护士层级管理在病房护理管理中的应用

Application of Nurse Hierarchical Management in Nursing Management of Wards

目的探讨护士层级管理在病房护理管理中的应用效果。方法病房进行级全责一体化护理管理模式,实施护士长-高级责任护士-初级责任护士-助理护士层级管理模式。另外,进行连续排班的方式,为住院患者提供有效的护理服务。在实施护士层级管理前后,采用问卷调查的方式评价护理质量以及满意度。结果实施前基础护理、消毒隔离、护理文书书写、病房管理、抢救仪器与药品管理评分分别为(89.5±2.2)分、(93.8±2.7)分、(91.6±3.2)分、(91.8±2.0)分、(95.2±2.6)分,实施后基础护理、消毒隔离、护理文书书写、病房管理、抢救仪器与药品管理评分分别为(96.9±2.4)分、(95.4±2.9)分、(96.7±2.6)分、(96.5±1.3)分、(96.5±2.8)分,差异有统计学意义(P<0.05);实施前患者满意度、医生满意度、护士满意度、教学满意度分别为82.33%、77.00%、84.33%、74.67%,实施后患者满意度、医生满意度、护士满意度、教学满意度分别为92.67%、90.67%、92.00%、85.00%,差异有统计学意义(P<0.05)。结论在病房实施护士层级管理,能够有效提高临床护理质量以及护理工作满意度。

Objective To explore the effect of nurse level management in ward nursing management. Methods To carry out the full responsibility integrated care management model, the implementation of the head nurse - Senior Nurse - primary responsibility nurse - assistant nurse level management model. In addition, the continuous scheduling mode, to provide ef-fective nursing service for patients. Before and after the implementation of nurse level management, the quality of nursing and satisfaction degree were evaluated by questionnaire survey. Results The scores of basic nursing, disinfection and isola-tion, nursing documents writing, ward management, rescue apparatus and drug administration were （89.5±2.2）, （93.8±2.7）, （91.6±3.2）, （91.8±2）, （95.2±2.6）, and basic nursing, disinfection and isolation, nursing documents writing, ward management, rescue instruments and Drug Administration （96.9±2.4）、（95.4±2.9）、（96.7±2.6）、（96.5±1.3）、（96.5±2.8）, the difference was sig-nificant （P〈0.05）;The satisfaction degree, satisfaction degree, satisfaction degree of nurses, satisfaction degree of nurses and satisfaction degree were 82.33%, 84.33%, 74.67%, 77%, respectively. The satisfaction degree of doctors and nurses were 92.67%, 90.67%, 92%and 85%respectively, and the difference was significant （P〈0.05）. Conclusion The nurse level management in the ward, can effectively improve the clinical nursing quality and nursing work satisfaction, is worthy of promotion.