病区护士长每天工作路径与质量评价的应用效果观察

The Effect of Daily Work Routine on Performance of Head Nurses

目的:探讨有效的病区护士长每天工作路径,提高病区护理管理工作质量。方法:将2014年3月1-31日本院18个住院病区设为对照组,2014年4月1-30日本院18个住院病区设为观察组,对照组按常规的方式对病区护士长的工作质量进行评价和处理,观察组结合护士长的工作要求制订病区护士长每天工作路径并进行质量评价考核,督促病区护士长每天对照路径开展工作,然后对比两组基础护理合格率、给药错误发生率指标合格率、服务对象满意度合格率、护士对护士长工作满意度合格率。结果:观察组服务对象满意度合格率、基础护理合格率及护士对护士长工作满意度合格率明显高于对照组,而给药错误发生率则低于对照组,比较差异具有统计学意义(P<0.01)。结论:病区护士长每天工作路径与评价能明确病区护士长对病区护理质量的质控思路及提高病区护士长对各项工作质量的质控能力,有效提高病区护理工作质量,值得推广。

Objective： To investigate the effect of daily work path on performance of head nurse, and improve their work efficiency. Method： Eighteen wards of our hospital from March 1, 2014 to March 31, 2014 were set as control group, and the same 18 wards from April 1, 2014 to April 30, 2014 were set as observation group. In the control group, the performance of head nurses was evaluated in the conventional way, while in the observation group, a daily work routine was established as required by their work, and the head nurses were asked to work according to the work routine every day and evaluate quality assessment. Rate of qualified basic care, rate of improper administration, satisfaction of patients, and satisfaction of fellow nurses with the head nurses were then compared between the two groups. Result： Compared to the control group, the observation group showed much higher rate of qualified basic care, satisfaction of patients, and satisfaction of fellow nurses, and lower rate of improper administration（P〈0.01）, with statistical significance.Conclusion： The establishment of daily work routine and evaluate can help head nurses better review and improve the quality of ward nursing, so it is a mode worth spreading.