临床护士对现行护理分级标准的认知及临床执行情况调查分析

Investigation on clinical nurses'cognition and implementation of current nursing grading standards

目的了解临床护士对《WS/T 431-2013护理分级》(以下简称"现行护理分级标准")的认知情况及其临床落实执行现状。方法于2020年11月—2021年1月,采用便利抽样法选取北京、天津、长沙、南京、太原、南宁等8个城市10家三级甲等医院的420名临床护士为研究对象,采用自行设计的现行护理分级标准实践调查问卷对其进行调查。共发放问卷420份,回收有效问卷405份,有效回收率为96.4%(405/420)。结果405名临床护士中,80.7%(327/405)的临床护士知晓现行护理分级标准;89.6%(363/405)的临床护士比较或非常了解现行护理分级标准的内容;98.5%(399/405)的临床护士知晓患者自理能力;94.1%(381/405)的临床护士能熟练或较熟练对患者进行自理能力评分;53.3%(216/405)的临床护士认为科室患者护理级别决定主体是医生;46.7%(189/405)的临床护士认为科室患者护理级别决定主体是医生和护士;69.6%(282/405)的临床护士认为科室会根据患者护理级别变化情况及时动态调整责任护士能级,30.4%(123/405)的临床护士认为科室偶尔或很少根据患者护理级别变化情况及时动态调整责任护士能级。结论临床护士对现行护理分级标准的认知水平较高。现行护理分级标准临床落实执行中,医护共同决策患者护理级别现状尚未达到现行护理分级标准要求,动态调整护患能级匹配情况还需一步提高。

Objective To understand the clinical nurses'cognition of WS/T 431-2013 Nursing Grading(hereinafter referred to as"current nursing grading standard")and its clinical implementation status.Methods This study was a cross-sectional study.From November 2020 to January 2021,the convenience sampling method was used to select 420 clinical nurses from 10 ClassⅢGrade A hospitals in 8 cities including Beijing,Tianjin,Changsha,Nanjing,Taiyuan,Nanning as the research objects.The self-designed Current Nursing Grading Standard Practice Questionnaire was used to investigate them.A total of 420 questionnaires were distributed,405 valid questionnaires were recovered,and the effective recovery rate was 96.4%(405/420).Results Among 405 clinical nurses,80.7%(327/405)were aware of the current nursing classification standards,89.6%(363/405)of clinical nurses were relatively or very aware of the contents of the current nursing classification standards,98.5%(399/405)of clinical nurses were aware of patients'self-care ability,94.1%(381/405)of clinical nurses were proficient or relatively proficient in scoring patients'self-care ability,53.3%(216/405)of clinical nurses thought that the subject of patient care level decision in the department should be doctors,46.7%(189/405)of clinical nurses thought that doctors and nurses should jointly decide the level of patient care in the department,69.6%(282/405)of the clinical nurses thought that the department would dynamically adjust the energy level of the responsible nurse in time according to the changes of the patients'nursing level,and 30.4%(123/405)of clinical nurses thought that the department occasionally or rarely dynamically adjusted the level of responsible nurses in time according to the changes of patient care level.Conclusions Clinical nurses have a high level of cognition to the current nursing grading standards.In the clinical implementation of the current nursing grading standard,the status quo of the patient's nursing level in the joint decision-making of doctors and nurses has not yet reached the requirements of the current nursing grading standard and the dynamic adjustment of nurse-patient energy level matching needs to be further improved.