容易发生护理差错，实施有效的护理管理对策可减少护理差错的发生，有助于提高医院护理带教的管理质量。 关键词 护理带教；护理差错；原因分析；管理对策 中图分类号 R473.4 文献标识码 B 文章编号 2095-0616（2014）04-159-02 Reason analysis and management countermeasures of nursing errors in nursing teaching XIONG Guihua1 LIU Xingshan2 1.Affiliated Hospital of Changchun University of Chinese Medicine，Changchun 130000，China；2.Changchun University of Chinese Medicine，Changchun 130000，China Abstract Objective To investigate reason and management countermeasures of nursing errors in nursing teaching. Methods 76 nursing students were selected in hospital，who were given one-one nursing teaching. Reason of nursing errors were analyzed in nursing teaching. Results Nursing mistakes happened 40 times in 76 nursing students. Infusion injection error happened 14 times. Processing order error happened 12 times. Not clear shift error happened 10 times. Oral drug release error happened 1 time. Nursing observation not in place error happened 3 times.According to nursing students degree sequence of technical secondary school-junior college-undergraduate，incidence of nursing error decreased.According to eacher professional title sequence of nurse-higher nurse-nurse in charge order，incidence of nursing error decreased.By statistical analysis，difference was statistically significant（P0.05）. Conclusion Low nursing students degree and teacher professional title can cause teachers professional titles.Effective nursing management measures can reduce occurrence of nursing errors，which is helpful to improve quality of management of nursing teaching in hospital. Key words Nursing teaching；Nursing error；Reason analysis；Management countermeasures 护理带教是护生走向工作岗位的必经之路，也是护理工作的重要组成部分，是护生课题教育的继续，也是理论与实践相结合的主要环节，是培养高素质、高技能护士的重要阶段，是临床带教的重要环节1-2。在护理带教中，由于种种原因，护生可能发生各种各样的护理差错，会对患者造成不同程度的间接影响或直接影响3-4。为了探讨护理带教中护理差错的原因及管理对策，本院选取护生76名，实施一对一护理带教，分析护理带教中护理差错的发生原因，现报道如下。 1 资料与方法 1.1 一般资料 本院2011年7月2013年7月护生76名， 年龄为1923岁，平均（21.31.5）岁，其中男3名，女73名，参考学历划分：中专14名、大专39名、本科23名。实施一对一带教，带教老师76名，年龄为2754岁，平均年