ABC连续性排班与分层级管理在病房中的实施效果评价

Evaluation of the application effect of ABC continuous scheduling and hierarchical management in ward

目的:探讨ABC连续性排班模式联合分层级管理的临床应用效果。方法:抽取实行新模式前、后5个月中各50例患者及27名护士,进行护理工作的满意度问卷调查,并对护理质量进行对比研究。结果:实行ABC连续性排班模式及分层级管理后,一级、二级护理及病例文书规范、消毒隔离措施、护理安全等评分均较实行前明显提高(P<0.01);且患者对护理质量的评分较实行前明显提高(P<0.01),总分亦显著高于实行前(P<0.01);实行后,护士在护理工作、护士自身感受、医护关系、决策、专业地位、自主性、专业发展、收入、护理行政管理及享受工作方面的满意评分均较实行前明显升高(P<0.05~P<0.01)。结论:ABC连续性排班模式联合分层级管理,优化了人力资源,提升了护士及患者对护理工作的满意度,有效地提高了工作效率及整体的护理质量,值得临床推广。

Objective： To explore the application effects of ABC continuous scheduling and hierarchical management in ward. Methods ：Totally 100 patients and 27 nurses were investigated about the satisfaction of nursing service before and after 5 months of implementing the ABC scheduling model and hierarchical management. In addition, the quality of nursing of which was compared. Results： Compared with before the implementation of ABC continuous scheduling model and hierarchical management, the scores of the primary and secondary care, case document, disinfection and isolation measure and care safety ratings increased significantly after implementation（ P 〈 0.01 ）, the score of the quality of nursing increased significantly after implementation （P 〈 0.01 ）, total score was also significantly higher than that in control group（ P 〈 0.01 ）. Compared with before the implementation, the scores of the feeling of nurse, doctor-nurse relationship, making policy, professional status, independence, professional development, income, care administration and enjoying work increased significantly after implementation（ P 〈 0. 01 to P 〈 0.05 ）. Conclusions：The ABC continuous scheduling model combined with hierarchical management can optimize the human resource, improve the satisfaction of nurse and patient about nursing work, and enhance the working efficiency and nursing quality, which is worthy of clinical promotion.