急诊科护理人力资源分层配置与工作现状调查分析.docVIP

急诊科护理人力资源分层配置与工作现状调查分析 　　[摘要] 目的 了解急诊科护理人力资源分层配置和工作现状。 方法 采取整群抽样，于2014年7～8月对本市4家三级综合医院急诊科各层级护理人员工作内容中实施直接护理和间接护理的频次进行问卷调查。 结果 直接护理中，不同学历、职称、年资的护理人员护送检查、卫生处置、预检分诊、院前急救差异有统计学意义（P0.05）；间接护理中，不同年资、职称的护理人员临床带教、护理质控、护理科研差异有统计学意义（P0.01）。低学历、低职称、低年资的护理人员实施护送检查、卫生处置、院前急救的频次高；高年资、高职称的护理人员实施预检分诊、临床带教、护理质控、护理科研的频率高。急诊科各层级护理人员能力不等，但实际工作中，除护送检查、卫生处置、预检分诊、院前急救、护理教学、护理质控、护理科研等少数项目外，其余工作内容基本相同。 结论 急诊科人力资源应科学合理分层配置，以保证急诊护理工作的质量，提高急诊患者的满意度。 　　[关键词] 急诊科；护理人力资源；分层配置；工作现状 　　[中图分类号] R197.323 [文献标识码] A [文章编号] 1674-4721（2015）07（b）-0156-04 　　[Abstract] Objective To investigate the hierarchical configuration of nursing human resources in department and of emergency current status of work. Methods By cluster sampling，from July to August in 2014，frequencies of direct nursing and indirect nursing in all nursing staff in different hierarchies of department of emergency from 4 comprehensive hospitals in grade three in our city was investigated by questionnaire. Results In direct nursing，nurses in different education，title and years of experience displayed statistical difference in escort for examinations，sanitary disposal，pre-triage and pre-hospital care（P0.05）.In indirect nursing，nurses in different years of experience and title displayed statistical differences in clinical teaching，nursing quality control，nursing scientific research（P0.01）.Nurses with a lower background education，lower title and few years of experience had higher frequencies in implementation of escort for examinations，sanitary disposal and pre-hospital care，while nurses with many years of experience and senior professional post had higher frequencies of pre-triage，clinical teaching，nursing quality control and nursing scientific research.The abilities of nurses in different hierarchies of emergency department were not the same.However，in practical work，except several items like escort for examinations，sanitary disposal，pre-triage，pre-hospital care，nursing education，nursing quality control and nursing scientific research，etc