层级管理在产科护理管理中的应用.pdfVIP

护理管理 层级管理在产科护理管理中的应用 The Application of Hierarchical Management in the Management of Obstetrical Nursing □汪颖WANG Ying 邵品超 SHAO Pin-chao 金明石 JIN Ming-shi □ 目的 探讨层级管理在产科护理管理中的应用。方法 在我院妇产科实施层级护理管理，比较实施层级护 理管理前后住院患者对护理工作满意度及护理部对护理质量考核得分的变化。结果 实施层级护理管理后取 得了以下效果：（1）患者对护士的服务、工作能力、沟通及病区管理及总体评价都有显著提高。（2）患者对 初级护士和高级护士的评价显著提高，对中专学历及本科学历护士的满意度显著提高。（3）产科护士在理论 知识、基础护理、专科护理、护理文书、危重患者护理、病房管理等方面显著提高。结论 层级护理管理能 够提高产科护理质量，值得在临床工作中广泛推广。 Abstract: Objective To explore the application of hierarchical management in the management of obstetrical nursing. Methods Hierarchical nursing management was implemented in the obstetrics and compared the difference of nursing satisfaction and nursing quality assessment results before and after implementing the management. Results 1) Patients satisfaction on nurses in the department of obstetrics before and after practicing the hierarchical management in terms of service attitude, the working ability, communication, ward management and overall evaluation was improved with significantly statistical difference (P ＜0.05). 2) Patients satisfaction on senior and junior nurses before and after practicing the hierarchical management was improved with significantly statistical difference (P ＜0.05), so was on nurses with technical school education or bachelor degree (P ＜0.05). 3) Theoretical knowledge, basic nursing, professional nursing, nursing records, nursing care of critically ill patients and ward management of nurses in obstetrics were significantly improved (P ＜ 0.05). Conclusion Hierarchical management could improve the nursing quality in the department of obstetrics and worth being popularized. 关键词 Key words：层级管理 Hierarchical management；护理 Nursing；产科 Obstetrics 随着老龄化社会进程的加快，人民的健康需求增加，医疗 高级职称 4 名（含护士长）；中专学历 6 名，大专学历 15 名， 技术的发展和医学模式的转变，护理工作的内涵和外延要求增 本科学历 4 名；已婚 13 人，未婚 12 人。比较随机抽取的 2012 加，而护理人力资源却相对紧张 [1-2]。所以，如