责任制分组管理模式对心内科护理质量及满意度的影响

Influence of responsibility system grouping management mode on the quality and satisfaction of cardiology nursing

目的探讨责任制分组模式管理对心内科护理质量及满意度的影响。方法将江苏省淮安市第一人民医院心内科11名护士作为研究对象,在2017年1月—12月实施传统护理制度,2018年1月—12月采用责任制分组管理模式干预。同时,在实施前后分别纳入100例患者、20名医生,分析不同管理模式下患者、医生对护理满意度,护理质量评分,近1年内护理意外事件发生率。结果实施责任制分组管理模式后,医生对护理工作的满意评分明显高于实施前,差异有统计学意义(P<0.05)。实施责任制分组管理模式后,患者满意度评分明显高于实施前,差异有统计学意义(P<0.05)。实施责任制分组模式管理后,护理质量评分明显高于实施前,差异有统计学意义(P<0.05)。护理人员近1年内护理意外事件总发生率明显低于实施前,差异有统计学意义(P<0.05)。结论建立责任制分组管理模式有助于改善心内科护理质量,提高患者和医生对护理服务的满意度,有效防范护理意外事件的发生率。

Objective To explore the impact of responsibility system group management on the quality and satisfaction of cardiology care.Methods A total of 11 nurses from the Department of Cardiology,Huai’an First People’s Hospital,Jiangsu Province were selected as the research objects.The traditional nursing system was implemented from January to December 2017,and the responsibility system group management model was used for intervention from January to December 2018.At the same time,100 patients and 20 doctors were included before and after the implementation,Patients and doctors’satisfaction with nursing care,nursing quality scores,and the incidence of nursing accidents in the past year under different management models were analyzed.Results After the implementation of the responsibility system grouping mode management,doctors’satisfaction scores for nursing work were significantly higher than before implementation,and the difference was statistically significant(P<0.05).After the implementation of the responsibility system group management,the patient satisfaction score was significantly higher than before the implementation,the difference was statistically significant(P<0.05).After the implementation of the responsibility system grouping mode management,the nursing quality score was significantly higher than that before the implementation,and the difference was statistically significant(P<0.05).The total incidence of nursing accidents among nursing staff in the past year was significantly lower than before implementation,and the difference was statistically significant(P<0.05).Conclusion The establishment of a responsibility system group management model will help improve the quality of cardiology care,increase the satisfaction of patients and doctors with nursing services,and effectively prevent the incidence of nursing accidents.