摘要目的 探索优质护理服务在手术室的实践效果及合理评价途径.方法 在云南省昆明医科大学2所附属医院手术室按比例分层随机抽样抽取护士样本93名;在2家医院手术室同时实施一组"手术室专科优质护理服务项目",并于项目实施前后,采用"任务绩效和关系绩效量表"对手术室护士进行测量和数据收集.结果 在"手术室专科优质护理服务项目"实施后任务绩效总分和患者关怀、护理信息提供、专科护理技能维度得分分别为(58.59±1.77)、(19.27±1.16)、(19.50±1.11)、(19.80±0.70)分,均较实施前的(37.21±1.92)、(5.55±0.86)、(13.78±1.12)、(17.87±0.98)分升高,差异有统计学意义(t=-82.48~-15.15,P<0.01).在"手术室专科优质护理服务项目"实施后关系绩效总分和同事间相互支持、工作任务外的额外负担、给予组织的支持维度得分分别为(70.43±2.94)、(28.23±1.21)、(18.52±1.29)、(23.67±1.86)分,均较实施前的(36.20±1.79)、(15.52±1.94)、(7.33±1.11)、(13.34±0.87)分升高,差异有统计学意义(t=-91.99~-46.68,P<0.01).结论 "手术室专科优质护理服务项目"是一系列能够提升手术室护士任务绩效和关系绩效水平和促进手术室优质护理工作质量的护理服务;而任务绩效和关系绩效也是一组能够全面有效评价和反映手术室专科优质护理服务实施效果的手段和方法.

abstractsObjective To explore the effect of high quality nursing care performing in the operating room and reasonable approach for assessment. Methods Stratified random sampling was used to select 93 nurses from two tertiary hospitals. The task performance and contextual performance was assessed before and after implementing a range of high quality nursing care program. Results The task performance scores and patient care, nursing information, nurse skills dimension scores respectively were 58.59 ±1.77, 19.27±1.16, 19.50±1.11, 19.80±0.70 after the operating room junior high quality nursing service project, which were 37.21 ± 1.92, 5.55 ± 0.86, 13.78 ± 1.12, 17.87 ± 0.98 before the implementation, the differences were statistically significant (t=-82.48--15.15, P<0.01). The performance scores and mutual support between colleagues, work out the extra burden, organizational support dimension scores were respectively 70.43 ± 2.94, 28.23 ± 1.21, 18.52 ± 1.29, 23.67 ± 1.86 after the operating room junior high quality nursing service project, which were 36.20 ± 1.79, 15.52 ± 1.94, 7.33 ± 1.11, 13.34 ± 0.87 before the implementation, the differences were statistically significant (t=-91.99--46.68, P<0.01). Conclusions The high quality nursing care program is a range of nursing service which can advance task performance and contextual performance of nurses in the operating room. Task performance and contextual performance are effective approaches by which high quality nursing care in operating room could be reasonably assessed.