3种儿科住院总护师值班模式的比较
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摘要
目的探讨适合儿科的住院总护师值班模式。方法发放问卷,调查护士长、护理人员和住院总护师3个群体对本院2001年～2017年采取的3种住院总护师值班模式的选择、影响情况、满意度及意见等,分析调查结果,比较出最适宜的值班模式。结果58. 33%的护士长认为住院总护师值班对科室没有影响,76. 25%的住院总护师认为值班对自己的工作和生活有影响,2者比较差异有统计学意义(P <0. 05);参加模式一和模式二值班的住院总护师分别有58. 06%和60%的人员不满意自己的值班模式,模式三仅有8. 82%的住院总护师不满意,3者比较差异有统计学意义(P <0. 05); 3种值班模式下的家属均有半数以上对住院总值班不满意,3者间差异无统计学意义(P> 0. 05)。结论值班模式三对科室和护理人员个人影响最小、满意度最高,最适宜医院选用。
Objective To explore the on duty modes of the general resident nurse and determine the suitable mode of the pediatric general resident nurse. Methods The chief nurses,nursing staff and general resident nurse were sent to questionnaires to survey the selection of the3 modes of the general resident nurse on duty from 2001 to 2017,the influencing factors,the satisfaction and opinions,and confirming the most apporiate mode on duty. Results 58. 33% of the chief nurses believed that the general resident nurse on duty system had no effect on the department,and 76. 25% general resident nurses thouthght that the system had an effect on their work and life( P < 0. 05); 58. 06% of the general resident nurse who particispated in mode1 were not satified with the mode,or 60% of the general residents were not satisfied with the mode2. Yet,there was only 8. 82% of the general residents were not satisfied with the mode3( P < 0. 05). More than half of the families were not satisfied the three kinds of on duty modes of the general resident nurse,but the differences among them was not statistically significant( P> 0. 05). Conclusion The on duty mode 3 of the pediatric general resident nurse has the least impact on the department and nursing staff,and has the highest satisfaction,which is the most appropriate mode.
Objective To explore the on duty modes of the general resident nurse and determine the suitable mode of the pediatric general resident nurse. Methods The chief nurses,nursing staff and general resident nurse were sent to questionnaires to survey the selection of the3 modes of the general resident nurse on duty from 2001 to 2017,the influencing factors,the satisfaction and opinions,and confirming the most apporiate mode on duty. Results 58. 33% of the chief nurses believed that the general resident nurse on duty system had no effect on the department,and 76. 25% general resident nurses thouthght that the system had an effect on their work and life( P < 0. 05); 58. 06% of the general resident nurse who particispated in mode1 were not satified with the mode,or 60% of the general residents were not satisfied with the mode2. Yet,there was only 8. 82% of the general residents were not satisfied with the mode3( P < 0. 05). More than half of the families were not satisfied the three kinds of on duty modes of the general resident nurse,but the differences among them was not statistically significant( P> 0. 05). Conclusion The on duty mode 3 of the pediatric general resident nurse has the least impact on the department and nursing staff,and has the highest satisfaction,which is the most appropriate mode.
引文
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[10]任珍.我院设置住院总护师岗位的实践与成效[J].中国护理管理,2011,11(6):83-84.
[11]魏巍,郑芹,周光花,卢彩霞.影响住院总护士任职意愿的质性研究[J].当代护士(下旬刊),2015,1:1-3.
[12]孙丽萍,付立,陈丽珊,等.住院总护士专业化培训与管理模式的实践与效果[J].护理管理杂志,2014,14(9):678-680.
[13]欧立新.住院总护师培训的实施体会[J].当代护士(中旬刊),2012,5:143-144.
[2]张伊娜.浅析全面二胎政策下的儿科医疗行业现状[J].继续医学教育,2016,30(7):92-94.
[3]路睿,王健.山东省儿科医护人员短缺状况与思考[J].中国社区医师,2018(6):180-181.
[4]雷明明,刘友学,郁晓霞,等.“全面二孩”政策背景下儿科医生紧缺的对策研究[J].重庆医学,2017,46(34):4871-4873.
[5]迟春昕,林俊,谭宝琴,等.住院总护士岗位培训对新生儿科护士专科能力的影响[J].齐鲁护理杂志,2016,22(21):99-100.
[6]刘颖,魏红艳,卢晓春,等.新生儿监护病房实施住院总护士岗位培训的效果与评价[J].海南医学,2014,25(9):1397-1399.
[7]聂雷霞,蒋萍,张敏,等.实施住院总护师查房制对专科护理质量的影响[J].华南国防医学杂志,2017,31(6):418-420.
[8]王辉,任珍.实施住院总护师制度提高护理质量[J].北京医学,2017,39(9):976-977.
[9]孙丽萍,付立,陈丽珊,等.住院总护士专业化培训与管理模式的实践与效果[J].护理管理杂志,2014,14(9):678-680.
[10]任珍.我院设置住院总护师岗位的实践与成效[J].中国护理管理,2011,11(6):83-84.
[11]魏巍,郑芹,周光花,卢彩霞.影响住院总护士任职意愿的质性研究[J].当代护士(下旬刊),2015,1:1-3.
[12]孙丽萍,付立,陈丽珊,等.住院总护士专业化培训与管理模式的实践与效果[J].护理管理杂志,2014,14(9):678-680.
[13]欧立新.住院总护师培训的实施体会[J].当代护士(中旬刊),2012,5:143-144.