期刊文献+

重症医学科护理质量与效率平衡的研究 被引量:9

Research on ICU Balancing Nursing Quality and Nursing Efficiency
下载PDF
导出
摘要 目的探索在保证护理安全的基础上提升护理工作效率的方法。方法按实施不同制度的时间段将患者分为A组和B组,A组实行三级责任护理管理制度;B组在实行三级责任护理管理制度并对现有病区进行合理分区的基础上,依据患者危重分级和护理人员分层来分配每个床单位的责任护士(双向分层管理制度),两组进行护理总时数、所护理的患者人数、不同危重分级患者的平均护理时数、同一患者不同危重分级平均天数等比较。结果B组中不同分层护理人员所护理的患者危重分级与护理时数成正比,但总护理时数相近,所护理人数随危重分级提高而减少,危重分级1级患者平均住院天数明显下降。结论双向分层管理组相对于三级责任护理管理组更能保证护理安全、提升护理工作效率。 Objective To explore the way to enhance nursing efficiency based on nursing safety. Methods There were two groups (group A and group B) . Group A was performed by the three level responsibility nursing management mode. On the basis, according to nursing staff and the patients' classification, group B accepted the two-way hierarchical management mode by nursing hours concerting. Two groups were compared, including the different classification pa-tients' hospital days, the total nursing hours and the incidence of unexpected rescue events, etc. Results In group B, the total nursing hours significantly increased with the nursing staff stratification, but the total nursing hours were not very different. The total number of nursing decreased with the increase of critical classification. The hospital stays of those patients who needed Guardianship I was significantly decreased. Conclusion Compared with three levels responsi-bility nursing management mode, the two-way hierarchical management mode has the rare advantage on nursing safety coefficiency improvement and nursing efficiency enhancement.
出处 《中国医院管理》 2013年第9期71-73,共3页 Chinese Hospital Management
基金 邯郸市科学技术研究与发展计划项目(1023108101-4)
关键词 护理时数 护理分层 危重分级 nursing hours, nursing staff, critical classification
  • 相关文献

参考文献4

二级参考文献6

共引文献57

同被引文献81

  • 1蒋红丽.急诊科分区分级管理模式的临床实践探讨[J].医学信息(医学与计算机应用),2014,0(36):397-397. 被引量:7
  • 2Peterson N G,Mumford M D,Borman W C,et al.Understanding work using the occupational information network(0*NET):implica- tions for practice and research [J].Personnel Psychology,2001,54(2):451-492.
  • 3Peterson N G,Mumford M D,Borman W C,et al.Development of prototype Occupational Information Network(0*NET) content model,Volume I:Report[M].Washington D.C.:American Institutes for Re- search,1995.
  • 4Peterson N G,Mumford M D,Borman W C,et al.An occupational information system for the 21st century:the development of 0*NET [M].Washington D.C.:American Psychological Association,1999.
  • 5Edwards J.Triangulating data to improve care:case study:Jackie Ed- wards suggests that involving staff in assessing a set of specialist indi- cators as part of a data triangulation process has improved care,and in- creased parental and staff satisfaction[J].Nursing Management,2012,19(3):20-22.
  • 6Pileggi C,Manuti B,Costantino R,et al.Quality of Care in One Italian Nursing Home Measured by ACOVE Process Indicators[J].PloS one,2014,9(3):e93064.
  • 7Barry HE,Parsons C,Peter Passmore A,et al.An exploration of nurs- ing home managers ' knowledge of and attitudes towards the manage- ment of pain in residents with dementia[J].International journal of geriatric psychiatry,2012,27(12):1258-1266.
  • 8Golinas C,Arbour C,Michaud C,et al.Implementation of the critical- care pain observation tool on pain assessment/management nursing practices in an intensive care unit with nonverbal critically ill adults:a before and after study[J].International journal of nursing studies,2011,48(12):1495-1504.
  • 9Brack S,Sandford M.Partnerships in intensive care unit(ICU):A new model of nursing care delivery[J].Australian Critical Care,2011,24(2):101-109.
  • 10Qing, Zeng Yamian, Zhang Yifei,et al. Zoning for management in wetland nature reserves: a case study using Wuliangsuhai Na- ture Reserve, China [J]. SpringerPlus, 2012,1 (1) :23-24.

引证文献9

二级引证文献95

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部