精选责任制整体护理.docVIP

护士分层责任制整体护理的实践与效果 发表时间：2011-12-15?? 来源：《中外健康文摘》2011年第33期供稿?? 作者：邓成英 杜利霞 李惠 [导读]?实施护士分层责任制整体护理有利于提高护理质量、病人满意度、护士工作满意度 。 ?邓成英 杜利霞 李惠（乐山市市中区人民医院心内科 四川乐山 614000）【中图分类号】R471【文献标识码】B【文章编号】1672-5085（2011）33-0140-03【摘要】目的 探讨实施护士分层责任制整体护理模式的效果。方法　对病区１５名护理人员按学历、职称、工作年限、综合素质分层级使用，界定不同层级护士的工作职责，包病人到护，落实责任制整体护理即责任护士应用护理程序全面负责分管病人的生活照顾、病情观察、治疗、康复指导、健康教育等。比较实施前后护理质量、病人满意度、护士工作满意度。结果　护理质量、病人满意度、护士工作满意度较实施前明显提高，差异有统计学意义。结论　实施护士分层责任制整体护理有利于提高护理质量、病人满意度、护士工作满意度,并且有利于护理人员综合素质的培养和提高。【关键词】护士分层管理 责任制整体护理 护理质量 满意度【Abstract】 objective To explore the implementation of hierarchical responsibility nurses holistic nursing modeeffect. Methods 15 nurses in ward, job title, age, degree of comprehensive quality of hierarchical use, defined bydifferent level nurses job duties, packet patients to nursing, implement the responsibility system for holistic nursingcare is the responsibility of nurses in charge of applying nursing procedure comprehensive patient care, observationof disease, treatment, rehabilitation, health education. Comparison of before and after the implementation of nursingquality, patient satisfaction, job satisfaction of nurses. Results the quality of care, patients satisfaction, worksatisfaction degree of nurses was implemented before the rise apparently, difference has statistical sense. Conclusionnurses stratified responsibility system is helpful to improve the quality of holistic nursing care, patients satisfaction,work satisfaction degree of nurses, and is conducive to the cultivation of comprehensive quality of nursing personneland improve Authors address: Leshan City Central Peoples hospital heart internal medicine department, SichuanLeshan 614000,china.【Key words】nurse grading management responsibility of holistic nursing nursing quality satisfaction??????? 卫生部提出作为深入开展优质护理的重要保障，其切入点是改革护理模式，即实施责任制整体护理模式。责任制整体护理要求责任护士对其所负责病人的所有护理工作，包括生活照顾、病情观察、治疗、康复指导、健康教育等全面负责[1]。责任制整体护理模式对护理人员提出了更高的要求，如何利用现有的护理人力资源科学合理地安排护理工作，激发护理人员的服务潜能、改善护理服务质量、提高病人满意度，已成为目前护理管理者亟待解决的问题[2]。2011年1月开始