护士分层管理对ICU护理质量及医患满意度的影响
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摘要
目的探讨护士分层管理对ICU护理质量及医患满意度的影响。方法选取本院ICU的32名护士作为研究对象。本院ICU自2018年1月开始引入分层管理模式,在分层管理模式实施前1年和实施后1年,对科室的护理质量、护理不良事件发生率、医患满意度、护士工作幸福感与积极性进行调查、对比。结果分层管理实施后的护理质量、护理不良事件发生率、医患满意度、护士工作幸福感与积极性评分均较实施前显著提高(P <0.05);护理不良事件发生率较实施前明显降低(P <0.05)。结论将护士分层管理引入ICU护理管理工作中,能有效提高护士的工作积极性及工作幸福感,改善科室的临床护理质量,减少护理不良事件的发生,提高医患满意度。
Objective To explore the influence of nurse hierarchical management on ICU nursing quality and doctor satisfaction. Methods 32 nurses from ICU of the hospital were selected as subjects. The hierarchical management model was introduced to ICU from January 2018. One year before and after the implementation, nursing quality, incidence of adverse events, doctors-patient satisfaction, nurse happiness and enthusiasm were investigated and compared. Results The nursing quality, incidence of adverse events, doctors' and patients' satisfaction, job well-being and enthusiasm scores after the implementation of hierarchical management were significantly improved(P < 0.05), and the incidence of nursing adverse events was significantly decreased(P < 0.05). Conclusion The introduction of nurse hierarchical management into ICU can ef fectively improve the enthusiasm and work well-being of nurses, improve the quality of clinical care in the department, reduce the occurrence of adverse medical events, and improve the satisfaction of doctors and patients.
Objective To explore the influence of nurse hierarchical management on ICU nursing quality and doctor satisfaction. Methods 32 nurses from ICU of the hospital were selected as subjects. The hierarchical management model was introduced to ICU from January 2018. One year before and after the implementation, nursing quality, incidence of adverse events, doctors-patient satisfaction, nurse happiness and enthusiasm were investigated and compared. Results The nursing quality, incidence of adverse events, doctors' and patients' satisfaction, job well-being and enthusiasm scores after the implementation of hierarchical management were significantly improved(P < 0.05), and the incidence of nursing adverse events was significantly decreased(P < 0.05). Conclusion The introduction of nurse hierarchical management into ICU can ef fectively improve the enthusiasm and work well-being of nurses, improve the quality of clinical care in the department, reduce the occurrence of adverse medical events, and improve the satisfaction of doctors and patients.
引文
[1]何亚琳.护士分层管理对提高临床护理质量的效果分析[J].实用临床护理学电子杂志,2018,3(46):169,174.
[2]陈行琼.护士分层分组管理在优质护理临床管理中的应用效果[J].实用临床护理学电子杂志,2018,3(41):171-172.
[3]陈瑞霞,朱记芬,祝巾玉,等.分层管理模式下主管护士职业价值观调查分析[J].卫生职业教育,2018,36(22):133-135.
[4]冉茂晓,杨丹.急诊护士分层管理的规范化培训措施分析[J].中国卫生产业,2018,15(31):114-115.
[5]杨阳.分层管理在妇产科护理管理中的应用[J].大医生,2018,3(9):126-127.
[6]戴茹,陈丽娟,刘露.ICU层级护理对患者感染控制的应用效果分析[J].中国实用医药,2018,13(33):192-193.
[7]庞维娜.三级医院护士能级分层培训在胸外科护理管理中的应用[J].中医药管理杂志,2018,26(21):105-107.
[8]NDOSI M.Combining nurse-led care with patient selfassessment could enhance tight control of rheumatoid arthritis and management of comorbidities[J].Evid Based Nurs,2016,19(3):85-86.
[9]何月利,诸薇薇.ICU护理团队动态配合管理方案的建立与成效[J].中医药管理杂志,2018,26(22):121-122.
[10]BAKON S,CRAFT J,WIRIHANA L,et al.An integrative review of graduate transition programmes:developmental considerations for nursing management[J].Nurse Educ Pract,2018,28:80-85.
[11]PHILLIPS J,HARRIS J.Emotional intelligence in nurse management and nurse job satisfaction and retention:a scoping review protocol[J].JBI Database System Rev Implementat Rep,2017,15(11):2651-2658.
[12]尤常赞,怀姝.消化内科护理实施组长负责制分层管理模式的效果[J].中医药管理杂志,2018,26(16):99-100.
[13]张婷.床头护嘱在外科病房护士层级管理中的应用与效果分析[J].中医药管理杂志,2018,26(17):129-130.
[14]任全艳,郑秀霞,高楠,等.探讨护士分层护理管理在护理管理工作中的应用及方法[J].中西医结合心血管病电子杂志,2018,6(25):170.
[2]陈行琼.护士分层分组管理在优质护理临床管理中的应用效果[J].实用临床护理学电子杂志,2018,3(41):171-172.
[3]陈瑞霞,朱记芬,祝巾玉,等.分层管理模式下主管护士职业价值观调查分析[J].卫生职业教育,2018,36(22):133-135.
[4]冉茂晓,杨丹.急诊护士分层管理的规范化培训措施分析[J].中国卫生产业,2018,15(31):114-115.
[5]杨阳.分层管理在妇产科护理管理中的应用[J].大医生,2018,3(9):126-127.
[6]戴茹,陈丽娟,刘露.ICU层级护理对患者感染控制的应用效果分析[J].中国实用医药,2018,13(33):192-193.
[7]庞维娜.三级医院护士能级分层培训在胸外科护理管理中的应用[J].中医药管理杂志,2018,26(21):105-107.
[8]NDOSI M.Combining nurse-led care with patient selfassessment could enhance tight control of rheumatoid arthritis and management of comorbidities[J].Evid Based Nurs,2016,19(3):85-86.
[9]何月利,诸薇薇.ICU护理团队动态配合管理方案的建立与成效[J].中医药管理杂志,2018,26(22):121-122.
[10]BAKON S,CRAFT J,WIRIHANA L,et al.An integrative review of graduate transition programmes:developmental considerations for nursing management[J].Nurse Educ Pract,2018,28:80-85.
[11]PHILLIPS J,HARRIS J.Emotional intelligence in nurse management and nurse job satisfaction and retention:a scoping review protocol[J].JBI Database System Rev Implementat Rep,2017,15(11):2651-2658.
[12]尤常赞,怀姝.消化内科护理实施组长负责制分层管理模式的效果[J].中医药管理杂志,2018,26(16):99-100.
[13]张婷.床头护嘱在外科病房护士层级管理中的应用与效果分析[J].中医药管理杂志,2018,26(17):129-130.
[14]任全艳,郑秀霞,高楠,等.探讨护士分层护理管理在护理管理工作中的应用及方法[J].中西医结合心血管病电子杂志,2018,6(25):170.