按照学科亚专业构建眼科护理专业组的临床实践效果

Building Ophthalmic Nursing Group based on the Sub-specialty of Ophthalmology and Clinic Practice Effect Research

目的根据学科亚专业构建眼科护理专业组,分析其对护士专业能力和科研能力的影响。方法自2009年2月开始,西南医院眼科根据眼科学亚专业构建了青光眼等6个护理专业组,根据工作需要并结合护士意愿,将工作2年以上的眼科护士分到各专业组中,所有的护理工作均以专业组为单位进行,并建立了配套的管理制度、工作模式及工作流程。比较护理专业组实施前、后医生对护理人员专业能力的评价以及眼科病区护理科研成果产出的变化。结果实施专业组工作模式后,护士对病情评估的准确性、汇报病情的及时性、裂隙灯操作技能、对急诊的处置能力、向医生提出诊疗建议的主动性和正确性、医护协作质量等均明显提高,差异均有统计学意义(均P<0.01)。实施专业组工作模式后,眼科护理组的发表论文数、获得国家专利授权数、获得护理创新基金项目数等均有明显的增加。结论按照眼科学亚专业构建护理专业组,明确了护士的专业方向,有利于护士专业能力和科研能力的提高。

Objective To build ophthalmic professional nursing group according to the sub-specialty of ophthalmology and to explore the effect on nurse professional competence and scientific research ability. Methods All nurses of eye department who have more than 2 years working experiences were assigned to each nursing group according to the needs of the work and nurses’wishes.Each ophthalmic nursing group develops their clinical work as one unit.We have established a set of rules and regulations and work proce-dures in order to ensure the new mode runs smoothly.To compare the difference of ophthalmic nurses’ professional competence and nursing scientific research achievements before and after the implementation of new mode.Results After the implementation of the new mode,the accuracy of the assessment of the patient’s sickness condition,in time condition report,slit lamp operating skill,emergency handle ability,in-itial and proper suggestion to doctors and doctor-nurse cooperation were significantly improved （all P〈0.01）.Also the paper publication in ophthalmic nursing group,number of national patent owned and nursing creative foundation number were all significantly improved.Conclusion The construction of ophthalmic nursing professional group based on sub-specialty of ophthalmology can help nurses to clear and definite their professional direction,and it also can enhance the professional competence and scientific research ability of nurses.