医护同步责任管理模式的应用效果

Application of medical synchronous responsibility management mode in clinic

目的探讨医护同步责任管理模式的临床应用。方法将病房责任护士分层组合并纳入医疗组与医生同步共同对患者实施医疗护理的医护同步责任管理模式（管理后），与传统责任管理模式（管理前）比较患者对护理工作满意度、护士对自身工作满意度及护理质量。结果管理前患者对护理工作满意度平均（90．18±3．05）分，管理后平均（97．24±2．78）分，管理后高于管理前（t=5．274，P〈0．01）；管理前护士对自身工作满意度平均（88．36±4．11）分，管理后平均（96．91±3．53）分，管理后高于管理前（t=12．420，P〈0．01）。护理质量各项指标消毒隔离管理、规范化服务、护理文件书写、基础护理、分级护理、病区规范化管理、健康教育知晓率管理后均比管理前明显提高，差异均具有统计学意义（t值分别为6．528，4．773，4．569，5．031，4．983，6．249，7．667；P值均〈0．01）。结论医护同步责任管理模式可提升患者对护理工作的满意度，提高护士的工作满意度，调动护理人员工作积极性和主动性，提高工作效率，提升护理质量。

Objective To explore the application of medical synchronous responsibility management mode in clinic. Methods Nurses were layered and combined with doctors, and implemented the medical synchronous responsibihty management mode in clinic, then, patients＇ satisfaction of nursing, nurses＇ satisfaction of the job, the nursing quality were observed and compared with that of the traditional responsibility management. Results Patients ＇ satisfaction of the nursing of the traditional responsibility management was （90.18 ± 3.05 ） , and that of the medical synchronous responsibility management was （97.24 ± 2.78 ） , and the difference was statistically significant （ t = 5. 274 ,P 〈 0.01 ） ,the nurses＇ satisfaction of the job of the traditional responsibility management was （88.36 ± 4. 11 ） which was significantly lower than （96.91 ± 3.53） of the medical synchronous responsibility management（ t = 12. 420, P 〈 0.01 ）. The quality of nursing index such as disinfection isolation standardization management, service, nursing documents writing, primary care, grading nursing, and standardized management, health education cognition rate were significantly improved （P 〈 0.01 ）. Conclusions Medical synchronous responsibility management can improve the patients＇ satisfaction of nursing, and improve the nurses＇ job satisfaction, mobilize nurses＇ work enthusiasm and initiative, and improve work efficiency and the quality of nursing.