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Continuously improving the nursing quality of Fujian Provincial Hospital by the model of “Problem solving for better health”

Continuously improving the nursing quality of Fujian Provincial Hospital by the model of “Problem solving for better health”

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Problem Description: 

Nursing quality management is the key of nursing management and thenursing quality continuous  improvement  is  the eternal theme of  hospital management. Fujian Provincial Hospital established a new nursing quality management  model  by the  foundation  of  nursing management  system reform. In order to meet the patients’ need of nursing service quality, we discovered problems and reformed continuously, shifting quality assurance to quality improvement, we obeyed the principle of “patient first, people- oriented, full participation, prevention first, basing on facts and data” during the process of nursing quality improvement.

Solution: 

Apply the model of problem solving for better health to nursing quality continuous improvement

1. The head nurses and nursing backbones of 73 were divided into 2 stages to participate the PSBH training. They were trained how to discover problems and find the available resources to solve the problems in order to improve their thinking and problem solving skills, each one should complete one improvement project within the time schedule after training.

According to PSBH method, we formatted our training method into 4 steps which were choosing health problems, developing the solutions to the problem, making the action plan, finding out clear evaluation indexes and methods.

2. The head nurses and nursing backbones were required to make improvement plans according to the problems which they found out duringtheir routine quality inspections in nursing management and the problems patients or their family members concerned most, especially high-risk, frequent, potential quality problems. They analyzed the problems and made the improvement project, including 5 stages of training, publicity, coordination, implementation, and evaluation along with further improvement.

3.At the end of the year, each department would hand in their continuous quality improvement project, nursing department organized some experts to review and select the excellent projects.

4.At the end of the year, we held a continuous quality improvement project briefing reporting the outstanding projects, and organized experts to assess the projects, and selected 2 special awards, 1 gold award, 3 silver awards, 5 bronze awards and some excellence awards.

5.The nursing department would bind the excellent projects into booklets each year, and extended them to each department and other hospitals to communicate. At the same time, we encouraged nurses to try to publish their excellent projects.

Achievement: 

1. From 2004 to 2013, we produced 10 booklets of “continuous quality improvement project", developed 366 remarkable projects.

2. The project has become a routine and characteristic of nursing qualit management in Fujian Provincial Hospital. It impressed all the jud ges in the provincial nursing quality control center campaign in 2009, so that we were elected the Fujian Provincial Nursing Quality Control Center Linked Units with an overwhelming majority of votes.

3. Published more than 60 papers, including 2 in Chinese Journal of nursing, 1 in International Nursing Journal, 1 in Chinese Journal of Nursing Education.
 
4. Two projects participated in nursing forums between Fujian and Taiwan and received good feedback.
 
5. The project of Effect on Health Education Model of Diabetes Club won the third prize of Provincial Medical Science and Technology Progress and the Provincial Nursing Institute of Science and Technology Progress. The projects of Improvement on Preoperative Visiting won the third prize of the Provincial Nursing Institute of Science and Technology Progress and the Hospital Technological Innovation award, and communicated with the operation theater of Botswana Princess Hospital in Africa.
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