责任制整体护理在呼吸内科优质护理服务中应用的效果评价

Application of responsibility system for holistic nursing in high-quality nursing service in the de- partment of respiratory medicine

目的探讨呼吸内科在优质护理服务活动中实行责任制整体护理的效果。方法选择我院首批开展优质护理服务的呼吸内科示范病区，参照2010年“优质护理示范病房”和“优质护理服务示范工程”活动方案的评分标准，制定小组责任制工作模式，实行责任组长负责、责任护士分管患者的岗位职责。比较新护理模式实施前、实施6个月后病区患者对护理工作的满意度，以及科室医生、护理人员对责任制整体护理模式的满意度。结果小组责任制工作模式实施6个月后，护士的分层级使用充分体现，很大程度上护理人员的工作积极性得以激发，患者对病区护理工作满意度明显提高。结论实行责任组长负责、责任护士分管患者的整体护理模式，能充分发挥护士的潜能，更好调动其工作积极性，从而显著提高科室整体护理水平，为患者提供更优质的护理服务。

Objective To evaluate the application efficacy of responsibility system for holistic nurs- ing system in high-quality nursing service in the department of respiratory medicine. Methods Department of respiratory medicine unit which was the quality nursing service demonstrated unit in our hospital was selected. The nursing responsibility-bound grouping system was first performed and the nurse-incharge would provide the patients with whole and continuous nursing service. Before and 6 months after the application, the nursing job satisfaction was conducted and the nursing grouping system satisfaction was also evaluated among nurses and doctors. Results Six months after the application of nursing responsibility-bound grouping system, the patient satisfaction with nursing job was raised obviously in the unit. Conclusions The application of responsibility-bound grouping system can not only promote the activity but also mobilize the enthusiasm of nurses, and then high-quality nursing service was resulted. So the service system was worthy of clinical application.