"冠名护理工作室"模式的探索与效果评价

Exploration and effect evaluation of "named nursing studio" model

目的探索有利于护理工作室可持续发展的建设方式和创新运行模式,评价"冠名护理工作室"的实践效果。方法在首都医科大学宣武医院开展门诊专科护理服务基础上,通过进一步细化诊疗服务、优化就诊流程、加强人才培养、推动学科发展,形成以护理专家姓名命名的护理工作室,建立质量控制标准和长期随访,建立完整的"冠名护理工作室"运行模式。统计"冠名护理工作室"运行前(2018年1—12月)和运行后(2019年1—12月)护理门诊量,比较运行前后接诊患者资料、运行后患者满意度等指标。结果"冠名护理工作室"护理门诊量运行前为1332例次,运行后为1346例次,复诊预约再次就诊患者占比由运行前的63.59%(847/1332)上升至运行后的70.51%(949/1346),经医生转诊患者占比由运行前的10.66%(142/1332)上升至运行后的12.93%(174/1346);运行后患者总体满意度达96.97%(993/1024);形成了护、教、研三位一体的专科护理发展模式。结论"冠名护理工作室"的开展,促进了专病护理学科特色和专科护理服务的品牌建设,有利于解决门诊、住院患者的疑难护理问题,符合护理人员职业发展的需求,体现了专科护理人员的价值,推动护理学科的发展。

Objective To explore the construction mode and innovative operation mode conducive to the sustainable development of nursing studio,and evaluate the practical effect of"named nursing studio".Methods On the basis of carrying out outpatient specialized nursing service in Xuanwu Hospital of Capital Medical University,through further refining diagnosis and treatment service,optimizing treatment process,strengthening personnel training and promoting discipline development,a nursing studio named after nursing experts was formed,quality control standards and long-term follow-up were established,and a complete named nursing studio operation system was established.The number of nursing clinic patients before and after"named nursing studio"(January to December 2018 and January to December 2019)were counted.The data of patients before and after"named nursing studio",the patient′s satisfaction and other indicators after"named nursing studio"were compared.Results The number of nursing clinic patients was 1332 before"named nursing studio"and 1346 after"named nursing studio".After"named nursing studio",re appointment increased from 63.59%(847/1332)to 70.51%(949/1346),and the proportion of patients referred by doctors increased from 10.66%(142/1332)to 12.93%(174/1346);the total satisfaction of patients reached 96.97%(993/1024),forming a trinity of nursing,teaching and scientific research development model of nursing.Conclusions The development of"named nursing studio"promotes the specialty nursing discipline characteristic and the specialty of nursing service brand construction.It is beneficial to solve the problem of difficulty of outpatient and inpatient care,meets the needs of nursing staff career development,reflectes the value of nurse staff,promotes the development of nursing science.