老年医学科设置晚夜间护理二线值班岗位管理的实践

The application practice of utilizing nursing supervisor at night in geriatrics settings

目的 :探索在老年医学科晚夜间开展护理二线值班岗位管理的模式和效果。方法 :应用岗位管理的方法,通过岗位分析,明确任职条件、工作范畴及岗位责任,因岗择人,赋予工作任务及流程,通过管理小组动态管理,合理排班,统一绩效考核内容及方式,在实施半年后总结护理二线值班处理问题的次数、结果及效果,评价N1级护士紧张焦虑、心理压力变化及护理二线值班人员的职业责任感等方面的变化,计算人力成本的支出。结果 :护理二线值班共现场处理问题23次,N1级护士值晚夜班时的紧张焦虑情绪及心理压力评分低于设立之前(P<0.05),护理二线值班人员在职业责任感等方面的评分均高于设立之前,节约了68.6%的人力消耗。结论:在老年医学科设立护理二线值班并进行岗位管理,能够及时有效处理临床疑难问题及突发情况,提高护理质量,降低N1级护士的紧张焦虑情绪及心理压力,提升高年资护士职业成就感,并节约人力成本。

Objective： Toexplore modei and effects of utilizing nursing supervisor at night in geriatrics settings. Methods： Use position management method, analyze the position, define position requirements, job category, and job responsibility. Choose candidate according to position requirement, job responsibilities and process, job tasks and processes given by a dynamic management team management, reasonable scheduling, unified performance appraisal content and manner, six months after the implementation of the summary care two times on duty deal with the problem, and the results of the effect evaluation N1 level nurses with low seniority independent value late night of anxiety and mental pressure changes involved in nursing and two nurses on duty in professional responsibility personal sense of worth, self-confidence, problem solving skills, enthusiasm for work changes. Results： Second common duty of care site deal with the problem 23 times, N1 level nurse tension independent value late night when anxiety and psychological pressure is below established before （P〈0.05）. Scores, participation in second nursing staff on duty in professional responsibility and other aspects of high scores prior to the establishment, 68.6% saving human consumption. Conclusions： The establish of supervisor nurse institution in geriatrics at night can promptly and effectively deal with difficult clinical problems and emergency situations, improve quality of care, reduce the value of independent nurses with low seniority late night of nervous anxiety and mental stress, mobilize high qualification nurses enthusiasm, enhance the professional sense of achievement and save labor cost.