医联体背景下护理帮扶专科联盟的构建与实施

Construction and implementation of specialty nursing assistance alliance under the background of medical treatment combination

目的:在医联体背景下探索建设护理专科联盟,总结护理专科帮扶联盟建设经验与效果。方法:分析医联体护理单元专科发展现状,以地域为界限,构建以三级医院为核心、二级医院为重点、社区医院为基础的多层次、宽领域的护理专科联盟体系。护理专科帮扶联盟发展整体实施“同质化”方案,核心医院采取“结构-过程-结果”模式,从护理专科联盟组织框架、护理专科联盟护理规章制度与规范、护理人员岗位管理、护理临床专科帮扶、护理质量控制5个方面展开护理专科联盟建设,采用护理管理者能力、护理人员基础护理能力、护理人员专科护理能力、专科护理开展情况4项评价指标对护理专科联盟建设效果进行评价。结果:构建了7所医院的多层次、宽领域的护理专科联盟体系,进行了为期半年的护理专科联盟建设,初步打造了护理专科联盟成员同步同质管理架构,显著提高了联盟成员医院护理管理水平、基础护理质量及专科护理质量。结论:建设护理专科联盟是优质护理资源下沉的新思路,有利于提升护理专科联盟内被帮扶成员医院护理管理水平,推动其专科护理发展,最终达到提高基层护理服务质量的目的。

Objective:To explore the construction of nursing specialty alliance under the background of medical treatment combination,and to summarize the experience and effect of nursing specialty helping alliance construction.Methods:Based on the analysis of the development status of nursing units in medical consortiums,a multi⁃level and wide⁃field nursing specialty alliance system was constructed with tertiary hospitals as the core,secondary hospitals as the focus and community hospitals as the foundation.Nursing specialist support union development overall implementation"homogeneity"scheme,core hospital adopt"structure⁃process⁃result"model,from nursing specialty alliance organization framework,nursing specialty union rules and regulations and norms,management of nursing staff position,nursing clinical specialist support,nursing quality control,nursing specialist alliance were built.Four evaluation indexes including nursing manager ability,basic nursing ability,specialized nursing ability and specialized nursing development were used to evaluate the effect of nursing specialty alliance construction.Results:A multi⁃level and wide⁃field nursing specialty alliance system was established in seven hospitals,the nursing specialty alliance construction was carried out for half a year,and the synchronous and homogeneous management structure of the members of nursing specialty alliance was preliminarily built,which significantly improved the nursing management level,basic nursing quality and specialty nursing quality of alliance members.Conclusion:The construction of nursing specialty alliance was a new idea of sinking high⁃quality nursing resources,which was conducive to improving the nursing management level of the assisted member hospitals in the nursing specialty alliance,promoting the development of specialized nursing,and finally achieving the purpose of improving the quality of primary nursing service.