护士层级管理模式在临床的应用

Application of nurse-level management mode in clinical nursing

目的:探讨建立护士层级管理模式在临床的应用价值。方法:采用总护士长统管,各护理组护士长分管,N4护士全程监控,N3护士带组指导,N2、N1护士具体实施的管理模式。开展层级管理前后患者、患者家属及医生对护士工作满意度调查总结,以季度为单位,每季度综合评定并比较。结果:层级管理后的患者、患者家属及医生对护士工作满意度均显著高于层级管理前(P<0.01);四个季度间综合评定结果有显著差异性(P<0.05)。结论:实施护士层级管理模式后,能有效提高患者、家属及医生对护士工作的满意度。

Objective：To discuss application values of a nurse-level management mode in the clinical nursing. Methods：A management mode was implemented including the chief head nurse for the unified management, each head nurse in charge of each care group, N4 nurses monitoring the entire process, N3 with a group of nurses guidance, and N2, N1 nurses implementing. Before and af-ter the nurse-level management, the satisfactions of patients and their family members, as well as doctors to the nurses＆#39; work were sur-veyed and summarized at each quarter and compared. Results：The satisfactions of the patients and their family members, as well as doctors to the nurses＇ work after the nurse-level management were significantly higher than those before the nurse-level management （P〈0. 01）;and the differences among the four quarters were significant （P〈0. 05）. Conclusions：The implementation of the nurse-level management mode can effectively improve the satisfactions of the patients and their family members, as well as doctors to the nur-ses＇ work.