责任小组负责制在优质护理服务中的应用

Application of responsibility contract of team responsibility system in the high quality nursing service

目的:探讨责任小组负责制在优质护理服务中的应用方法与效果。方法:根据科室护士人数和人员结构特点,将护士分成若干个责任小组,与医生主诊组形成一个医护合作团队,共同负责1组患者诊疗护理工作,选聘责任组长,实行8 h上班、24 h负责制。结果:责任小组负责制的实施提高了护理质量和护士"三基"考核成绩,提高了患者和医生对护理工作的满意度,与实施前比较差异有统计学意义(P<0.01)。结论:责任小组负责制可提高护理质量、医生对护士工作的认可度和患者及家属对护理服务的满意度,有利于调动护理人员学习专科知识及技能的积极性,在一定程度上促进了优质护理服务的深入开展。

Objective：To investigate the application approach of responsibility contract of team responsibility system in the high quality nursing service and its effect. Methods ： Nurses were divided into several responsible groups and composed a team with the group of doctors according to the number of nurses and the structure characteristic of personnel in the department. The team was responsible for treatment and nursing care of a certain group of patients, taking 24 - hour responsibility. Results ： The responsibility contract of team responsibility system improved the quality of nursing care and nurses＇performance as well as the patient and physician satisfaction on nursing work ,and the difference was statistically significant compared with that before the implementation of the responsibility contract （P 〈 0.01 ）. Conclu- sion：The responsibility contract of team responsibility system can improve the quality of nursing care, doctor＇s recognition of nursing work and can also improve the satisfaction of patient and their families with nursing service, which is conducive to mobilizing the initiative of nursing staff to learn the related knowledge and skills.