集体式护士长轮岗的实践与效果评价

The practice and evaluation of the effect of collective type work shift for the charge nurses

目的提高护士长的创新精神，增强护士长的危机感、责任感及适应能力，挖掘护士长的潜能，提高护士长的综合素质和管理能力。方法集体式护士长轮岗，即临床23个病区，26位护士长全部在同一时间进行大科内轮岗，特殊科室即手术室、供应室、ICU除外。结果轮岗后全院病人满意度得到明显提升，护理质量稳中有升，成功进行了护士长集体轮岗的护理管理改革，更好的发挥了护士长的组织领导、沟通协调作用，激发了护士长的学习热情和责任感，提升了个人业务能力和综合管理水平，体现出护士长的大局意识和团队精神，同时协调缓冲部分科室的人员矛盾，达到了优势互补、资源共享的目的。结论通过轮岗，激发了护士长再学习的积极性，培养了护士长的综合素质和管理能力，转变经验型管理为科学化、规范性的管理。

Objective To improve the creative spirit of charge nurses, strengthen the crisis awareness, responsibility and adaptability, tap the charge nurses＇potential, and increase comprehensive quality and management capacity. Methods Twenty six charge nurses were took turns on the work shift among 23 clinical words except for operating room, supply room and ICU. Results After the work shift, the patients＇satisfaction all the hospital was obviously increased, and the quality of nursing was steadily increasing. Moreover for these charge nurses, the abilities of leadership, communication and coordination were better brought into play, professional ability and the level of administrative management were also increased. We also saw that, overall consciousness and team spirit were fully embodied among these charge nurses, the contradictions among different departments staff were eased.. Conclusions The work shift can arouse the charge nurses＇enthu- siasm for relearning, foster the ability of comprehensive quality and management, thus to realize the transformation from empirical management to scientific and standardized management.