探讨分层级管理对医院护理管理的作用和意义

Effects and Significance of the Hierarchical Management on Hospital Nursing

目的:随着生活水平的提升,人们对健康水平也越来越重视,对相关医疗水平的要求随之提升。针对护理工作中存在的问题,采取积极的应对措施是目前临床护理管理工作的重点。本文通过观察分层级管理用于医院护理管理的效果,探讨并分析该方法对医院护理管理的作用和意义。方法:2011年1月-2012年12月期间在我院呼吸科、消化科、骨科等7个主要病区,按照护理人员的技能水平、职业资历等进行分层级管理。根据不同层级的护理要求进行培训并定期考核。观察并比较实施分层级护理管理前后的临床效果,调查并分析患者对分层级护理的反馈情况及护理人员自身对其工作的满意度。结果:实施分层级管理后,护士的基本护理工作落实率、危重护理工作落实率、健康教育落实率、环境管理落实率均显著提高,差异具有统计学意义(P<0.05);患者和护士自身对护理工作的满意率明显提高,差异具有统计学意义(P<0.05);意外发生率和护理差错发生率均明显降低,差异具有统计学意义(P<0.05)。结论:在医院护理管理工作中开展分层级管理,有助于促进护理工作的顺利进行,提升医院整体护理水平,有助于患者的身体恢复及精神健康,提高患者的满意度。

Objective： With the increase of living standards,people pay more attention to health and the requirement of related medical treatment levels. The focus of clinical nursing is to take a positive response to perform an effective nursing management about the existing problems of the nursing work. This article aims to analyze the significance of hierarchical management on hospital nursing by exploring the efficacy of the management mode in our hospital. Methods： Based on different nursing skills and professional qualifications of nurses, the hierarchical management was applied to the department of respiratory, digestion, orthopedics, etc. in our hospital from January 2011 to December 2012. According to the requirements of different nursing grades, the relative training and regular assessment were conducted on the nursing staff. Then the clinical efficacy of patients before and after the application of hierarchical management was observed and compared, and the feedbacks of patients about the nursing and the satisfaction of nurses on their woks were investigated and analyzed. Results： After carrying out the nurse grading management, the basic nursing, the critical nursing, the health education and the environmental management of nurses were obvious higher than before with the statistically significant differences （P〈0.05）; both the patients and the nursing staffwere satisfied with the nursing work, and there waere statistically significant differences（P〈0.05）; the incid- ence of accidents and nursing errors were lower than before with statistically significant difference （P〈0.05）. Conclusions： It is suggested that the application of the hierarchical management on the hospital nursing could help to stimulate the nursing work, improve the quality of nursing, promote the overall care level of the hospital, contribute to the physical healing and psychological health and highlight the satisfaction of patients.