ObjectiveTo explore the practice effect of "disease-characteristics nursing quality improvement" program (DNQIP) in patients with gestational diabetes mellitus (GDM).Methods Totally 841 GDM patients were selected by convenience sampling method and were divided into two groups based on whether they were nursed by the "DNQIP" program. Totally 236 GDM patients diagnosed between July 1st,2011 and June 30th,2012 were selected as the control group,while 605 GDM patients diagnosed from July 1st,2012 to April 30th,2015 were selected as the intervention group. Patients in the intervention group were cared with the "DNQIP" mode,which meant "looking for optimal evidence,relying on optimal processes and displaying optimal care". Finally,maternal and fetal outcomes,patient satisfaction and nursing quality ratings for various nursing units in two groups were compared.Results The differences in the incidence of macrosomia and hypertensive disorder complicating pregnancy between two groups were of no statistical significance (P>0.05);the incidence of premature delivery in the intervention group (7.2%) was significantly lower than that in the control group (16.0%) (χ2=15.04,P<0.01). In terms of patient satisfaction,the intervention group obtained higher scores than the control group in all items except for "nurses′ operation" (P<0.01). Composite score of special inspection for nursing quality of various nursing units after the implementation was higher than that before the implementation (P<0.05).Conclusions The DNQIP can reduce the incidence of premature delivery among GDM patients, improve the satisfaction of patients and optimize the quality of nursing service.

The development of evidence-based "disease-characteristics nursing quality improvement" program was one of national clinical key specialty construction projects of Peking University First Hospital that approved in 2010. It emphasized the combination of the most convincing evidences,the most optimized procedures,and the best concerns. Moreover,it also required that nurses should break through the traditional disease care routine,and took the patients as the center,the evidence-based nursing as basis,the "high-quality nursing service chain" as mainline,and provided a great and comprehensive nursing procedure and nursing scheme for patients from the beginning to the ending of hospitalization,as well as completing their nursing work much better in professional care,disease observation,metacheirisis,psychological support,health education and rehabilitation guidance. A comprehensive,active,and professional nursing care through the whole course would be provided to patients. This project achieved great success,which leads the development of specialized disease nursing care,and becomes a shining point in "high-quality nursing service pilot project".

This paper reviewed related published and literatures of magnetic hospital in the United States so as to extract valuable information and build into magnetic nursing work environment in China. Explore new pathways and new ideas as reference and suggestions for our practice.