护士长查房制度在病区护理管理的应用

Application of nurse manager′s nursing round system in ward nursing management

目的：探讨建立护士长查房制度对病区护理管理水平提升的效果及其评价。方法2013年9月—2014 年 9月采用自行设计的护士长查房观摩评价表和实施效果评价调查表综合评价护士长查房制度的落实情况和实施效果。结果43个护理单元护士长查房观摩评价得分为（95.05±2.75）分，患者、护士、护士长对护士长查房制度实施效果评价得分分别为（33.70±2.65），（49.73±0.98），（33.05±3.86）分。结果显示，受护士重视、提高安全感和归属感、促进良好护患关系、提高护士病情汇报能力及评判性思维能力、提高了患者的护理质量、全面了解病区患者及重点患者情况、降低护理缺陷发生率对护士长查房实施的评价有预测作用（P〈0.05）。结论护士长查房制度的建立和实施提高了病区护理管理水平，患者、护士和护士长对护士长查房制度的评价均较高。

Objective To investigate the effect evaluation of nurse manager′s nursing round system on improving ward nursing management level. Methods The self-designed nurse manager′s nursing round observe evaluation form and effect evaluation questionnaire were used to comprehensively evaluate implementation and effects of nurse manager′ s nursing round system. Results The nurse manager′ s nursing round observe evaluation form score was （95. 05 ± 2. 75）, the scores of nurse manager′s nursing round system evaluated by patients, nurses and nurse manager were （33. 70 ± 2. 65）,（49. 73 ± 0. 98） and （33. 05 ± 3. 86）. Multivariate analysis showed that, increase nurses′ attention, increase a sense of security and belonging, enhance the ability of nurses to report illness and critical thinking ability, improve overall care quality can improve evaluation for the system（P 〈 0. 05）. Conclusions The establishment and implementation of nurse manager′s nursing rounds system has improved the wards nursing management level, and patients, nurses and nurse managers give high evaluations for the system.