护士分层次管理实践中岗位责任制的体现.docVIP

精品论文 参考文献 护士分层次管理实践中岗位责任制的体现 杨芳 陈瑞玲 胡冰 王国香 许海珍 唐潘红 　　（深圳市龙岗区人民医院护理部 广东深圳 518172） 　　【摘要】目的：探讨连续性小组层级岗位责任制排班在护士分层次管理中的实践效果。方法：(1) 采用问卷调查法对206名病人及368名医护人员进行护理工作现状调查；(2)建立APN连续性小组层级岗位责任制排班模式；(3) 小组层级责任制排班运行有效率统计；(4)新、旧排班护士日工作时数、月休息日数的比较。结果：APN连续性小组层级岗位责任制排班模式雏形（运行有效率大于70%）；护理工作现状调查对比存在问题得到改善（P﹤0.05），护士对实施护理排班改革的意愿增强（P﹤0.01）；新排班模式护士每天工时数减少、每月总休息天数增加(Plt;0.01)。结论：推行APN连续性小组层级岗位责任制排班模式，在护士分层级管理实践中充分体现了岗位责任制，践行了“以人为本”的科学发展观。此项护理岗位工作模式改革，经过8年的临床实践取得了显著的推行效果。 　　【关键词】连续性排班；小组责任制；护士岗位层级 　　【中图分类号】R471 【文献标识码】A 【文章编号】1007-8231（2015）24-0234-05 　　To reflect the system of post responsibility in the management practice of nursing level separation 　　Yang Fang,Chen Ruiling,HuBing,Wang Guoxiang,XuHai zhen,Tang Panhong.Long Gang District Peoplersquo;s Hospital of Shenzhen,Guangdong 518172,China 　　【Abstract】Objective Probe into the operating results of the model of nursing continuous work scheduling of group level- division post responsibility system. Method (1) There were 206 patients and 368 nurses and doctors of our hospital were studied by the questionnaires; (2) To establish the model of continuous nursing work scheduling of group level- division responsibility system; (3) To analyze the efficiency of the continuous work scheduling of group level-division responsibility system; (4) To compare with the nursing work hours and rest days between the old work scheduling and the new work scheduling model. Result The model of nursing continuous work scheduling of Group level-division responsibility system was established.The efficient operation of relatively fixed the new scheduling model have achieved over 70%; The nursing work status have improved by practicing the new scheduling model, (P lt;0.05); The nurses favor the reform of the new nursing work scheduling model (P lt;0.01); The new model reduced the number of nurses working hours per day, and increased the number of monthly rest days (Plt;0.01). Conclusion The nursing model continuou