影响《综合医院分级护理指导原则（试行）》实施的因素分析

Research of influencing factors on the implementation of ＂general hospital guiding principles of nursing classification （trial）＂

目的研究《综合医院分级护理指导原则（试行）》（以下简称《原则》）在临床护理工作中实施的影响因素。方法自行设计问卷，采用方便抽样的方法，抽取长春市3所三级甲等医院的152名护士和143名医生为调查对象，并对调查数据进行统计分析。结果护士方面，护士的责任心、护士的数量、护士的基本素质影响程度较高，居各影响因素的前3位；分级护理标准、领导的重视程度、病种的差异性影响程度较低，居各相关因素的后3位；医生、护士对《原则》实施的影响因素认知存在差异。结论提高《原则》的执行力，必须统一医护人员对《原则》的认知，提升护理人员的基本素质、责任心，有效地实施护理人力资源管理。

Objective To explore the influencing factors of the implementation of ＂general hospital guiding principles of nursing classification （trial）＂ in clinical nursing work. Methods 152 nurses and 143 doctors were selected from three 3A-level hospitals in Changchun and were investigated with self-de- signed questionnaires,and the data were statistically analyzed. Results The first three influencing factors were the responsibility, quantity and basic qualities of nurses. Grading nursing standards, leadership Value de- gree and the differences of disease had lower influencing degree. There were cognitive differences between nurs- es and doctors on the influencing factors on implementation of the principle. Conclusions To improve exe- cution of the principles,the cognition of doctors and nurses on the principles must be unified. Increasing nurses＇ basic quality and responsibility and carrying out effective human resources management are very useful.