“护护独立交接班”模式在临床早晚交接班中的应用

Application of nurse-nurse independence shift mode in the clinical nursing morning-evening shift

目的探讨护护独立交接班模式在护理早晚交接班中的应用，以促进护理服务质量的持续改进。方法在传统交接班和床旁交接班的基础上，增加对病房每位患者较为详细的护士与护士之间的独立交接班，比较实施前后护理人员对患者病情掌握的情况、患者对护理人员工作满意度、医护人员的认可程度、护理差错事故发生情况及交接班所需时间。结果实施护护独立交接班模式后，护理人员对患者病情掌握程度及患者对护理人员工作的满意度分别为（8．65±0．59），（96．15±3．31）分，均高于实施前的（6．30±1．30），（90．40±5．82）分，差异均有统计学意义（t分别为-7．19，-5．20；P〈0．01）；实施后医生和护理人员对护护独立交接班模式的认可程度分别为91．67％，90．00％，均高于实施前的41．67％，45．00％，差异均有统计学意义（）（。分别为6．75，9．23；P〈0．05）；实施前后所需交接班时间比较，差异无统计学意义（P〉0．05）。结论在混合交接班模式基础上加入护护独立交接班模式，可提高护理服务质量。

Objective To explore the application of nurse-nurse independence shift mode in the clinical nursing morning-evening shift so as to promote the continuous improvement of nursing quality. Methods Based on the conventional shifting mode and bedside shifting mode, an independent shifting mode between nurses and nurses was adopted that introduced the condition of each patient in the wards in detail. The nurses＇ knowledge of each patients＇ condition, the patients＇ satisfaction, the approbation of medical staff, and the shift delivery time were observed and compared before and after implementation. Results After the nurse-nurse independence shift mode applied, the score of nurses＇ knowledge of each patients＇ condition and patients＇ satisfaction were （ 8.65 ± 0.59 ）, （ 96.15 ± 3.31 ）, higher than before that （ 6.30 ± 1.30 ）, （ 90.40 ± 5.82 ）, and the differences were statistically significant （ t = - 7.19, - 5.20, respectively ;P 〈 0.01 ）. And doctors＇ and nurses＇ approbation on the new shift mode was 91.67% and 90.00% ,respectively ,and significantly higher than 41.67% and 45.00% that of before, the differences were statistically significant （ X2 = 6.75,9.23, respectively ; P 〈 0.05 ）. while there was no significant difference was detected in the shift delivery time after the new mode was applied（ P 〉 0.05 ）. Conclusions The nurse-nurse independent shift mode combines with the mixed shift mode can improve the nursing quality and worth promoting in clinic.