护士分层管理在急诊科护理管理中的效果分析

Analysis of the Effect of Nurse Layered Management in Emergency De⁃partment Nursing Management

目的分析急诊科护理管理中护士分层管理的价值。方法回顾性选取永州市第三人民医院20名急诊科护士的管理资料,2023年5—10月行常态护士管理,2023年11月—2024年3月行护士分层管理,分别归为常态组和分层组,对比两组的管理质量、技能情况、不良事件及满意率。结果分层组管理质量和考核成绩高于常态组,差异有统计学意义(P均<0.05)。分层组共发生不良事件5起,其中护理差错事件2起,护理纠纷事件2起,投诉事件1起;常态组共发生不良事件26起,其中护理差错事件10起,护理纠纷事件9起,投诉事件7起。分层组满意率为100.00%(20/20),高于常态组的80.00%(16/20),差异有统计学意义(P<0.05)。结论护士分层管理能确保管理质量得到提升,增强急诊科各层级护士的技能,减少科室内纠纷事件,提升护士对该模式的满意率。

Objective To analyze the value of nurses'hierarchical management in emergency department nursing management.Methods The management data of 20 nurses in the emergency department of the Third People's Hospi⁃tal of Yongzhou were retrospectively selected,and they were administered by normal nurses from May to October 2023,and stratified nurses from November 2023 to March 2024.They were divided into normal group and stratified group,respectively,and the management quality,skills,adverse events and satisfaction rate of the two groups were compared.Results The management quality and assessment scores of stratified group were higher than those of normal group,and the differences were statistically significant(all P<0.05).There were 5 adverse incidents in the stratified group,including 2 nursing errors,2 nursing disputes and 1 complaint.There were 26 adverse incidents in the normal group,including 10 nursing errors,9 nursing disputes and 7 complaints.The satisfaction rate of stratified group was 100.00%(20/20),higher than 80.00%(16/20)of normal group,and the difference was statistically significant(P<0.05).Conclusion Hierarchical management of nurses can ensure the improvement of management quality,enhance the skills of nurses at all levels in the emergency department,reduce intra-department disputes,and improve the satis⁃faction rate of nurses.