护士层级管理在临床护理管理中的应用

Application and effect of nurse level management in clinical nursing management

目的：探讨护士层级管理在临床实践中的应用方法和效果。方法：根据护士的职称、工作年限、学历、个人能力和临床经验等因素将护士分为 N0~ N4五级，明确各层级护士的职责，实行分层培训和考核。比较护士层级管理前后患者满意度、护士工作满意度、护士自我效能感和病区护理质量。结果：护士层级管理后患者满意度、护士工作满意度、护士自我效能感和病区护理质量均高于护士层级管理前（P 〈0.05）。结论：实施护士层级管理有利于提高患者满意度、护士工作满意度、护士自我效能和护理质量，护士层级管理适应临床护理工作的需要。

Objective：To study the levels of nursing method and the application effect in clinical practice. Methods：According to the nurse′s job title,work-ing years,education,personal ability and clinical experience nurses divided into N0 - N4,clarify the responsibilities of a nurse at the level,with layered training and examination. Compared the nurse′s and patient′s satisfaction levels,nurses job satisfaction,self - efficacy and ward nursing quality before and after the management. Results：The patients′ satisfaction,nurse job satisfaction,self - efficacy and ward nursing quality were improvement （P 〈 0. 05）. Con-clusion：The nurse hierarchy management to improve patients′ satisfaction,nurse job satisfaction,self - efficacy and quality of care, the nurse hierarchical management to fit the needs of clinical nursing work.