某省级三甲公立医院国际医疗中心护理管理团队职业化模式构建及效果评价

Construction and effect evaluation of nursing management team professionalization model in an international medical center of a provincial public tertiary hospital

目的探索某省级三甲公立医院国际医疗中心护理管理团队职业化模式。方法通过文献研究、德尔菲专家咨询,在某省级三甲公立医院国际医疗中心的3个护理单元(包含门诊、一病区、二病区)分别建立3人制护理管理团队,对管理团队进行职业化培训,明确管理边界与职责任务,并在医院国际医疗中心进行实证研究,对3个护理管理团队(合计9人)实施前后的护士领导力、患者满意度、学科建设等进行比较。结果实施职业化培训后,护士领导力各维度得分均提高,且有统计学意义(P<0.05),患者满意度提高(P<0.05),护理质量、科研水平、创新能力均提升。结论通过成立护理管理团队并进行职业化培训,可有效推广职业化管理理念,提高护士领导力,培养人才梯队,带动学科和团队的整体发展,提升护理文化内涵,适合医院各临床科室推广应用。

Objective To explore the professionalization model of nursing management team in an international medical center in a provincial public tertiary hospital.Methods Through literature research and Delphi method,a three-person nursing management team was established respectively in three nursing units:outpatient,first-ward,and second-ward of the center,and then trained professionally to define management boundaries and responsibilities.The training effect was verified by applying the professionalization management in the international medical center.The three nursing teams(nine nurses totally)were compared in terms of leadership,patient satisfaction,and nursing discipline construction before and after the training.Results Following the training,the three teams all exhibited a significant improvement in leadership as well as its dimensions(P<0.05),and patient satisfaction(P<0.05).Additionally,care quality,scientific research capacity,and innovation ability were all elevated across the three groups.Conclusion The establishment of a nursing management team and performance of professional training can effectively promote the concept of professionalization management,improve the leadership of nurses,cultivate talent echelons,drive the overall development of disciplines and teams,and expand the connotation of nursing culture.For all these benefits,this model is suitable for promotion and application among clinical departments.