基于ORTCC模型的糖尿病专科联盟护理管理实践

Improving nursing management based on ORTCC model within the context of diabetes specialty alliance

目的提高本院糖尿病专科联盟医疗机构的糖尿病护理管理水平与护理质量。方法成立糖尿病专科联盟管理团队,采用ORTCC精细化管理模式对下属15家联盟医疗机构实施目标、规则、培训、检查、文化各要素的护理管理,实施2年后评价效果。结果实施专科联盟管理后,15家医疗机构的糖尿病专科护理管理质量、患者知识与技能、护理操作质量及护士知识掌握率显著上升(均P<0.01)。结论采用ORTCC精细化管理模式对联盟医疗机构实施帮扶管理,可有效提高其管理水平与护理质量。

Objective To improve nursing management level and care quality of diabetes in low-tier hospitals within our diabetes me-dical alliance.Methods We formed a management team for diabetes specialty,and utilized the ORTCC model to instruct nursing management on objectives,rules,training,check and culture in 15 low-tier hospitals within our medical alliance.The effect was evaluated after 2 years.Results The quality of diabetes care,patient knowledge and skills,quality of technical nursing skills and nurses′ diabetes knowledge in 15 low-tier hospitals were significantly enhanced after the intervention(P<0.01 for all).Conclusion The use of ORTCC model to instruct nursing management in low-tier hospitals within the context of medical alliance,can effectively improve their management level and care quality.