OEC管理模式在泌尿外科护理管理中的应用(修改版).docx

OEC管理模式在泌尿外科护理管理中的应用（修改版）雷艳周燕娇陈江岸张夏柔（解放军第187医院泌尿外科 海南海口571159）[摘要] 目的总结OEC管理模式在我院开展以来所取得的临床效果。方法从2014年7月至2015年6月，OEC管理模式在我科开始施行，其内容囊括了确定护理工作目标的责任体系、建立护理工作的日清体系和激励机制。通过对比开展前后患者对其护理工作的满意认同度与其工作质量高低，来验证OEC管理模式在临床上应用的效果与否。结果 OEC管理模式实施后，护理工作质量指标（整体护理能力、病区管理能力、基础护理能力和护理文书管理）平均得分明显高于实施前（P＜0.01)，差异有统计学意义；患者对护理工作认同满意率明显高于实施前（P＜0.05)，差异有统计学意义。结论 OEC管理模式可对临床护理工作实行更加统筹的精细化和目标化管理，进而提高临床你护理工作的质量与患者对其工作的满意认可度。[关键词]OEC管理模式；泌尿外科；护理管理[中图分类号] R197.323.2Application of OEC Management Mode in Nursing Management of Urinary Surgery.LEI Yan, Department of Urology, the 187th Hospital of PLA, Haikou 571159, Hainan, CHINA.[Abstract] Objective To explore the application effect of OEC management mode in nursing management of urinary surgery. Methods From Jul 2014 to Jun 2015, OEC management mode was used to nursing management in urinary surgery of a hospital. The measures included definitude of nursing work goal responsibility system, establishment of daily nursing work system and encourage system. The quality of nursing work and patients satisfaction on nursing job were compared before and after the implement. Results Average scores of nursing work quality indexes (the whole nursing ability, department management ability, basic nursing ability and nursing document management) after the implement were high than that before the implement （P＜0.01）. Patients satisfactory rate on nursing job after the implement was high than that before the implement（P＜0.05）. Conclusion OEC management mode can realize objective management and fine management of clinical nursing work, raise quality of nursing work and patients satisfaction.[Key words] OEC management mode; Urinary surgery; Nursing managementOEC管理法的精华在于每个人都有自己每天必须去完成的工作目标，即便很细小，也必须去强调重视和努力完成。确立目标，日事日毕，所完成的程度和质量高低的评定必须与正负激励机制紧密联系[1]。如今的护理管理模式应该逐渐淘汰之前单调的排班——查房——质控——会议的模式，应逐渐实施更为科学的“护理管理人性化，质量控制标准化，护理服务细节化，医疗决策科学化”这一模式[2]。OEC管理模式正是贯彻了“以人为本”的原则，对临床护理质量实行目标管理，细化了护理工作流程，提高了科学管理水平，因此，OEC管理模式现如今已在临床的护理工作中广泛应用。因此，我科自2014年7月以来，在临床护理管理工作中充分的应用OEC管理方案，大大提