Rongxin Du, Shu Zhang, Fang He, Huifang Qiu, Jiaqi Chen, Xiaohong Zhang
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引用次数: 0
Abstract
Background and objectives: Management by Objectives (MBO) is effective in reducing the incidence of nursing safety adverse events. This study assessed the effectiveness of applying MBO in the standardized management of orthopedic nursing adverse events and whether it improved the performance of nurses in the areas of specialty theory, technical practice, and educational communication.
Methods: A prospective study was conducted in the orthopedic department of our hospital from May 2021 to April 2023. Fracture patients were divided into a control group (n = 176) receiving standard care and an intervention group (n = 208) where nurses applied MBO principles. We compared nursing performance, the occurrence of adverse events, and patient satisfaction between the 2 groups.
Results: Nurses in the intervention group demonstrated superior performance in specialty theories, technical operations, and education and communication compared to the control group (all P < .05). The occurrence rate of adverse events in the intervention group was 4.81%, significantly lower than the 11.93% observed in the control group. Patient satisfaction scores for nursing processes, environment management, and health education were higher in the intervention group.
Conclusion: These findings suggest that applying MBO to orthopedic nursing can promote standardization of care, effectively reduce nursing adverse events, improve overall safety management, and enhance patient satisfaction. The study provides evidence for the potential benefits of implementing MBO in orthopedic nursing settings to improve care quality and patient outcomes.
期刊介绍：
Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it:
-Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes;
-Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes;
-Fosters the application of quality management science to patient care processes and clinical decision-making;
-Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes;
-Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.
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