军队医院实施护理标准化建设的路径与效果

Pathway and effects of implementing standardized nursing management in military hospitals

目的 探讨军队医院实施护理标准化管理的方法 和效果.方法从2014年9月依据权威标准及文献,结合医院已有的护理标准及规范,按照开展调研、拟定10项护理标准化建设内容、逐步推行、持续督导改进的路径,在全院实施护理标准化建设.结果 实施标准化管理后,危重患者的护理质量得分（95.14±2.55）分、护理安全质量得分（96.13±1.67）分,患者满意度（98.86±1.04）分,均较实施前提升,差异有统计学意义（t值分别为-9.05、-11.27、-27.31;P〈0.05）.护士对标准化建设认同度均〉90%.结论 军队医院实施标准化管理有利于形成常态化管理机制,促进优质护理服务的提升,及护士培训规范、高效的开展.

Objective To explore the pathway and effects of implementing standardized nursing management in military hospitals.Methods Investigation was carried out on the basis of authoritative standards, literatures and the existing nursing standards from September 2014. A number of 10 standardized nursing systems were developed and applied to clinic gradually with continuous evaluation and improvement in the whole hospital.Results After the implementation of standardized management, the quality scores of nursing service （95.14±2.55）, nursing clinical practice ability （96.13±1.67） and satisfaction of patients （98.86±1.04） were significant higher than those before the implementation （t=-9.05, -11.27, -27.31;P〈0.05）. Identification rate of nurses were higher than 90%.Conclusions Implementation of standardized management in military hospitals helps to establish normalized management mechanism, improves the nursing quality and promotes effective and correct training of nurses.