责任制护理小组模式在肿瘤外科中实践与效果.docVIP

责任制护理小组模式在肿瘤外科中实践与效果 　　[摘要] 目的 探讨病区责任制护理小组模式，以提高肿瘤外科护理质量。 方法 回顾性分析传统管理护理模式200例患者和采用责任制护理小组200例患者的护理资料。病区护士根据各自的职称由责任制护理小组分为5个小组，责任组长每组设立1名、责任护士4名， 责任组长由临床经验丰富和专业知识强的主管护师承担。小组负责治疗护理工作和全部健康教育。 结果 实施责任制护理小组后，与传统管理模式下比较，责任制护理小组模式下患者呼叫后护士到位时间明显缩短、输液呼叫铃声次数明显减少，差异有统计学意义（P 0.05）；责任制护理小组模式下患者的护理满意率（96%）和对疾病知识知晓率（95%）高于传统管理模式的护理满意率（81%）和对疾病知识知晓率（86%），差异有统计学意义（P 0.05）。 结论 责任制护理小组管理模式体现了人性化护理的理念，提高了护士的工作效率，提升了护理质量。 　　[关键词] 责任制护理；护理质量；肿瘤外科 　　[中图分类号] R471 [文献标识码] C [文章编号] 1673-7210（2012）02（a）-0146-03 　　 　　Clinical practice and its effect of responsibility-based nursing team model in department of surgical oncology 　　ZHANG Aihua 　　The Peoples Hospital of Qianan Ctiy, Hebei Province, Qianan 064400, China 　　[Abstract] Objective To investigate the efficacy of responsibility-based nursing team model in improving quality of surgical oncology care. Methods Nursing data of 200 patients receiving traditional management model of care and 200 patients receiving responsibility-based nursing team model of care were retrospectively analyzed. Ward nurses, according to their titles were divided into 5 accountability groups, which consisted of one team leader and four team members. The team leaders were mainly charge nurses with rich clinical experience and strong expertise. Each team was responsible for the treatment care and health education. Results Nurses response time and daily infusion call times were significantly reduced after the implementation of responsibility-based nursing team model compared with traditional management model (P 0.05); patients care satisfaction rate (96%) and knowledge level of disease (95%) under the responsibility-based nursing team model were also significantly better than that under the traditional management model (81%, 86% respectively) (P 0.05). Conclusion Responsibility-based nursing model reflects the concept of humane care, and it helps improve the efficiency of the nurses and enhance the quality of care. 　　[Key words] Accountability nursing;