依据新护理分级标准护理级别准确性调查分析

Investigation and Analysis of Nursing Level Accuracy According to New Nursing Grading Standards

目的:通过调查住院患者实际医嘱护理分级和依据新护理分级标准确定的护理分级的差异性,了解医嘱护理级别下达的准确性,对存在的缺陷进行分析。方法:整群抽取全院某一天住院患者中Barthel指数评定总分≤40分的患者115例,并对他们进行重新评分,比较护士评分的准确性及与实际医嘱护理级别的相符性。结果:医护对住院患者护理级别的制定差异有统计学意义(P<0.01),一级护理医嘱内外科之间差异有统计学意义(P<0.01)。结论:建议加强对医生进行新护理分级标准的培训,加强护理分级医嘱管理,医护共同决策,以保证护理分级制度执行的正确性、科学性及可操作性,保障护理质量的落实。

Objective： To explore the accuracy of the nursing level and analyze the defects according to the investigation of the differences between the actual nursing classification in hospitalized patients and the nursing level by new nursing grading standards.Method： 115 hospitalized patients with Barthel index scores less then 40 on a certain day were extracted in the whole.The Barthel index scores were graded again.The consistency between the scores assessed by the nurse and actual nursing level was analyzed.Result： The differences in the nursing level existed between doctors and nurses（P〈0.01）.The difference of grade one nursing in internal medicine and in surgery was also statistically significant（P〈0.01）.Conclusion： The training of new nursing grading standards is strongly suggested in doctors.The management of nursing grading the doctor＇s advice and co-determination between doctors and nurses should be strengthened, which may ensure the correctness, scientificity and operability of the execution of nursing classification and safeguard the quality of nursing.