护士层级管理对护理质量及护士满意度的影响

The effect of the hierarchical management on nursing quality and nursing satisfaction

目的探讨护士层级管理在护理管理中的应用效果。方法选取我院外科36名护士为研究对象，对其实施护士层级管理，比较实施前后护理质量的变化及工作成就感的变化。结果实施层级管理后，护士的专业技术考核、基础护理、护理文书、健康教育的评分均显著高于实施前（P〈0．05）。护士对职业满意度、自我实现愿望、自我价值体现和综合成就感显著高于实施前（P〈0．05）。结论护士层级管理有利于更好地落实患者的基础护理，改善护理质量，提高护士对职业的满意度。

Objective To explore the application effects of the hierarchical management on nursing quality and nursing satisfaction. Methods A total of 36 cases of surgical nurses were selected as the research object, the changes of nursing quality and work achievement after the implementation of hierarchical management were compared with before it. Results Implementation of hierarchical management, the score of nurses professional and technical assessment, basic nursing, nursing document and health education after it were signifi- cantly higher than those before it （ P 〈 0. 05 ） . The occupation satisfaction of nurses, fulfillment wish, self - worth and achievement were significantly higher than those before it （P 〈 0. 05） . Conclusions The hierarchical management helps manage basic nursing better of the patients ; it can improve the nursing quality and the occupation satisfaction of nurses.