医护接诊一体化模式在干部病房中的应用
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摘要
目的探索医护接诊一体化模式在干部病房的可行性。方法采取医护接诊一体化模式,由医生护士共同参与采取医护共同交接班、共同查房,共同管理病人,简化工作处理流程,使医护一体的管理模式贯穿病人住院的全程。调查应用医护接诊一体化模式管理后,患者、医生和护士满意度的变化。结果患者满意度从80%达到98.4%,医生、护士满意度从75%分别达到100%,应用前后相比差异具有统计学意义(χ2=18.7,P<0.05);问诊时间从(40±5.5)分钟缩短到(20±4.5)分钟,应用前后相比差异具有统计学意义(χ2=95.2,P<0.05)。结论医护接诊一体化临床工作模式提高了病人满意度、节省了人力资源、调动了护士的积极性,值得临床推广应用。
Objective this study intended to explore the feasibility of medical care integration model in old cadres ward. Methods to implement medical care integration model, both doctors and nurses should shift relief, check ward, manage patients jointly and simplify work process, to make sure medical care integration management model throughout the whole. after implementing medical care integration model, investigating the range of satisfaction rate of patients,doctors and nurses. Results the satisfaction rate of patients increased from 80% to 98.4%, and the satisfaction rate of doctors and nurses respectively increased from 75% to 100%, with statistically significant difference(χ2= 18.7, P<0.05); inquiry time decreased from 40±5.5 minutes to 20±4.5 minutes, with statistically significant difference(χ2=95.2, P<0.05). Conclusion the medical care integration model could improve the satisfaction of patients, save human resources, motivate the enthusiasm of nurses, and deserved promotion in clinic.
Objective this study intended to explore the feasibility of medical care integration model in old cadres ward. Methods to implement medical care integration model, both doctors and nurses should shift relief, check ward, manage patients jointly and simplify work process, to make sure medical care integration management model throughout the whole. after implementing medical care integration model, investigating the range of satisfaction rate of patients,doctors and nurses. Results the satisfaction rate of patients increased from 80% to 98.4%, and the satisfaction rate of doctors and nurses respectively increased from 75% to 100%, with statistically significant difference(χ2= 18.7, P<0.05); inquiry time decreased from 40±5.5 minutes to 20±4.5 minutes, with statistically significant difference(χ2=95.2, P<0.05). Conclusion the medical care integration model could improve the satisfaction of patients, save human resources, motivate the enthusiasm of nurses, and deserved promotion in clinic.
引文
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[2]Weeks MB.Nurse physician communication discourse analysis[J].Can oper Room Nurs,2004,22(4):33-37.
[3]张朝晖.重症医学科床边连续性血液净化中“医护一体化”专项管理的优势[J].海南医学,2013,24(8):1217-1218.
[4]许瑞华,曾翠.医护一体化临床工作模式在胆道外科病房的应用[J].西部医学,2012,24.
[5]王志平.医护一体化模式下优质护理服务工作研究[J].中外医疗,2012,33.
[6]常宗霞,袁玮.医护一体化培训模式对提高护理人员核心能力的效果研究[J].中华护理教育,2014,11(11).
[7]李金学.医护一体化健康教育模式在胸心外科的应用效果[J].中国医药指南,2012,031.
[8]蒋艳,曹华,彭小华.医护一体化模式在优质护理服务中的应用研究[J].护士进修杂志,2012,05.
[9]王引侠.医护一体化分层级责任制整体护理模式的应用与效果[J].护理管理杂志,2012,009.
[10]李欢,宁宁.护理人员对实施医护一体化工作模式的评价[J].管理研究,2012,26(11).