介入病房医护成组责任制管理模式的探讨

The management on the medical staff in the interventional ward

目的:探讨医护成组责任制管理在介入专科病房中的应用效果。方法:在介入专科病房实施医护成组责任制管理模式,采用自制的问卷调查表,对病人的满意度、护士的满意度和医生的满意度进行问卷调查,并采集护理服务质量相关数据,与实施医护成组责任制管理模式前的调查结果进行比较。结果:实施医护成组责任制管理模式后,病人对医疗护理工作的满意度、医生对护理工作的满意度和护士对医生的满意度均明显提高,差异均有统计学意义(P<0.05);最满意医生护士的人次数、病人感谢信中点名表扬护士的人次数明显增多,差异均有统计学意义(P<0.05)。结论:在介入专科病房实施医护成组责任制管理模式,能有效地加强医、护、患关系,达到"病人满意、医生满意、护士满意"的目标,让医护与病人及家属的关系更加和谐,具有十分重要的意义。

Objective: Discussion on the effect of the management mode applied in doctors and nurses work as group responsibility system in the interventional ward. Methods: A questionnaire survey was conducted on the patients' satisfaction, nurses' satisfaction and doctor's satisfaction degeree. Relative data of medical care quality was collected and compared with the survey results before the implementation of the management mode onthese medical staff. Results: After the implementation of the management mode of doctors and nurses work asgroup responsibility system in the interventional ward, patients' satisfaction with medical care, doctors' satisfactionwith nursing work and nurses' satisfaction with the doctors were significantly improved, and the difference wasstatistically significant (P<0.05).The number of doctors and nurses who were most liked and satisfied by patients wassignificantly increased, as reflected in patients’ thank-notes, and the difference was statistically significant (P<0.05).Conclusions: The implementation of the management mode of doctors and nurses work as group responsibility system in the Intervention Specialist wards can effectively improve the doctor,nurse and patient’s relationship, bring them closer together to achieve the ultimate satisfaction by the patients and their family, and medical staff as well.