“滴滴护士”在精神科封闭病房人力应急管理中的应用实践

Application and practice of "Didi nurses" in closed wards human emergency management in department of psychiatry

[目的]探讨"滴滴护士"在精神科封闭病房人力资源应急管理中的应用效果。[方法]病房设立"滴滴护士"岗位,配套资质要求、薪资标准及编班指引,2017年8月1日—12月31日,在常规APN排班及护理人力应急指引进行编班的基础上,引入"滴滴护士",比较"滴滴护士"实施前后护士对排班的满意度、工作压力、焦虑、抑郁等的变化。[结果]病房实施"滴滴护士"期间出单24单,接单24单,接单成功率100%;"滴滴护士"实施后病人护理方面、工作量及时间分配方面、管理层及人际关系方面3个维度评分高于实施前,护士焦虑、抑郁评分低于实施前,实施前后比较差异有统计学意义(P<0.05或P<0.01)。[结论]"滴滴护士"的实施有效缓解了护士的工作压力,降低了其焦虑、抑郁程度,在精神科病房人力应急管理中发挥了积极作用。

Objective:To probe into the application effect of"Didi nurses"in closed wards′human emergency management in department of psychiatry.Methods:The positions of"Didi nurses"will be set up in the wards,supporting qualification requirements,salary standards and class scheduling guidelines will be required,on August 1 to December 31,2017,on the basis of the routine APN scheduling and the emergency guidance of nursing personnel for scheduling,"Didi nurses"were introduced to compare the changes of nurses′scheduling satisfaction,work pressure,anxiety and depression before and after the implementation of"Didi nurse".Results:During the implementation of"Didi nurses",the ward issued 24 orders and received 24 orders,and the success rate of receiving orders was 100%.After the implementation of"Didi nurses",scores in 3 dimensions,including the working environment and resources,the workload and practice distribution,as well as management and interpersonal relationship,were higher than those before the implementation,while the scores of anxiety and depression were lower than those before the implementation,and the differences between before and after the implementation were statistically significant(P<0.05 or P<0.01).Conclusions:The implementation of"Didi nurses"could effectively alleviate the working pressure of nurses,reduce their anxiety and depression,and play an active role in human emergency management of psychiatric wards.