分层级护理管理模式在急诊护理中的应用

Application of hierarchical management model in nursing in emergency care

目的：探讨分层级护理管理模式在急诊护理中的应用效果情况。方法：将急诊护理工作分为两个阶段,2007年~2008年度为第一阶段,2008年~2013年度为第二阶段,在2008年初开始实施分层护理管理模式,对两个阶段相关护理情况进行比较。结果：第二阶段急诊区护士基础护理合格率、特殊护理合格率、相关文件执行合格率、护理操作合格率均显著高于第一阶段,差异有统计学意义（P〈0.05）;第二阶段急诊区患者、医生满意程度均显著高于第一阶段,差异有统计学意义（P〈0.05）;第二阶段职业行为合格率显著高于第一阶段,差异有统计学意义（P〈0.05）。结论：经分层护理模式在急诊区实施,急诊区护理人员专业技能、职业行为等方面得到显著改善,显著提高了相关人员的满意程度,值得临床推广实施。

Objective To investigate the hierarchical model in nursing management application results in emergency care situa- tions. Method Emergency care work was divided into two phases ,the first phase of the year 2007 -2008 ,the year 2008 ~ 2013 for the second stage,the Court began in early 2008 stratified care management model, related care for the two - stage review of the comparative analysis of the situation. Results The rate of emergency room nurses qualified primary care area of the second stage, special care pass rate, pass rate of imple- mentation of the relevant documents, qualified care operations were significantly higher than the first stage, and had a significant difference （P 〈 0. 05 ） ; the patient of the emergency physician satisfaction in the second phase Were significantly higher than the first stage, and had a sig- nificant difference （P 〈 0. 05） ;the passing rate of the second phase of professional behavior was significantly higher than the first phase, with significant difference （P 〈0. 05 ）. Conclusion Stratified care model is implemented in the emergency zone ,district hospital emergency nurses aspects of professional skills, professional behavior has been significantly improved, significantly increased personnel satisfaction, worthy of clinical implementation.