胸外科构建医护一体化工作模式的实践及效果

Practice and effect of establishment of medical and nursing integrative working mode in thoracic surgery department

目的探讨医护一体化工作模式的合作内涵,提高治疗护理水平,促进患者康复。方法结合胸外科的工作特点构建医护一体化的合作内容,从单病种诊疗护理路径化、护理康复合作化、专科发展帮带化、医护应急预案演练管理同质化等形式开展医护一体化工作。结果实施医护一体化后,护士的临床护理能力显著高于实施前,医护合作满意度显著提高(P<0.01,P<0.05)。结论医护一体化工作模式实现了提升服务品质的目的,提高护士临床分析问题、解决问题的能力,提升了医护合作的满意度,培育良好的团队协作精神,促进患者的康复。

Objective To discuss the cooperation connotation of medical and nursing integrative working mode,and to improve the treatment and nursing as well as patients recovery.Methods We established the cooperation content of medical and nursing integration based on the working characteristics of thoracic surgery department,and implemented medical integration work,which including single diseases diagnosis,treatment and nursing according to the path,collaboration of nursing and rehabilitation,help and guide in specialty development,management homogenization in integrative contingency plan drill and other forms.Results After implementation of medical integration,nurses′clinical nursing ability was significantly higher than before,and the degree of cooperation satisfaction among medical staff was significantly higher than before（P〈0.05,P〈0.01）.Conclusion Medical integration realizes the purpose of increasing service quality,improves nurses′clinical problem analysis and problem-solving ability,and improves the degree of cooperation satisfaction,cultivates good team cooperation spirit and promotes patients′rehabilitation.