激励、目标考核机制对专科护士护理门诊运作管理效能影响

The influence of incentive and target assessment mechanism on the operation and management efficiency of nurse-led clinics

目的研究激励、目标考核机制对专科护士护理门诊运作管理效能的影响。方法选取我院2021年6月—12月采用目标考核机制管理的45例专科护理门诊出诊人员作为对照组,选取我院2022年2月—7月采用激励联合目标考核机制管理的46例专科护理门诊出诊人员作为观察组。比较两组护士干预前后年度工作量、医生对护士认可程度、护理质量、自我效能感量表(GSES)评分,比较两组护士负责患者的满意度情况。结果干预前两组护士年度工作量对比,无差异(P>0.05),干预后两组年度工作量升高且观察组高于对照组(P<0.05);干预前医生对两组认可程度各评分比较,无差异(P>0.05),干预后两组沟通能力、质量管理能力、应急能力、独立完成工作能力及解决专科疑难问题能力评分上升且观察组高于对照组(P<0.05);干预前两组护理质量评分比较,无差异(P>0.05),干预后两组护理病例质量、患者安全管理质量、岗位工作质量及总均分升高且观察组高于对照组(P<0.05);干预前两组GSES评分比较,无差异(P>0.05),干预后两组GSES评分升高且观察组高于对照组(P<0.05);观察组护士所负责患者的总满意率96.25%高于对照组的86.25%(P<0.05)。结论激励与目标考核机制管理专科护理门诊出诊护士,可明显提升护士年度工作量及护理质量,医生对护士认可度以及患者对护理满意度更高。

Objective To study the effect of incentive and target assessment mechanism on the operation and management efficiency of nurse-led clinics.Methods 45 cases in the nurse-led clinic managed by the target assessment mechanism in our hospital from June to December 2021 were selected as the control group,and 46 cases managed by the incentive joint target assessment mechanism in our hospital from February to July 2022 were selected as the observation group.The annual workload,doctors’recognition of nurses,nursing quality and self-efficacy scale(GSES)scores before and after intervention were compared between the two groups,and the satisfaction of nurses in charge of patients was compared between the two groups.Results Before intervention,there was no difference in the annual workload between the two groups(P>0.05).After intervention,the annual workload of the two groups increased,and the observation group was higher than the control group(P<0.05).Before intervention,there was no difference in the scores of recognition degree between the two groups(P>0.05).After intervention,the scores of communication ability,quality management ability,emergency ability,independent work ability and specialist problem solving ability of the two groups increased,and the observation group was higher than the control group(P<0.05).Before intervention,there was no difference in nursing quality score between the two groups(P>0.05).After intervention,the quality of nursing cases,the quality of patient safety management,the quality of post work and the total mean score of the two groups were increased,and the observation group was higher than the control group(P<0.05).Before intervention,there was no difference in GSES scores between the two groups(P>0.05).After intervention,GSES scores of the two groups increased,and the observation group was higher than the control group(P<0.05).The total satisfaction rate of patients in observation group was 96.25%,higher than 86.25%in control group(P<0.05).Conclusion The incentive and target assessment mechanism can significantly improve nurses’annual workload and nursing quality,doctors’recognition of nurses and patients’satisfaction with nursing.