基层医院ICU病房责任分组护理管理模式的构建与实践

Construction and practice of ICU responsibility-bound group-based management model in primary hospital

目的探讨基层医院ICU病房责任分组护理管理模式的构建方案以及临床实践应用效果。方法2020年7~12月ICU采取常规ICU管理模式(实施前),2021年1~6月ICU实施责任分组护理管理模式(实施后),包括责任组长选拔、护士分层搭配、护理工作实施、小组组内沟通、弹性合理排班等。结果实施后护士满意度、护士团队协作能力评分及护理质量评分显著高于实施前(均P<0.05)。结论根据基层医院实际情况,构建ICU病房责任分组护理管理模式,可有效提升护士满意度,增强护理人员之间的协作能力,提升护理质量,增强ICU运作效率,实现护理效益最大化。

Objective To construct a model of ICU responsibility-bound group-based management in a primary hospital and to explore its effect.Methods In the prospective comparative study,ICU of the primary hospital used routine nursing management model during the period of July through December,2020(also called pre-implement period),and then shifted to responsibility-bound group-based management model during the period of January through June,2021(also called post-implement period).The contents of the latter model included selection of group leaders,stratification and allocation of nurses,implementation of nursing work,communication within the group,flexible and reasonable scheduling,etc.Results The scores of nurse satisfaction and teamworking in post-implement period were significantly higher than those in the pre-implement period(P<0.05 for both).Likewise for the nursing quality scores(P<0.05).Conclusion In line with actual situation of primary hospitals,the construction of ICU responsibility-bound group-based management model can effectively lift up nurses′satisfaction,enhance their collaborative ability,improve quality of nursing service,enhance ICU operational efficiency,and maximize nursing benefit.