护士分层级管理模式在提高护理管理质量中的作用

Role of nurse hierarchical management mode in improving the quality of nursing management

目的探讨护士分层级管理模式对提高护理管理质量的作用。方法选择2017年1~6月内科患者100例为实施前组,2017年7~12月患者100例为实施后组。参与的护理人员共24名。实施前采用常规护理管理模式及护理方法,实施后采用护士分层级管理模式。比较实施前后患者护理总满意度、患者不良事件总发生率,护士护理质量、护士专业知识与护理操作评分。结果实施后组基础护理、病房护理、优质护理评分高于实施前组,差异有统计学意义(P<0.05)。实施后组护士专业知识、护理操作评分高于实施前组,差异有统计学意义(P<0.05)。实施后组不良事件总发生率低于实施前组,差异有统计学意义(P<0.05)。实施后组患者总满意度高于实施前组,差异有统计学意义(P<0.05)。结论护士分层级管理模式能显著提高护理质量,提高患者满意度,降低护理不良事件发生率。

Objective To discuss the role of nurse hierarchical management mode in improving the quality of nursing management.Methods A total of 100 cases of internal medicine from January to June 2017 were selected for the before implementation group,and 100 cases from July to December 2017 for the after implementation group.A total of 24 nurses were involved.Before implementation,routine nursing management mode and nursing method were adopted,and nurse hierarchical management mode was adopted after implementation.Patients′total nursing satisfaction,total incidence of adverse events,nurses′nursing quality,nurses′professional knowledge score and nursing operation score were compared before and after implementation.Results The scores of basic nursing,ward nursing and quality nursing in the after implementation group were higher than those before implementation group,and the differences were statistically significant(P<0.05).After the implementation group,nurses′professional knowledge score and nursing operation score were higher than those before the implementation group,the differences were statistically significant(P<0.05).After the implementation group,the total incidence of adverse events was lower than that before implementation group,and the difference was statistically significant(P<0.05).Patients′total satisfaction after implementation group was higher than that of before implementation group(P<0.05).Conclusion The nurse hierarchical management mode can significantly improve the quality of nursing,improve patient satisfaction and reduce the incidence of nursing adverse events.