Clinical Research
Construction and application of the structured 3C diseases observation form for patients undergoing spinal surgery
Zhang Li, Chen Yaping, Tong Bingdu
Published 2020-04-26
Cite as Chin J Mod Nurs, 2020, 26(12): 1610-1614. DOI: 10.3760/cma.j.cn115682-20190923-03448
Abstract
ObjectiveTo construct a structured 3C dynamic disease observation form for patients undergoing spinal surgery and to explore its application effect in clinical work.
MethodsBased on the literature evidence, a structured 3C disease observation form was formed through focus group interviews. Before the application of the form (from June 2018 to August 2018) , the related situations where responsible nurses used a traditional form to prepare information about the patients' conditions were collected 100 times. After the application of the form (from September 2018 to November 2018) , the related situations where responsible nurses used a structured 3C dynamic disease observation form to prepare information about the patients' conditions were collected 100 times. Before and after the application, the nurses' mastery rate of the patients' conditions, the time for the nurses to master the patients' conditions and the nurses' satisfaction with the form were compared.
ResultsAfter application of the structured 3C disease observation form, the average rate of nurses' mastery of patients' conditions increased from 88.2% to 95.1%, and the difference was statistically significant (χ2=39.826, P<0.01) . The time spent for nurses to master the patients' conditions was shortened from (7.61±1.67) min before the implementation to (5.34±1.33) min after the implementation, and the difference was statistically significant (t=10.654, P<0.01) . The satisfaction score of the nurses on the traditional form was (28.50±2.20) points and the satisfaction score of the structured 3C disease observation form was (35.80±3.15) points, and the difference was statistically significant (t=-8.097, P<0.01) .
ConclusionsThe application of structured 3C disease observation form can significantly improve the nurses' mastery rate of patients' conditions, improve work efficiency and increases nurses' satisfaction with their own nursing work, which is helpful to improve the quality of nursing management.
Key words:
Hospital, orthopedics; Spinal surgery; Structured; Disease observation; Form; Work efficiency
Contributor Information
Zhang Li
First Ward of Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730
Chen Yaping
First Ward of Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730
Tong Bingdu
First Ward of Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730
