Applications and effects of standardized management model in pediatric laparoscopic surgery ;nursing / 中国实用护理杂志

ABSTRACT

Objective To improve pediatric laparoscopic surgical nursing care by establishing and applying standardized management mode, and ensure the operations and the children′s safety. Methods 100 children were respectively selected who received laparoscopic surgery from January to June and from July to December 2015 as control group and test group. Nursing workflow were respectively carried out before and after standardized management mode applied in control group and test group. Then we compared the differences in examination scores, time cost of operative preparation and surgeon satisfaction of specialist nurses between the two groups. Results After the implementation of standardized management, the examination scores of specialist nurses were higher than before. The theoretical and operating scores before implementation were (74.94 ± 2.01) and (81.63 ± 0.92) points, while the scores after implementation were (80.67 ± 3.91) points and (86.22 ± 1.48) points relatively. The differences were statistically significant (t=3.726,7.570, P<0.01);The time cost of operative preparation was significantly shortened from (27.94±1.88) minutes to (23.56±1.61) minutes (t=5.181,P<0.01);In the survey of nurses′satisfaction, the nursing knowledge scores increased from (3.77 ± 0.57) points to (4.17 ± 0.46) points after the implementation, while skill scores lifted from (3.57 ± 0.63) points to (4.00 ± 0.83) points, with all the differences above are statistically significant(t=2.994, 2.282,P < 0.01). The rate of laparoscopic equipment failure was declined, especially the case of equipment failure due to misuse had reduced from 12 to 2 cases (χ2=7.680,P < 0.05). Conclusions Application of standardized management mode can effectively improve the nurses′ professional ability and the rate of normally used equipment in the operation, which improved surgeon′s satisfaction.